Trochanteric Hip Bursitis
What is Trochanteric Hip Bursitis?
Trochanteric Hip Bursitis is a condition that causes inflammation of the bursa, which is a fluid-filled sac, located at the lateral or outer side of the hip. This bursa helps to reduce the friction between the bones, tendons, and muscles around the hip joint. When this bursa becomes inflamed, it can cause pain and discomfort around the hip and can limit mobility.
Common Signs and Symptoms
The most common symptom of trochanteric hip bursitis is pain on the outer side of the hip that can radiate down the thigh. The pain may be sharp and sudden or dull and achy. You may also experience tenderness and swelling around the hip joint. The pain may worsen when you lay on the affected hip or stand for long periods. You may also notice that your gait is altered, and you may limp due to the pain.
How Can It Be Treated?
The treatment of trochanteric hip bursitis usually involves a combination of physiotherapy and medication. Physiotherapy is a crucial component of treatment because it helps to improve the range of motion of the hip joint and reduce pain. Your physiotherapist may use different modalities such as manual therapy, stretching, and strengthening exercises to help you recover. In some cases, your physiotherapist may also use modalities such as therapeutic ultrasound, ice or heat therapy, graded resistance strength training, manual therapy and mobility work to help manage your symptoms.
Your doctor may prescribe anti-inflammatory medication such as ibuprofen or naproxen to help reduce pain and inflammation. In more severe cases, your doctor may also recommend a corticosteroid injection to the affected bursa to reduce inflammation and pain.
In some cases, lifestyle modifications such as losing weight or changing your footwear may also be recommended to help reduce stress on the hip joint and improve symptoms.
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Scientific References
- Gollwitzer H, Banke IJ, Schauwecker J, Gerdesmeyer L. [Trochanteric pain syndrome]. Orthopade. 2013;42(8):638-651.
- Filippou DK, Sirliakis A, Kiziridis G, et al. Trochanteric Bursitis: Keep on Rolling or Take a Break? J Clin Med. 2020;9(1):184.
- Segal NA, Felson DT, Torner JC, et al. Greater trochanteric pain syndrome: epidemiology and associated factors. Arch Phys Med Rehabil. 2007;88(8):988-992.