Tantricintro

Symptoms

This is a relatively common condition that can cause significant pain on the outer aspect of the hip. It tends to be constant, often tender to touch and its intensity can vary over time.

Who does this affect?

The majority of patients are female, often in their forties or older. They may or may not have had surgery in the past and the true cause of the condition is unclear. It may be caused by a combination of tight fascia lata, inflammed trochanteric bursa (figure 1) and tendon tears. Occasionally, the lateral hip pain is secondary to a deeper hip joint problem such as hip impingement.

Investigations

X-rays of the hip are usually normal. Scans such as magnetic resonance scans can be useful to confirm the diagnosis as well as out-ruling any other pathology (figure 2).

Non-surgical Treatment

Physiotherapy (particularly working on core-stability and fascia lata stretching exercises), painkillers, anti-inflammatory drugs and localised high frequency ultrasound can all be useful. Steroid injections into the area of maximal tenderness will usually make a significant difference but how long it lasts can vary from patient to patient. Professor Fehily would generally carry out between 2 or 3 injections before considering surgery.

Surgical Treatment

If patients symptoms do not settle with conservative therapy, then surgery is recommended. Professor Fehilys procedure of choice is to do an open fascia lata release, plus a bursa excision or tendon repair if required. The options are best discussed at the time of your consultation. While this can be of great benefit to the patient, not all patients are cured. Roughly speaking, a third are cured, a third are better and a third have no benefit from surgery.

Hip Bursitis
Figure 1: Inflammed trochanteric bursa
Hip Bursitis
Figure 2: MRI scan showing trochanteric bursitis

Investigations

X-rays of the hip are usually normal. Scans such as magnetic resonance scans can be useful to confirm the diagnosis as well as out-ruling any other pathology (figure 2).

Non-surgical Treatment

Physiotherapy (particularly working on core-stability and fascia lata stretching exercises), painkillers, anti-inflammatory drugs and localised high frequency ultrasound can all be useful. Steroid injections into the area of maximal tenderness will usually make a significant difference but how long it lasts can vary from patient to patient. Professor Fehily would generally carry out between 2 or 3 injections before considering surgery.

Surgical Treatment

If patients symptoms do not settle with conservative therapy, then surgery is recommended. Professor Fehilys procedure of choice is to do an open fascia lata release, plus a bursa excision or tendon repair if required. The options are best discussed at the time of your consultation. While this can be of great benefit to the patient, not all patients are cured. Roughly speaking, a third are cured, a third are better and a third have no benefit from surgery.

Manchester Hip Clinic News

HIP SURGERY

Fracture

As patients who have had a hip replacement age, there is a decrease in the strength of their bones and an increase in the risk of fracture a...

HIP SURGERY

Dislocation

As hip replacements age, the components will wear and the hip will lose its' initial soft-tissue tension. This combined with a general incre...

HIP SURGERY

Hip Arthroscopy

This is an innovative procedure that allows access to the hip joint using minimally invasive surgical techniques. It has been carried out ep...

HIP SURGERY

Hip Replacements

When a patient has severe arthritis and painkillers no longer effectively control the symptoms, hip joint replacement is advised. This has t...

HIP SURGERY

Implant loosening

Implant loosening is the most common cause/indication for revision hip surgery. Hip replacements have been carried out in the UK regularly s...

HIP SURGERY

Hip revision surgery

Revision hip surgery is carried out for a variety of reasons. These can include the original hip wearing out, the presence of deep infection...

Contact Details

1052a

Spire Manchester Hospital,
Russell Road, Whalley Range,
Manchester. M16 8AJ
Tel: 0773 979 1305
info@manchesterhipclinic.com