Applying ice is often recommended for bursitis. Icing constricts local blood vessels and temporarily decreases the blood flow, thus can be useful for controlling acute local inflammation. We also use a traditional heat therapy called moxibustion . In many cases, muscles around the inflamed hip joint and tendons are actually in an ischemic state (poor flow of blood and oxygen). Application of localized heat on specific acupuncture points is used to enhance blood flow and reduce the muscle tension. Therefore, with careful selection of acupuncture points, moxibustion heat therapy can be effectively used for bursitis during both acute and chronic stages.
Bursae that are not infected can be treated symptomatically with rest, ice, elevation, physiotherapy , anti-inflammatory drugs and pain medication. Since bursitis is caused by increased friction from the adjacent structures, a compression bandage is not suggested because compression would create more friction around the joint. Chronic bursitis can be amenable to bursectomy and aspiration.  Bursae that are infected require further investigation and antibiotic therapy. Steroid therapy may also be considered.  In cases when all conservative treatment fails, surgical therapy may be necessary. In a bursectomy the bursa is cut out either endoscopically or with open surgery. The bursa grows back in place after a couple of weeks but without any inflammatory component.