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Knee & Hip Problems Message Board


Knee & Hip Problems Board Index


Someone please give me some advice on what to do about my hip problem. I can't seem to find a doctor who really wants to take the time to help me. I have had Trochanteric Bursitis ( on the outside of my hip ) for over 2 years now. No amount of rest helps it to resolve. I have seen 2 Orthopedic surgeons in the past 5 months and had 2 series of Cortisone injections with very little relief. I am to do physical therapy but can't because of the pain. I have had an MRI which shows bursitis and tendonitis . Both of these doctor's are in Sports Medicine. Is that why they aren't very helpful, because I am not an athlete. I am just a middle aged stay at home mom who desperately wants help. I am becoming more and more depressed feeling that I will be in this pain for the rest of my life.
[QUOTE=Magsmom1989;4983391]Someone please give me some advice on what to do about my hip problem. I can't seem to find a doctor who really wants to take the time to help me. I have had Trochanteric Bursitis ( on the outside of my hip ) for over 2 years now. No amount of rest helps it to resolve. I have seen 2 Orthopedic surgeons in the past 5 months and had 2 series of Cortisone injections with very little relief. I am to do physical therapy but can't because of the pain. I have had an MRI which shows bursitis and tendonitis . Both of these doctor's are in Sports Medicine. Is that why they aren't very helpful, because I am not an athlete. I am just a middle aged stay at home mom who desperately wants help. I am becoming more and more depressed feeling that I will be in this pain for the rest of my life.[/QUOTE]

Your condition is called Greater Trochanteric Pain Syndrome....do some research on that. I know because I have it too and its giving me a lot of problems. I'd think twice before more injections....sometimes they can do more harm than good.

I am going to see Dr Byrd in Nashville. Hip Arthoscopic surgery is useful for this condition and Dr Byrd invented it. I will let you know what he tells me. I have a post in another thread...titled Gluteus Medius tendinosis or something like that if you want more information about my experience. I've had a lot of chronic pain for a long time...so I know what you are going through and feel bad for you.
Hi there -- I've three hip arthroscopies and all the attendant bursitis and piriformis syndrome that go hand-in-hand with underlying hip joint deformities. Fortunately, my bursitis was improved with one cortisone injection. Given your long-standing history of pain, you have probably undergone lots of gait changes and compensation techniques. I would hardily recommend continuing with PT -- it should feel like (hard) work and some of the massage may create soreness/tenderness, but none of the PT exercises should cause outright pain. If they do, ask for a modification. If your PT cannot modify your exercises to avoid pain, then you might want to look for another PT. If you seek help from a hip specialist, that doctor might have a recommendation for a new PT.

I don't think that your sports medicine doctors are giving you less care than they would an athlete. I do think that your continuing pain may be outside of their area of expertise. I would seek out a hip specialist in your area -- most major university orthopedic hospitals have at least one on staff. You will probably need a full exam and maybe imaging to confirm that there is no other underlying problem within your hip, knee, or lower back causing the bursitis.

If you want the "Cadillac" doctors of minimally invasive hip surgeries, then Dr. Byrd (Nashville), Dr. Bryan Kelly (NY), Dr. Clohisy (St. Louis), Dr. Phillipon (Vail), and Dr. Sampson (San Francisco) are generally accepted as leaders in the area of hip arthroscopy. The technique began in Germany with Dr. Ganz, and each of the above US doctors has made significant improvements in technique and instrumentation. Not all of them contract with insurance companies, so beware. You can, of course, start local or within plan for the initial exam and travel (whether geographically or outside of your insurance) for surgery if it is warranted.





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