Trochanteric Bursitis

What is Trochanteric Bursitis?

Trochanteric Bursitis is the inflammation of the bursa located over the greater trochanter of the femur, causing lateral hip pain.

• Pain over the outer hip
• Tenderness and swelling near the greater trochanter

Overview of the Condition

It is commonly seen in active individuals and may be related to overuse or trauma.

Symptoms

• Lateral hip pain aggravated by activity
• Tenderness over the greater trochanter
• Pain when lying on the affected side

Causes

Common causes include overuse, direct trauma, and altered gait mechanics.

Diagnosis

Diagnosis is made by physical examination and may be confirmed with ultrasound or MRI.

Treatment Options

• Rest and NSAIDs
• Physical therapy and stretching exercises
• Corticosteroid injections for persistent pain

Conservative Management

Initial treatment includes rest, ice, and activity modification to reduce inflammation.

Rehabilitation Exercises

1. Hip abductor and gluteal stretching
2. Strengthening exercises for the hip
3. Gradual return to weight-bearing activities

Surgical Options

Surgery is rarely needed; it is reserved for refractory cases unresponsive to conservative measures.

Anatomy Overview

The greater trochanter is a bony prominence on the femur, and the bursa here acts as a cushion between the bone and overlying tissues.

Affected Areas

• Lateral aspect of the hip
• Surrounding soft tissues over the greater trochanter

Frequently Asked Questions

QuestionAnswerIs trochanteric bursitis painful?Yes, patients often experience significant lateral hip pain.Can it be treated without surgery?Yes, most cases improve with conservative treatments.

Prevention Strategies

• Strengthen hip muscles
• Use proper footwear to support gait
• Avoid repetitive stress on the hip

Related Conditions

• Gluteal tendinopathy
• Hip osteoarthritis

Additional Treatments

Physical therapy and lifestyle modifications are key for long-term management.