Trochanteric Bursitis

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Trochanteric Bursitis

Trochanteric bursitis, also referred to as “greater trochanteric pain syndrome”, is characterised by lateral hip pain that is chronic in its nature, and is exacerbated by pressure on the lateral hip, either through active or passive movement or an object touching the area. It is common in middle age to elderly adults and is multifactorial in its onset. There are many structures around the hip area that can also be involved, including the iliotibial (IT) band, tensor fascia lata, and gluteus medius muscles, and these structures can also be an underlying cause of lateral hip pain and should be ruled out. [1]

Common signs and symptoms can include pain and tenderness over the greater trochanter bone, felt mostly at night if sleeping on that specific side of the body. The pain could also travel down the outside aspect of the thigh to the knee. Other activities that could bring on this pain is standing on one leg, climbing stairs/hills, and running. [2]

What should you do if you are experiencing trochanteric bursitis?

As it is a very common condition, it can become very frustrating to have to deal with. A conservative method is usually recommended as the first line of defence, with visiting your local physiotherapist or family practitioner first to gain a better understanding of your signs and symptoms. This option is usually suggested first before considering any form of injection, but for more severe cases, corticosteroid injections might be an option. Here at AFIA Physiotherapy, we are able to assess and provide you with the education on how best to address your pain, whether it’s through further treatment, lifestyle adjustments and exercise prescription [1,2]

How can we treat and manage your trochanteric bursitis?

As many structures can be involved with this type of pain, this allows us a variety of treatment techniques that can be used to assist. We, at AFIA Physiotherapy, can provide you with such treatment tools including hands on soft tissue release, dry needling, mobilisations and strapping to assist you with your pain relief. We also pride ourselves on being able to provide you with a detailed exercise program tailored to your needs and available space to work in at home. [1,2]

Written by Victoria Waterworth

 

References

[1] Lustenberger, D. P., Ng, V. Y., Best, T. M., & Ellis, T. J. (2011). Efficacy of treatment of trochanteric bursitis: a systematic review. Clinical journal of sport medicine: official journal of the Canadian Academy of Sport Medicine, 21(5), 447.
[2]Brukner, P., Clarsen, B., Cook, J., et al. (2017). Clinical Sports Medicine, Volume 1, Injuries. 5. Pages 622-623. painos. Australia: McGraw-Hill Education.