Sports Medicine/left hip bursitis

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Question
hi Dr. Tsatsos:

I am a 51 y.o. woman, in good shape who walks, swims, hikes and does yoga for exercise.  At the end of October I hiked and walked with a friend two days in a row who is twice as fast as me and it was a bit of a struggle to keep up. Around the same time I went to a free yoga class where I may have overstretched my hip.  Since then I have tightness and occasional pain over the left hip and based on my research (I am an R.N.) I think it is trochanteric bursitis.  The stiffness seems to extend down the lateral side to my left knee.  I felt better and walked for about 45 minutes a couple of days ago but that was probably a bad idea.  I live in a 4th floor walk up so the stairs are a problem.  I'm really afraid that it will never go away as long as I live here and I'm forced to move (which is not an easy task).  I've taken to doing the stairs one step at a time, favoring my good hip....but knowing what I know about injuries, I could cause problems in the good hip over time doing this.

I've been icing, started Advil about two weeks ago and this weekend I've been pretty much resting and icing.  I don't plan to go out today and just stay home and rest, hoping this will help.

My question is:  at this point, two months later, is rest and ice the way to go?  I had been doing light yoga and stretching exercises but I don't know if I should be totally resting it?  If I go to an M.D. and do the traditional medical route with X-rays, physical therapy, it will cost me $2,000.00 as that is my deductible and I already pay a large monthly premium for my health insurance as I'm self employed.  I am wondering if swimming would be beneficial?

Thank you in advance for your thoughts....

Answer
Dear Joy,
This Chicago Podiatrist located in West Loop 60661,Roscoe Village 60618,Elmhurst 60126 & Bartlett 60103 says...
For your hip & knee pain-Give your injury a chance to heal-maybe up to 6-8 weeks. Sounds like an irritation of the Iliotibial band (ITB).
Google ITB stretches. Do pool exercises/gentle swimming in the interim to keep you fit. Swimming is good. Watch your weight with the possible decrease in physical activity

PRICE the area
Protect-If it hurts-stop the exercise or avoid the movements which aggravate the hip.Gentle pain-free Range of Motion & stretching exercises only
R-Rest-speaks for itself
I-Ice-as much as possible after your training-up to 2 days after the pain stops
C-Compress-Ace wrap the area/leg
E-Elevate-will help if it throbs
Short term anti-inflammatories are OK.
The stairs probably irritate the hip area-which is already irritated. This produces chronic inflammation. Because we use the hip daily-it may take up to the 2-3 months to quiet down completely. As long as you see improvement week to week-stick with PRICE for now.
Hope This Helps!
and
Good Luck!
The podiatrists of AnkleNFootCenters.com are specialists in foot & ankle pain.
We are located in Chicago & Elmhurst

Dr George Tsatsos & Svetlana Zats
Podiatrist Chicago 60618 & Elmhurst 60126 Podiatrists
Board Certified in Foot and Ankle Surgery & Orthopedics
New South Loop Location-Chicago 60661


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Dr George Tsatsos

Expertise

All questions & injuries relating to the lower extremities. Runner's injuries, skier's foot problems,skaters' foot problems, etc All questions related to surgery, orthopedics and medicine of the foot and ankle-Adults and Children. Second Opinion specialist in Foot and Ankle problems including fractures and revision surgery. All questions relating. to foot and ankle problems in children Sports medicine of the foot and ankle Runner's and walking problems

Experience

PRIVATE PRACTICES: Ankle N Foot Center.com, 2220 W Belmont Ave., Chgo., IL 60618 since 1979 Ankle & Foot Center of Elmhurst, 401 N.York Rd., Elmhurst, IL, 60126, since 1989. Physicians Suites, Bethany Hospital, 3435 W. Van Buren, Chgo., Il, 60624, 1980-201. HOSPITAL & SURGICAL AFFILIATIONS: Bethany Hospital, 3435 W. Van Buren, Chgo., Il.- Podiatry staff since 1979-2010 Glen Oaks Medical Center, 701 Winthrop, Glen Dale Hts, IL – Podiatry staff since 1997. Elmhurst Medsurge, 401 N. York Rd., Elmhurst, IL, 60126, since 1999 Resurrection Health Care Surgery Center, 3101 N. Harlem Ave., Chicago, IL, since 1999 Chicago Neurologic & Orthopedic Hospital, 4501 N. Winchester Ave., Chicago, IL, 2008-2010

Organizations
Fellow-American College of Foot & Ankle Orthopedists, since 1991. Fellow-Academy of Ambulatory Foot Surgery, since 1980. Fellow- American Institute of Foot Medicine , since 1987. Fellow-American College of Foot & Ankle Pediatrics, since 1998. Certified in Laser Surgery- by Wenske Laser Center, Ravenswood Hospital, 1991. Certified in Foot and Ankle Arthroscopy – by Doctor’s Hospital, 1991. Certified Preceptorship Director-Scholl College of Podiatry 1993-2006 Board Certified in Foot & Ankle Surgery-A.B.M.S.P., since 1987. Recertified 8/08 till 3/31/2012 Board Certified in Podiatric Foot & Ankle Orthopedics-A.B.P.O.P.P.M., 1991. Recertified 10/2003 till 12/2013 Board Certified in Pain Management-A.A.P.M., since 1990.-retired Clinical Instructor – Department of Medicine at Rosalind Franklin University 10/2007 until present

Publications
Prolotherapy in the Treatment of Foot Problems Clinical Correspondence, June 2002. Vol 92- no. 6 Journal of the American Podiatric Medical Association. Paper on Treatment of Delta-Phalanx of the Foot – submitted for publication to Journal of Foot and Ankle Surgery & for Fellowship of ACPPS., September, 1998 Sports Medicine Consultant for the book-Triathlon 101 Essentials for Multisport Success by John Mora – 1999 ISBN 0-88011-811-3 Windy City Sports – October 1996 Marathon Issue “Keeping Your Feet Happy” American Running & Fitness Association, Clinic Advisor & Lifetime Member – Editorial Staff since 1990.

Education/Credentials
PRIVATE PRACTICES: Ankle N Foot Center.com, 2220 W Belmont Ave., Chgo., IL 60618 since 1979 Ankle & Foot Center of Elmhurst, 401 N.York Rd., Elmhurst, IL, 60126, since 1989. Physicians Suites, Bethany Hospital, 3435 W. Van Buren, Chgo., Il, 60624, 1980-201. HOSPITAL & SURGICAL AFFILIATIONS: Bethany Hospital, 3435 W. Van Buren, Chgo., Il.- Podiatry staff since 1979-2010 Glen Oaks Medical Center, 701 Winthrop, Glen Dale Hts, IL – Podiatry staff since 1997. Elmhurst Medsurge, 401 N. York Rd., Elmhurst, IL, 60126, since 1999 Resurrection Health Care Surgery Center, 3101 N. Harlem Ave., Chicago, IL, since 1999 Chicago Neurologic & Orthopedic Hospital, 4501 N. Winchester Ave., Chicago, IL, 2008-2010

Awards and Honors
Very much into Sports Medicine Over 30 years experience with sports & martial arts Black Belt in Tae Kwon Do Red Belt in Shidokan Karate Expert Skier-37 years experience

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