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What is Trochanteric Bursitis?

Trochanteric bursitis is inflammation or swelling of the bursa (a fluid-filled sac) located on the outside or lateral point of the hip known as the greater trochanter. There are two major bursae in the hip that typically become irritated and inflamed. This is a common cause of hip pain. Bursitis is more common in women and in middle-aged or elderly people.

What causes trochanteric bursitis?

Trochanteric bursitis can result from one or more of the following events:

  • Injury to the hip. This can include falling onto the hip taking an impact

  • Work activities or hobbies that cause repetitive strain or overuse to the joint areas. Such activities might include running, long walks, climbing, or standing for long periods of time.

  • Poor posture. This condition can be caused by arthritis of the lumbar (lower) spine, and other spine problems.

  • Other diseases or conditions. These may include, gout, rheumatoid arthritis, thyroid disease or an unusual drug reaction. In rare cases, bursitis can result from infection.

  • Previous surgery around the hip or prosthetic implants in the hip.

  • Hip spurs or calcium deposits in the tendons that attach to the trochanter.

This bursa is at the top of the femur, between the insertion of the gluteus medius and gluteus minimus muscles into the greater trochanter of the femur. Its function is to work as a shock absorber and create smooth articulation of the muscles and tendons.

What are the symptoms of trochanteric bursitis?

Trochanteric bursitis typically causes the following symptoms:

  • Pain on the outside of the hip, thigh or in the buttock.

  • Pain when lying on the affected side.

  • Pain when you apply pressure on the outside of the hip.

  • Pain that gets worse during activities.

  • Pain when walking especially up stairs

How do you diagnose Trochanteric Bursitis?

Firstly, we assess the signs and symptoms. A Musculoskeletal (MSK) Ultrasound, and in some cases an MRI would be required to confirm condition. Our specialists provide a fast diagnosis and easy access to appointments.

Recommended treatments for Trochanteric Bursitis

  • Extracorporeal shockwave therapy (non-invasive and preferred method of treatment)

  • Steroid injections

  • Medication

  • Orthotics

  • Physiotherapy


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