Diagnosising Iliopsoas Bursitis
There are several conditions including, hip flexor muscle strain, iliopsoas tendinitis, and iliofemoral ligament sprain, that have symptoms similar to iliopsoas bursitis which can make a diagnosis difficult. Your doctor will need to perform a thorough assessment and possibly run tests to determine if your pain is caused by bursitis or by muscle or joint injury, local bleeding, synovitis, arthritis, tendonitis, cellulitis or a number of other conditions.
To begin with, your doctor will gather a medical history about you and your current condition and symptoms. You will discuss the intensity of your present pain, the duration of your symptoms, which movements are causing your pain, and the limitations you are experiencing. He/she will inquire about any recent activity or injury, even if the injury is a small one that could cause trauma, when your pain started, and whether or not you have ever had treatments for this or a similar condition in the past.
A physical examination will be performed and your doctor will visually assess and palpate (feel) the bones and soft tissue around your sore hip and the opposite joint to evaluate symmetry and recognize differences. This will identify any abnormalities, such as mild or severe inflammation, bone or tissue deformity, atrophied muscles, redness and/or warmth on the skin.
You will generally be asked to complete a series of movements to measure your active (performed by you) and passive (performed by your examiner) range of motion. These will test any possible weaknesses, joint stability and location of tenderness.
In order to rule out other conditions your doctor may recommend blood tests, an x-ray or MRI to investigate your bone structure and/or to examine the soft tissues and fluid in your hip.
Diagnostic Exams and Tests
Your doctor may aspirate (use a needle) to remove fluid from the bursa to check for possible staphylococcus epidermis (or staphylococcus aureus) bacterial infection. The knee and elbow tend to be the joints that are prone to septic (infectious) bursitis. If infection is detected you will be prescribed an antibiotic to treat it.
X-rays will provide a two-dimensional image of the overall structure of your pelvis. Although bursitis cannot be diagnosed from an X-ray, they are helpful in identifying other possible causes of pain and/or ruling out other conditions.
Some other possible causes of pain that an x-ray can identify include instability, abnormal bone shapes (bone spurs or bone cysts), wear and tear on the joints, avulsion fractures (when a fragment of bone tears away from the main bone along with the muscle, tendon, or ligament as a result of trauma), dislocations, arthritis, calcium deposits in the bursa or joint, and/or other problems.
MRI and CT Scans
You doctor may also order an MRI (magnetic resonance imaging) or a CT (computed tomography) scan for more detailed information to help evaluate the soft tissues (bursa, muscles, tendons, ligaments, fascia, and other connective tissues) in and around your hip joint. They will show fluid next to the muscle, and may identify bursitis, tendinitis, inflammation, tears and other associated conditions.
Ultrasonography can confirm diagnosis and demonstrate tissue disruption or thickened tendons. It is good for identifying bursitis and excessive fluid in bursa, and/or eliminating other causes of pain.
Hip Bursitis Treatments
Relieving the symptoms of bursitis initially focuses on keeping the pressure off the bursa. Surgery may be required if your bursa irritation is a result of a bone formation problem, such as a bone spur. If your bursitis is caused by an infection (septic bursitis), the doctor will probably drain the bursa sac with a needle and prescribe antibiotics to treat the infection. For non-infectious bursitis, the preliminary treatment starts with non-operative options such as cold therapy.
The most important factor in healing bursitis is resting your hip. This can be difficult when you have to carry on with daily activities, but resting whenever you can is recommended. During your recovery you will probably have to modify or avoid the activities that stress your bursa until your pain and inflammation settle.
Treatments should involve decreasing swelling, relieving stress on the hip joint, correcting any biomechanical dysfunction (uneven leg length, bone spur, etc.), treating scar tissue, and then restoring strength and movement in your leg and hip. Blood Flow Stimulation Therapy™ (BFST®) is recommended once inflammation has been calmed to heal the bursa and surrounding tissue faster and reduce the risk of bursitis returning.
Freezie Wrap® Cold Therapy
To decrease inflammation and relieve the pain of iliopsoas bursitis doctor's recommend cold therapy.
Applying cold to your inflamed bursa will help decrease the swelling and redness around it. Cold therapy will also help to numb the pain in your acetabular joint and help to control the inflammation. In addition, the deep cooling effect provided by the Hip Freezie Wrap® reduces tissue damage.
The Hip Freezie Wrap® uses a supercharged cooling gel pack, that chills in the fridge, not in the freezer like ice or other freezer packs, giving you deep cold therapy without the risk of 'cold burns' or cryoburn.
Cooling your inflamed iliopsoas bursa as needed throughout the day is recommended. The Hip Freezie Wrap® can be used to apply cold in a safe, convenient and effective way - and the gel pack is reusable. The gel pack sits gently over the inflamed bursa to reduce swelling and redness.
The wrap is soft and adjustable so it fits your body properly, without irritating the bursa, and allows you to adjust the compression. This is important when treating an inflamed bursa because too much pressure can cause you further pain. You control how much pressure the bursa receives so you can benefit from the compression to hold the cold where you need it, without increasing your pain.
Applying cold to your tender bursa and hip joint is the first step in treating your bursitis.
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Inferno Wrap® Blood Flow Stimulation Therapy
Once the inflammation of your bursitis has been reduced with cold therapy it is time to improve blood flow and improve the elasticity of your surrounding soft tissue. Your body needs a fresh supply of blood to improve the health of your tissue and get your iliopsoas bursa back to normal.
Unfortunately, when you are suffering from bursitis it can be painful to even walk or lift your leg. When you limit movement in your hip the blood flow is reduced, starving your tissue of the necessary oxygen and nutrients.
The trick is to find a way to increase blood flow without causing pain and/or further inflaming the bursae. This is where blood flow stimulation therapy, or BFST®, becomes a powerful tool.
BFST® compliments your body's natural healing process by promoting blood flow while you give your hip the rest it needs.
The Hip Inferno Wrap® uses a patented process to generate the same energy that is part of the sun's spectrum of light, the same energy that is necessary to all living things for optimum health. The energy emitted from the Energy Web® stimulates blood flow to your hip, more than your body would ever be able to generate on it's own, giving your body the boost it needs to continue the reconditioning process. The healing energy reaches deep into your iliopsoas bursa to speed tissue repair, whisk away the toxins and dead cells, and rejuvenate your hip tissues for improved elasticity.
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With these 3 easy therapies, you will notice significantly reduced pain and an incredible improvement in your hip pain and range of motion.
We recommend that you consult your doctor and/or physiotherapist before using any of our outstanding products, to make sure they're right for you and your condition.
NSAIDs, non-steroidal anti-inflammatory drugs, can be used if required to help manage your pain. However, these aren't recommended for long term use, as they can cause gastrointestinal difficulties and increase the risk of cardiovascular disease. The use of cold therapy and BFST® in conjunction with NSAIDs can greatly improve the effect of this medication and can help to heal quicker.
Your doctor may aspirate your inflamed bursa. This involves removing the extra fluid that has built up with a needle. Sometimes, the fluid will be tested at a laboratory to rule out infection.
If your bursitis does not get better with conservative treatments, the bursa may be surgically removed. Usually this is done by hip arthroscopy, which is a surgical procedure where tiny incisions are made and a pencil-sized camera is inserted into the hip. A small shaver is inserted into another incision, and is used to remove the swollen bursa all together. The surgeon will then look for any damage to the hip and make repairs if necessary. This is also done to remove any bone spurs.
Recovery time for the surgery will depend on a number of different factors including your healing ability, diet, rest and how many procedures were done in your surgery.
Post-op recovery time can be reduced with the use of cold compression and blood flow stimulation therapy following surgery. Cold compression is recommend by doctors following surgery to treat your pain in a natural, non-addictive way and to reduce swelling. Once the incision has healed, speak with your doctor about the use of cold compression therapy and BFST®. BFST® encourages more oxygen and nutrients to flow to the area to speed healing and improve the strength of the soft tissue in your hip. Using cold compression therapy as soon as you can following your surgery will reduce the amount of tissue damage caused by swelling.
Physical therapy is a beneficial way to restore atrophied muscles and improve strength and mobility after treating bursitis. The type of physical therapy and the duration will be dependent on the tissue damage and your symptoms. When you are treating or recovering from bursitis, it is important to ensure you do not perform any exercises that will further irritate the bursa.
Once your pain starts to diminish, a physiotherapist will set up an individualized strengthening and stretching exercise program for you to perform at home or in the gym. This will be based on your needs and abilities, and will help you return to performing your normal routines.
Individuals will often lift weights on their own, to try and build up their strength. However, in doing so, they can do more damage to their joint. It is extremely important to strengthen your muscles properly, as they may have weakened during the period of non-use. A trained therapist will help to ensure your rehabilitation process is appropriate and effective. For best, long term results use BFST in conjunction with physical therapy and an exercise program.
During your recovery, you may have to modify and/or eliminate any activities that cause pain or discomfort in your joint until your pain and inflammation settle, and you gain more mobility and strength. The more diligent you are with your rehabilitation, the faster you will see successful results.
Please be aware that this information is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider before starting any new treatment or with any questions you may have regarding a medical condition.