Hip tendonitis is inflammation of any of the hip tendons, or the strong fibrous tissue that attaches muscle to a bone. Tendonitis occurs when the body’s immune system increases the flow of blood to an injured tendon, causing inflammation in the joint.

Hip tendinosis is the non-inflammatory degeneration of a tendon. Tendinosis degrades the tendon, causing changes in the structure or composition of the tendon.

Similar to strains and sprains, tendonitis and tendinosis are frequently caused by overuse of the hip. Both conditions can also be caused by acute physical trauma, although this is less common. Long-distance runners, swimmers, baseball players, tennis players, and golfers have a higher than average risk of these conditions.

Signs and symptoms of hip tendonitis and tendinosis include:

• Pain in the hip, back, or leg
• Hip pain that gradually develops over time
• Hip stiffness, swelling, and inflammation
• Heat and redness around the tendon
• Visible lumps along the tendon

Both tendonitis and tendinosis can be treated with RICE (rest, ice, compression, and elevation) and physical therapy. You can also lower your risk of recurrent injuries by adequately stretching before exercise and strengthening the muscles in your hips, legs, and lower back.

It is important to note that NSAIDs (non-steroidal anti-inflammatory drugs), such as ibuprofen and naproxen, as well as cortisone injections, are suitable treatments for tendonitis but not for tendinosis. This is because tendinosis is non-inflammatory and NSAIDs will not help tendons heal. In fact, some experts advise against using NSAIDs to treat tendinosis because they inhibit the growth of callogen, which is necessary for tendon healing.

It should also be stressed that tendonitis and tendinosis heal at different rates. Tendonitis typically heals in about 6 weeks with proper treatment. Tendonosis typically heals after 3-6 months. If you experience the signs and symptoms of these conditions, schedule an appointment with an orthopaedist. A hip expert will ensure that your condition is accurately diagnosed and that you receive the appropriate treatment.

Hip bursitis is inflammation of bursae, which are fluid-filled sacs that cushion muscles, tendons, and ligaments against bone. Similar to other inflammatory conditions, bursitis is commonly caused by chronic overuse of a joint. Although less likely, bursitis can also occur from acute trauma or infection.

The trochanteric bursa and the iliopsoas bursa are the two major bursae located in the hip. The trochanteric bursa is located on the bony tip of the hip called the greater trochanter. The iliopsoas bursa is located on the inside, or groin side, of the hip. This is why bursitis pain is felt in the hip or thigh, outside the hip or thigh, or on one side of the groin.

Signs and symptoms of hip bursitis include:

• Hip pain and stiffness that becomes worse with repetitive motions
• Pain when pressing on the hip or groin
• Pain when lying on one’s side
• Pain when walking up stairs
• Pain when rising from a deep sitting position

The symptoms of bursitis only last for a few weeks if the hip is allowed to rest. Similar to the treatment of tendonitis, RICE can help manage symptoms while the body heals itself. Strengthening your hip, leg, and back muscles can also help prevent future episodes of bursitis.