Hip pain but only at night – trocanter bursitis – orthopedics forum – ehealthforum hip fracture surgery

Awesome job on your recent weight loss, what ever you’re doing it’s working, so the first piece of advice that I would give you is keep up your weight loss program, and remind you to always remember that what ever your goals are they are within your reach. The hardest part of achieving any goal is getting started and you’re already there.

Bursitis in any joint can be extremely painful and bursitis of the trocanter is no exception to the rule. Are you taking any ibuprophin or other non-steroidal anti-inflammatory to reduce the inflammation? Have you tried alternating heat and ice throughout the day? At night when you are the most uncomfortable you might consider taking a long hot shower to relax the joints prior to going to bed. Once in bed try placing a pillow or two between your legs while on your side and ice the side that is up while lying down.

Place two or three pillows under your knees whenever you’re on your back and keep moving as often and as much as you possibly can.

This forum is really old, but I am having the same problem. I am 27 and healthy in every way. Over the last year and a half I have lost 75 pounds and it’s been about a year or so that I have been noticing my left hip clicking when I walk. It never caused pain so I never did anything about it. Then about 5 months ago I started having this pain when I am laying down at night. I sleep on both sides with pillow supports, and I have tried NSAIDS with no relief. The pain goes away once I am out of bed for the morning. It usually takes about a half hour to go away. But most recently, for the last week or two I have been having the pain deep in my buttock, it almost feels like sciatica (I’ve had a back injury in my past and I know what that is all about). It hurts when I am walking at a fast pace, but I can jog at a 5.5-6.0 mph on the treadmill with no problem. It has to do with the range of motion in that hip I’m thinking. So I finally scheduled an appointment with my doctor because this is getting annoying and I am not getting good sleep because of the pain. I’m just relieved to have found someone that seems to have the same issue as me.

The true hip joint is usually located in the groin region, directly under the femoral artery. Occasionally, problems in the true hip joint will refer pain to the medial side of the distal thigh, just above or at the medial knee joint. Osteoarthritis of the hip joint will cause pain in this area.

Greater trochanteric bursitis will cause pain on the lateral side of the hip, over the greater trochanter. This pain is usually worse with palpation or pressing on it. It can be increased by stretching the tensor fascia lata muscle, which goes over the greater troch. But, usually, this is diagnosed by the location of the discomfort and when the physician palpates the area.

In the posterior hip region, pain is usually deep in the buttocks. This is where the short external rotator muscles of the hip are located. Problems with these muscles can cause deep posterior hip pain. Piriformis syndrome will also manifest with deep buttock pain. Other, posterior pain can come from structures other than the hip. This includes SI (sacroiliac) joint dysfunction, low back pain, sciatica, and tendonitis of the muscles that attach to the pelvic brim (crest).

So, if you are having significant problems in the hip region, you may want to see an orthopedic surgeon for a thorough evaluation, and possibly some screening x-rays. Again, the “hip” is a big area, with a lot of different reasons for problems. It usually takes a thorough evaluation by a physician who knows how to examine the hip well, to determine exactly what is going on. Often, with primary care providers, any pain around the hip is given the wastebasket diagnosis of “arthritis”. And, there are so many other things that can cause discomfort around the hip.