How do I treat bursitis if the steroid injections do not help

What is the best treatment for Bursitis in both hips. Steroid injections have not helped.

12 January 2017

There is no best treatment for bursitis as each person will respond to treatment differently. Bursitis is normally managed with regular pain medication and non-steroidal anti -inflammatory medications such as ibuprofen, diclofenac or naproxen if you can tolerate these, and you will have to take these regularly for at least 3 weeks to achieve the anti-inflammatory effect. This manages most cases of bursitis. Steroid injections can also be used if the above treatment does not help or you cannot tolerate ibuprofen type medications, but effectiveness of this can be variable. Antibiotics may be used if a septic bursitis is diagnosed, you would normally be referred to a Rheumatologist at this point. If the swelling caused by the bursitis is severe aspiration may be needed. In some cases surgery is required to remove the affected bursa or to make an incision in the bursa to allow this to drain, you would be referred to an Orthopaedic surgeon for this. It is not common to operate on both hips at the same time, so if surgery is needed, there will be weeks or months between procedures. Hopefully this will help you,

Answered by the Health at Hand nurses

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