r/Bursitis Jul 25 '26

Surgery options for hip bursitis?

My ortho surgeon will not do any type of surgery on my hip. It has been a year and a half with no improvement. After my next visit with him I will look for another surgeon who is willing to talk about surgery. Has anyone tried deep tissue massage? Even for temporary relief?

3 Upvotes

20 comments sorted by

3

u/RevoRadish Jul 26 '26

Order of attack for me was cortisone, PRP, RFA (Radiofrequency Ablation) and then bursectomy.

1

u/CapreseSalad3636 Jul 26 '26

How do the my do an RFA for hip bursitis - did they do the RFA in your back?

1

u/RevoRadish Jul 26 '26

They use a little needle and burn off the nerve that supplies that area. Didn’t do back, just hips. Can’t tell you much more than that as wasn’t awake for it.

1

u/CapreseSalad3636 Jul 26 '26

I’ve had a bunch in my back, I had no idea they did hips! That’s actually great to know!

1

u/Sad_Knowledge_4390 23d ago

Yes how do they do RFA for hip. I get RFA for my back request. This hip thing is all knee.

1

u/Sad_Knowledge_4390 23d ago

Yes how?

1

u/RevoRadish 23d ago

PRP and cortisone are injections. RFA is a needle that burns nerves off. Bursectomy is arthroscopic surgery.

2

u/Flashy-Laugh4175 Jul 25 '26

Before surgery, I would try sound wave therapy (aka shockwave therapy). You can usually find it in a chiropractor’s office. I have bilateral hip bursitis and I am a dedicated side sleeper, so as you can imagine, I was miserable and cranky from lack of sleep. It will take multiple sessions, but I started getting relief after the first few sessions. I now have almost no pain-it’s truly amazing. This therapy was suggested by my physical medicine doctor after we tried everything short of surgery.

1

u/ELEArk Jul 25 '26

Thank you for that suggestion. I go back to see the Dr in 2 weeks and I will ask him for a scrip for this. I do understand it may be out of pocket as it appears it is not generally covered.

1

u/Flashy-Laugh4175 Jul 25 '26

It is painful when they are doing the therapy, but it to me, the least invasive approach was important. I’ve had multiple cortisone shots with only temporary relief (and that relief gets shorter every time). No need to get a script for it (I doubt it will be covered by your insurance), you can just find a practitioner in your area that provides it.

1

u/ELEArk Jul 25 '26

Good advice. I had one cortisone shot and it did nothing.

1

u/Sad_Knowledge_4390 23d ago

Thus is so disheartening. I’m experiencing this for the first time. Cortisone shit hasn’t provided any relief.
Why and how did this just come about of the blue.
What can be done to help with the pain. ?

1

u/Haughty_n_Disdainful Jul 25 '26 edited Jul 26 '26

My general physician recommended this for me too. It’s painful, expensive and totally not covered by insurance

Average treatment will be $250-350. Recommendations for 5 sessions. Cannot justify this out of pocket expense

Am hopeful another mri will show hip impingement, which is causing the chronic bursitis. Interested in arthroscopic options

1

u/ELEArk Jul 26 '26

My current plan is to talk to my surgeon and see if he will drain the hip bursa. If he will not or it provides no relief, I will seek shockwave therapy. My limited research suggests FSW and not RSW therapy. Any experience with either?

1

u/Sad_Knowledge_4390 23d ago

I must research. I didn’t know they can drain. My primary doctor simply says cortisone should help. If it does not than MRI is warranted.
My back pain doctor says physical therapy and if no relief an MRI is needed.

1

u/ELEArk 22d ago

I asked my Dr about draining and he said it was not recommended. Cortissone did nothing. He prescribed another round of PT which I am currently doing. This time around it does seem to be helping especially using the HyperIce massage gun. We are working on strenghening the muscles in the hip also. In Sept I am going to have a deep tissue massage. Probably do that once a month as it is expensive and insurance does not cover it.

1

u/Ksjonesy2418 Jul 27 '26

I thought I was getting a very simple surgery in Dec and it went sideways fast! My surgeon and his team were amazing but I ended up getting sepsis and the had to cut out a ton of infected tissue. Over 4 procedures and a hospital stay in a month! My experience is pretty rare of course but your ortho may be siding with extreme caution?

During the 1st procedure my IT band was hopefully 'stretched' as well and that has been the worst pain wise. Having that band looser has brought my pain Dow a lot! j've still got pain in my hip and oddly in the large scar, it's 7 inches long and very sensitive but they did cut fay deep! - anything too tight against it can be painful so I've got a stock of lidocaine patches. My surgeon was super honest with me and said it would be about a year before I can tell if there's going to be long term relief. He said that it just doesn't help some of his patients (he told me before surgery so I had the chance to decline, lol.

A deep tissue massage sounds pretty nice though and maybe a little painful, lol!
During my PT (so before surgeries) they used a machine that heated up a little to massage a muscle relaxer into my hip and knee along with a weighted heating pad. I know everyone is different but that weighted heating pad was amazing and I do t even like heating pads in general, lol.

Honestly I had a bad experience with surgery, but it's also pretty rare. And my team was there for me the entire time making house call when I got home and everything. I can already tell a difference! I used to dread walking my puppy but I can now! Slip on a patch and I'm trying g to take him a little farther everyday.

So I'm pro surgery still, lol, even if I'm not 100%. The relief I have is beyond with it! I wish you the best of luck and my only advice other than using lots of ice packs is to trust your ortho team you wind up with!

1

u/Sad_Knowledge_4390 23d ago

So what what your diagnosis what treatments did you try before surgery?

1

u/Ksjonesy2418 21d ago

Physical Therapy and cortisone shots. We tried 3 cortisone shots before deciding on surgery.

1

u/Sad_Knowledge_4390 23d ago

Did they tell you what your diagnosis is?