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Persistent ache on the outside of the hip or shoulder is often a tendon problem, not just the bursa.

Overview:

Bursitis involves inflammation of a bursa, a small fluid-filled sac that cushions joints and reduces friction between bone and soft tissue. In the hip, this pattern is often called greater trochanteric pain syndrome; in the shoulder, it typically overlaps with rotator cuff tendon irritation. In both locations, the surrounding tendons are frequently the primary source of pain rather than the bursa alone.

Common Symptoms

  • Aching pain on the outside of the hip or shoulder
  • Pain that worsens when lying on the affected side at night
  • Increased pain with overhead reaching or with climbing stairs
  • Tenderness directly over the joint
  • Stiffness or reduced range of motion

Common Causes

  • Repetitive overhead activity or repetitive hip loading
  • Prolonged pressure from sleep position or sitting habits
  • Muscle weakness or imbalance around the joint
  • Age-related tendon degeneration
  • Direct trauma or a sudden increase in activity level

Related Treatments at Republic

Joint & Soft Tissue Injections • Trigger Point Injections • Nerve Blocks

When to Seek Care

See a specialist if hip or shoulder pain persists beyond a few weeks, disrupts sleep, or limits your ability to walk, climb stairs, or reach overhead.

Ready to get away from the pain?

Contact Republic Pain Specialists and get relief today.

Frequently Asked Questions

Republic Pain & Longevity is a patient-centered practice that combines interventional pain management with health optimization programs. We diagnose and treat the source of pain through advanced diagnostics and targeted, minimally invasive therapies, while also helping patients build long-term metabolic health, hormone balance, and vitality through personalized, ongoing care.
Traditional pain management focuses on diagnosing and treating a specific pain condition through procedures like nerve blocks, injections, and radiofrequency ablation. Health Optimization takes a broader, proactive approach — using interventional procedures, diagnostic labs, imaging, diet, exercise, coaching, and lifestyle strategies to decrease inflammation, improve energy, metabolic health, and resilience, whether or not you currently have a chronic pain condition.
We treat a wide range of conditions, including knee osteoarthritis, headaches and migraines, back and neck pain, joint pain, SI joint pain and sciatica, muscle spasms and myofascial pain, nerve entrapments, post-surgical pain, TMJ/jaw pain, long COVID and more. See our Conditions page for the full list and details on each.
No. Our treatments are minimally invasive, image-guided procedures — such as nerve blocks, radiofrequency ablation, and targeted joint or soft-tissue injections — designed to reduce pain and restore function without surgery.
The Peak Wellness Plan is our structured Health Optimization program built around advanced lab testing, a detailed clinical assessment, and a personalized care plan followed over nine months — targeting metabolic health, hormone balance, inflammation, weight, sleep, nutrition, and physical function, with ongoing follow-up to track progress. This integrated approach treats chronic pain as a whole-body issue, not just a symptom to numb – combining precise medical intervention with the lifestyle foundations that support lasting relief.
Vibility is our guided lifestyle curriculum — a structured, self-paced resource that supports patients through nutrition, movement, recovery, and everyday habit changes alongside their clinical care. Real-time reporting on weight, sleep, energy, digestion, focus, and mood keeps you accountable.
Yes. Peptide therapy and IV hydration are available individually or as part of our health optimization offerings, and can be incorporated into your personalized care plan where appropriate.
For patients who prefer to pay out of pocket or whose plan doesn’t cover a given service, we offer financing through Cherry Financial.

 

  • Aetna
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  • BCBS
  • Cigna
  • First Care
  • Healthsmart
  • Humana
  • Medicare
  • Medicaid
  • Molina Health
  • Superior
  • TriCare
  • United Healthcare
Your first visit is a consultation with our team to review your history, any prior imaging or labs, and your goals — whether that’s pain relief, health optimization, or both. From there, we build a personalized plan, which may include additional diagnostics, a procedure, or enrollment in a health optimization program.
Contact our office at 979-703-1426 to schedule a consultation.