Hip Tendonitis and Bursitis Questions & Answers

Updated: Oct 12, 2018
  • Author: Jeffrey Rosenberg, MD; Chief Editor: Sherwin SW Ho, MD  more...
  • Print
Questions & Answers

Overview

What are causes of hip tendonitis and bursitis?

Why is the diagnosis of hip tendonitis and bursitis challenging?

How common are hip tendonitis and bursitis in the US?

What anatomy is relevant to hip tendonitis and bursitis?

What are sport-specific biomechanics relevant to hip tendonitis and bursitis?

Presentation

What should be the focus of history for suspected hip tendonitis and bursitis?

Which questions aid in ruling out more dangerous pathologies during the evaluation of hip tendonitis and bursitis?

Which questions aid in ruling out abdominal sources of pain during the evaluation of hip tendonitis and bursitis?

Which questions aid in ruling out spinal causes of pain during the evaluation of hip tendonitis?

Which physical exams are performed in the evaluation of hip tendonitis and bursitis?

What observations aid in the physical exam of hip tendonitis and bursitis?

What landmarks should be palpated during an exam for hip tendonitis and bursitis?

How should the range of motion (ROM) of the hip be assessed in hip tendonitis and bursitis?

Which specialized tests are performed in the diagnosis of hip tendonitis and bursitis?

What is the role of the quadriceps in the etiology of hip tendonitis and bursitis?

What is the role of the iliopsoas in the etiology of hip tendonitis and bursitis?

What is the role of the gluteus medius in the etiology of hip tendonitis and bursitis?

What is the role of the groin in the etiology of hip tendonitis and bursitis?

What is the role of the hamstring in the etiology of hip tendonitis and bursitis?

DDX

What are the differential diagnoses for Hip Tendonitis and Bursitis?

Workup

What is the role of lab tests in the diagnosis of hip tendonitis and bursitis?

What is the role of radiography in the diagnosis of hip tendonitis and bursitis?

What is the role of MRI in the diagnosis of hip tendonitis and bursitis?

What is the role of bone scanning in the diagnosis of hip tendonitis and bursitis?

What is the role of ultrasound in the diagnosis of hip tendonitis and bursitis?

Treatment

What is included in physical therapy during the acute phase of treatment for hip tendonitis and bursitis?

What should be done if a patient is not responding to initial treatment for hip tendonitis and bursitis?

What is the role of surgery in the treatment of hip tendonitis and bursitis?

What is the role of low-energy extracorporeal shock wave (ECSW) therapy for the treatment of hip tendonitis and bursitis?

What is included in physical therapy during the recovery phase of treatment for hip tendonitis and bursitis?

Which specialist consultations are needed for treatment of hip tendonitis and bursitis?

In addition to physical therapy what treatment methods are used in the recovery phase of hip tendonitis and bursitis?

Medications

Which medications are used in the treatment of hip tendonitis and bursitis?

Which medications in the drug class Analgesics are used in the treatment of Hip Tendonitis and Bursitis?

Which medications in the drug class Cyclooxygenase-2 (COX-2) Inhibitors are used in the treatment of Hip Tendonitis and Bursitis?

Which medications in the drug class Nonsteroidal anti-inflammatory drugs (NSAIDs) are used in the treatment of Hip Tendonitis and Bursitis?

Follow-up

How is return to play determined for patients with hip tendonitis and bursitis?

What are potential complications of hip tendonitis and bursitis?

When should a diagnosis of hip tendonitis and bursitis be reevaluated?

How is hip tendonitis and bursitis prevented?

What is the prognosis of hip tendonitis and bursitis in adolescents?

What is the prognosis of hip tendonitis and bursitis in aggressive athletes?

What is the prognosis of hip tendonitis and bursitis in active athletes?