Hip bursitis

Question 1

main cause of bursitis

Answer 1

overuse leading to friction and inflammation

Question 2

where are the 2 trochanteric bursas

Answer 2

between glute max tendon and trochanter
between glute med tendon and trochanter

palpated over glute max tendon

pain local to lateral hip / can’t sleep on affected side

pain is worse climbing stairs or getting out of car cause glutes are engaging

Question 3

where is the iliopectineal bursa

Answer 3

between iliopsoas mm and iliofemoral ligament

palpate by having them supine w hip flexed to 90
bursa located 1-2 cm inferior to middle 1/3 inguinal ligament

pain at anterior hip , can radiate down anterior leg due to pressure on femoral nerve

antalgic posture usually in hip flexion and external rotation

Question 4

causes of trochanteric bursa

Answer 4

altered hip biomechanics due to leg length discrepancy
LBP causing antalgic gait
OA
surgery
repetiive actions
ITB contracture

Question 5

causes of iliopectineal bursa

Answer 5

hip flexor tightness
repetitive activity

Question 6

causes of ischial bursa

Answer 6

sitting for a long time on hard surface
excessive sprinting - due to hamstring contraction

Question 7

what might relieve pain from an ischial bursa

Answer 7

pressing down on brake or gas pedal due to increased tone in mms that cross the knee which rotate the ischial tuberosity away from the car seat

Question 8

contributing factors to bursitis

Answer 8

mm imbalance
poor biomechanics
postural dysfunctions
lack of flexibility

Question 9

where is the ischial bursa

Answer 9

between glute max and ischial tuberosity
palpated through glute max
well localized pain over ischial tuberosity
referal down posterior leg that can mimic sciatic pain

Question 10

which hip bursitis can mimic sciatic pain

Answer 10

ischial