My mom suffers from hip bursitis. This has been going on for a few years. She is 80 years old. She received a steroid injection on one occasion. This caused her a great deal of discomfort for about a week and did not alleviate her suffering. She recently visited another physician who told her that there isn't much that he can do for her other than give her another steroid injection. He also told her that he didn't recommend performing an aspiration of the bursa fluid even though there is a great deal of inflammation and it's has been that way for quite some time. He stated that the fluid build-up will just reoccur and that an aspiration could possibly result in a leakage problem. Her condition has decreased her mobility considerably as she is in constant pain. Could an aspiration of the bursa fluid possibly help her? Is it possible to determine if the liquid buildup is infected without an aspiration and testing of the bursa fluid?
In some patients who have a significant amount of fluid that has collected within the bursa, a needle can be placed into the bursa to remove the fluid. This is rarely needed in cases of hip bursitis, but when it is done it may be combined with a cortisone injection. You may try this but I suggest you to go to an experienced Orthopedician who deals with Geriatric problems.
The amount of fluid can be determined by a CT or an MRI before the procedure.
But to decrease the pain you have to tell her to rest and take anti inflammatory medications. Icing the area of hip bursitis often helps to decrease the symptoms of hip bursitis.
In those few cases where surgery is needed, this can be done through a small incision, or sometimes it can be performed arthroscopically.
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