thank you All for your kind suggestion, I am doing better now (still on the way to get rid of pain though!) ......I was ablet to get rid of the Cymbalta medication as it was giving me a lot of side effect symptoms , it has been quite hard ..... I am taking vitamne and other natural remedies, slight exercizing also help a syou said. I will probably have this forever but it is more manageble now.
Hello Connie,
If you have resistant bilateral "trochanteric bursitis" as well as sacro-iliitis you should be tested for rheumatois arthrosis.
Thank you so much for that, most days I feel like I'm living in a prison called my house end don't sleep much at all , today seeing the surgeon about a possible bursectomy with IT band release and clean up the debris and fraying. Is that something that can be seen in my blood work? Because my primary care physician just ordered some blood work and I noticed one for the bursitis . It's called , C-Reactive protein,Quant. I've been going through this too long and also have herniated and bulging discs in my L4, l5 & S1 , also a failed neck surgery with a double discectomy . At my wits end . Thank you so much for your help I really really appreciate it end am using a lot of tens unit therapy to besides natural anti-inflammatories . My heart goes out to anyone who is suffering this horrible disease
Yes, it is Mobic...a typo! More days have passed and Mobic still helps, but not as well as that first day. I have been told that my upper quads are very, very short (sitting at computer !!!) and
that that when I want those muscles to help with standing or sitting or twisting, etc. they rub on the trochanteric bursa
and have now caused the ''bursitis''. So what is planned is a gentle ongoing stretch of those upper quad muscles without further injuring that bursa. I am told that eventually this should solve the present problem...big time pain !!
..and then a change in my sitting patterns when at the computer
and/or frequent daily stretches as I will be shown.
I must have hope that it will take care of it.
**I am aware of the precautions with Mobic, just as with all the anti-inflammatories. Lots of fluids are good. A few more days and my 10 days will be up.
I may get a cortisone shot to carry me over until we can get
this healed.
Hello Connie,
C-reactive protein is an "inflammatory marker", and is a general test for inflammation which could be anywhere in your body. It is often used as a "starter investigation" in (for example) rheumatoid arthritis.
However, as you list many other problems it might be wise to consider the correctness of your diagnosis before being subject to surgery, A "true" bursitis is demonstrable on ultrasound and MRI, which should preceed surgery for confirmation. I am not sure about the "ilio-tibial band". When this abnormality occurs it gives knee pain. Perhaps the surgeon is thinking of a fascia lata release. Mmmm.
If you can possibly get "aqua-physiotherapy" or treat yoursef in a pool, that should be your starting point. I could give you more specifics if you can have a swimming pool available.
I am glad that you see a pathway ahead. Perhaps you could speak to your physiotherapist about an exercise bicycle. That is by far the best way or re-developing your quads.
An entheseopathy at the proximal origin of the quads is a little considered entity,
Best Wishes
Hi Connie..I did not read that you had been to Physical Therapy...is that correct or did I miss it? They can be of great help with the
''Bursitis'' problem as well as some relief for your other issues.
I am in the Medical profession...a Clinical Lab Scientist...and having had many orthopedic surgeries...plus some others...and also just from common knowledge...Surgeons see something they think they can fix with a ''knife'' and take the challenge.
Most times there is a good reason with a positive rehab with it.
Sometimes, however. there are more conservative actions that are the better choice.
You need frequent and ongoing PT first of all. The IT band isn't really anything in itself but an area along the thigh muscles..quadraceps etc. where several muscles and tendons come together and even cross over. So again...significant PT could solve the pain of your IT band. You are online here so you should be able to ''Google'' many sites that demonstrate
easy stretches for that area.
Most cases of the Tro/Bursitis are solved by the more conservative measures...anti-inflammatories, rest, ice and
physical therapy. I am guessing that you, like me, are not
an athlete, but perhaps a 60ish woman, slightly overweight and prone to sitting. That results in the quadraceps (on top of thighs) becoming very short...because that is usually all that we ask them to do. But when we stand or walk, etc. those short muscles rub over the bursa and irritate it significantly until it is inflamed. The key is to straighten out your legs all day long to re-teach those muscles that they are supposed to be long and not short. PT will get you started and you CAN continue them at home...and perhaps forever. I am told that the inflammation will calm by itself once I get those muscles elongated like they should be.
I would definitely get a second opinion by an Orthopedic surgeon, in fact some insurances now require it and NOT
someone in the same office !! Doctors expect this these days.
And you do NOT apologize or be embarrassed about it.
The Docs seldom even know. You call the office and have
your chart sent to Dr........... Sometimes you will get agreement and sometimes you won't but you owe it to yourself and your quality of like to not give up.....just yet.
I personally would demand an MRI before this surgery.
And...as a professional I can assure you as has jp...that there is NO blood test for this condition. CRP tests include finding out which of three sub-proteins is high. One is cardiac, one is brain and lungs and one is muscles. That indicates the area of inflamation. And there are numerical numbers given as to the intensity of the problem. You can ask to get a copy of your
lab results...see what your number is and compare to what
the acceptable ranges are. CRP's are most usually done to ascertain a heart attack. However, they are not always diagnostic...so the results are included with other findings before making a true diagnosis.
Just an opinion here, but I would suggest that the ''natural'' anti-inflammatories are not effective. Please get an Rx for Mobic...
taken with Tylenol and FÖOD and some ''orthopedic peas' ??
That is the term we use for a large pack of frozen green peas
that you use as an ice pack. When it starts to soften, the time
is up for your icing...but continue on through the day.
(Be sure to mark the package clearly so that someone doesn't
serve your ''ice pack'' for dinner. ha )
Emis Moderator comment: I have removed the link as it went to a "Page not found". If users want this information please use the Private Message service to request the details.
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I have sent you a long post...which is being moderated.
But...I had forgotten that you are UK....and I am US...
and many of my comments and/or suggestions may
not be applicable. Sorry about that.....
It is unlikely to make any difference. I am familiar with practices in both UK and USA. The illness entities are, after all is said, universal. But thank you for telling me.
Monica have the same thing almost cry from pain trying to walk
I have discovered that if I very slowly stretch out my leg as I rise from a chair, etc,. and only at certain angles...that I can get those quad muscles to slowly pass over the bursa without pain...and I do mean slowly. If I get a shot of pain, I either slightly change the angle or wait... Not much of a cure but it does eliminate some pain......just trying to share whatever I can think of...
Thank you Mrs. C for your comments . And I appreciate your medical and scientific knowledge. Yes I have been through physical therapy end have been doing it every day including icing resting stretches end natural anti-inflammatories like clothes powder and lots of glucosamine and fish oil, etc. I recently about 2 1/2 weeks ago got ultrasound guided injections in both my bursa , each side . And it is so true about your quadriceps being tight . I have been working with lots of scratches and a foam roller like crazy including lots of rest . They are now starting to feel better and I had already scheduled an arthroscopic bursectomy with debridement and ITB windowing . However at this time I'm going to postpone it for a while as things are starting to feel better . My brother is a doctor and also has a physical therapy side to his practice end I have learned a lot online from friendly people as yourself . Thank you for your comments and God bless you and everyone who suffers with this horrible painful problem . It just takes time a lot of work a lot of rest and a lot of prayer .
I'm sorry I meant clove powder put into capsules , as it is a very very strong anti-inflammatory . Along with all the other natural anti-inflammatories . Thank you
Dear Monica , it is possible to get healed from this. It takes time rest and icing at first and lots of anti-inflammatories, try ultrasound guided injections , end a lot of stretching and a foam roller works really well . The physical therapy is very important and you have to do it daily , sometimes two or three times today but in the end it will pay off . If that doesn't work it is possible to get a bursectomy done arthroscopically with debridement and ITB windowing and there are excellent results for this surgery which is outpatient and very easy to recover from , good luck and take care
You may find that the running is causing the irritation of your trochanteric bursae. It can be an "over-use" thing, as it is with me.
I find Diclofenac helps....especially when taken with paracetamol. I try to just take them twice a day, and make sure you have food in your stomach, or take with milk to line your stomach.
I keep hearing about the foam roller on this thread....what do you have to do? Sounds like it helps!
@ monica111 If "trochanteric bursitis" has a mechanical basis it will be worsened by that activity (e.g. running) and other loading factors such as climbing stairs. It might be worthwhile to keep a diary to determine cause-and-effect.
Thanks for your response. I have had 3 total knee replacements...after 8 knee arthroscopys....I have not
''run'' for a very, very long time. The Physical Therapist
tells me that when patients have this ''Trochanteric" issue, they almost scream when she pushes on it. I have no reaction whatsoever. More Xrays show significantly inflamed nerve root between L4 and L5. MRI done...will get results today.
And it has now been 13 wks ( 3 months ) of this pain. So the Doc who insists this is a muscle strain is still wrong. Good luck to all on here.
Voltaren is no longer available in the US.
I was using the max dose of Alleve...which nearly always
covers old-age joint pains from over-use. Then Doc
gave me Mobic with Tylenol. Chocolate candy would
have made me happier. Then: added Norvoc with is hydrocodone with acetominiphen. I had to inform Doc that he then had me over the max for acetominophen. plus after nearly 3 wks. did nothing. Then: oxycodone 5mg.....slight blurring of vision that lasted about 45 minutes but NO pain relief. !!
Still wants me to continue with Morbic and 6-8 Tylenol !!
Allowed me to take 10 mg. oxycodone prior to MRI....THAT at least took the edge off. He is more concerned about being sued for making me an addict than he is about my jumping off a bridge because of this pain and compromised living.
I know it is a big problem....but what about my pain ?
Probably going to get an injection to the nerve root between L4 and L5 which has been found to be quite inflammed. I can have up to three of those and then must have surgery.
I hope all of you can find some solution to give you relief.