Bursitis is an inflammation of one of two bursae, which are small, fluid-filled sacs that cushion the bones in the hip area. The trochanteric bursa covers the bony point of the hip bone, and the iliopsoas bursa is located on the inside of the hip in the groin area. The chief symptom of trochanteric bursitis is acute hip pain that gradually spreads, according to the American Academy of Orthopaedic Surgeons.
Hip bursitis most often affects women in middle age or older. It's linked with running, stair-climbing, bicycling, prolonged standing and injuries to the hip. Genetic disorders such as scoliosis or uneven leg length are also associated with bursitis. Bone spurs, prior surgery and rheumatoid arthritis are other risk factors. Bursitis is usually treated conservatively with anti-inflammatory pain medications and physical therapy. A doctor can prescribe exercises to increase hip strength and flexibility. Corticosteroid injections are useful for pain relief, but they aren't recommended for long-term treatment because they can damage surrounding tissue. Surgical removal of the bursa is a last resort. To prevent hip bursitis, the American Academy of Orthopaedic Surgeons recommends avoiding repetitive activities that stress the hips, losing weight if necessary, wearing corrective shoes if a leg-length discrepancy exists, and maintaining strength and flexibility in the hip muscles.