Hip Bursitis and Management Strategies
Published on under Joint Pain
The education, load management, and exercise treatment protocol consisted of fourteen sessions over eight weeks plus a daily home exercise program that included four to six exercises, while keeping a weekly diary. Advice on tendon care was included and exercises included functional retraining, targeted strengthening (especially the hip abductors), and dynamic control during function. A pain-guided approach was used that allowed up to a 5/10 pain intensity level when exercising, provided the pain promptly stopped if activity ceased.
Exercises included the following (partial list):
Static hip abduction: a) Supine: place a belt around the lower thighs with feet slightly wider than hip width, put a pillow behind the knees and gently and slowly push outward while tightening the belt. b) “Imaginary splits”: stand, feet slightly wider than hip width, and pretend you’re doing the splits (sideways)—again, slowly and gently.
Supine Bridges: a) Double leg bridge: bend knees, feet flat, draw in the abdominal muscles, press the heels into the floor and lift the buttocks SLIGHTLY—only as high as comfortable. b) Offset Bridge: bring one foot closer to the buttocks and lift buttocks up using mostly that leg slowly (three to four seconds up then, three to four seconds down). Another bridge includes lifting one leg up and straightening the knee. These can be held statically or with movement up/down to the floor. Additional exercises included partial squats, step-ups, and sideways floor slides.
If you have been diagnosed with or suspect you have GT, your doctor of chiropractic can guide you in how to perform these exercises and provide additional care to aid in the recovery process.
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