Tuesday, June 6, 2017

What Causes Hip Bursitis and How is it Treated?





Bursitis is a term used to describe inflammation of joint cushioning, fluid-filled sacs known as bursae. The four most common joints that develop bursitis are the elbow, shoulder, knee, and hip. For the purposes of this article, we’ll discuss hip bursitis—specifically, what causes it and how it can be effectively treated.

Hip Anatomy

The hip is a ball and socket joint composed of the head of the leg bone (femur) and acetabulum of the hip. Regarding bursitis, two bursae are important. The first, and most commonly affected, is the greater trochanteric bursa and the second is the iliopsoas bursa.


Illustration 1- Greater trochanteric bursitis is the most common form of hip bursitis.

Causes of Hip Bursitis

Overuse is the most common causes of hip bursitis. When the hip is stressed due to excess training, exercise, or physical activity, the bursa(e) can become irritated and inflamed, resulting in bursitis. Other causes of hip bursitis are:

1.    Anatomic abnormalities. A difference in leg length can result in excess stress being placed on the hip joints. Spinal abnormalities, such as scoliosis and arthritis, can also stress the joints in a similar manner.

2.    An accident. Falls, bumps, and motor vehicle accidents can injure the lower extremity and facilitate hip bursitis.

Regardless of the cause, individual cases of bursitis are (generally) treated the same way.

Treatments for Hip Bursitis

Any, or any combination, of the following treatment options can be prescribed:

1.    Activity modification. Stopping or modifying the activity that is causing the condition typically reduces inflammation.

2.    Nonsteroidal anti-inflammatory medications (NSAIDS). These oral medications reduce pain and decrease inflammation.

3.    Physical therapy. Stretching and strengthening exercises are used to increase hip stability and function. Pain, inflammation and the chances of reoccurring bursitis are decreased.

4.    Steroid injections. Fast acting pain relief is afforded through the use of steroid injections. Injections can be given in three-month increments depending on the severity of bursitis and associated symptoms.

Because they’re trained to handle joint related injuries and conditions, orthopedic specialists are the go-to medical professional to treat hip bursitis.

Arranging an Appointment for Hip Bursitis

If you can relate to the information in this article, please don’t hesitate to contact our offices in St. Peters or O'Fallon, MO. One of our specialists will accurately diagnose and effectively treat your injury/condition. Give us a call and we’ll get you in ASAP.


What is Fibromyalgia and How Can It Be Treated?



Most people have heard of Fibromyalgia and may even know someone who has been diagnosed with it. Still, there seems to be a bit of confusion in regards to what Fibromyalgia actually is and how it’s treated. In order to shed light on the condition, let’s go over the signs and symptoms, causes, risk factors and available treatment options.

Signs and Symptoms of Fibromyalgia

Fibromyalgia is defined as widespread muscle pain (shooting, aching, burning, throbbing, stabbing) that has no apparent cause or is not the result of a specific injury. In order for a diagnosis to be made, the most important sign and symptom a patient must have is pain on both sides of the body and above and below the waist. Other signs and symptoms include:

1.    Fatigue. Due to widespread muscle pain, patients can be constantly fatigued—regardless of the quality and duration of rest/sleep.

2.    Decreased cognitive function. Pain and fatigue can decrease patients’ ability to focus, concentrate, think and perform daily activities, such as driving, cleaning, and working.

3.    Anxiety and depression. Because fibromyalgia can alter the chemical levels in the brain, mental health problems, most commonly anxiety and depression, can occur.

It’s important to note that no one sign or symptom is enough to definitively diagnose a patient with Fibromyalgia. Usually, a diagnosis is made after other musculoskeletal disorders have been ruled out and a combination of the above-mentioned signs and symptoms are present.

Causes of Fibromyalgia

Medical professionals haven’t been able to find a pinpoint cause of Fibromyalgia. Current research and thought lead to the belief that the condition is caused by any, or any combination, of the following:

  • ·      Nervous, immune, and/or endocrine system disorders
  • ·      Overproduction of specific chemicals/hormones in the brain
  • ·      Sleep problems/disorders
  • ·      Stress
  • ·      Genetics
  • ·      Infection


The signs, symptoms and causes of Fibromyalgia can vary across affected patient populations. Thus, diagnoses and treatments can vary a great deal. Still, certain people are considered most at risk.

Risk Factors for Fibromyalgia

Women between the ages of 20-60 are statistically most at risk. Those with a family history of Fibromyalgia and/or rheumatic disease are also at an increased risk.

Treatment for Fibromyalgia

There’s no gold standard treatment option. Treatment plans are usually a combination of medications and therapy (physical and mental). When a patient adheres to the treatment plan prescribed by a Pain Management or Orthopedic Specialist, they can expect:

  • ·      Significant pain relief
  • ·      Mood improvement
  • ·      Increased ability to function (physically and mentally)


And, a decrease in other presenting symptoms.

Diagnosis of Fibromyalgia


If you're suffering from widespread pain and can relate to the information in this post, please don't hesitate to contact our offices in St. Peters or O'Fallon, MO to arrange an appointment. Our specialists can evaluate, diagnosis and treat your condition. You'll be in great hands and can expect significant pain and symptom relief.

At Advanced Bone and Joint, our team utilizes the expertise of Board Certified Interventional Pain Management specialist,  Dr. Brian Meek.   Dr. Meek treats Fibromyalgia using a comprehensive approach that includes Interventional Pain Management and other treatments.