Greater Trochanteric Bursitis

WHAT CAUSES GREATER TROCHANTERIC BURSITIS?

Greater Trochanteric Bursitis typically arises from inflammation of the trochanteric bursa, a fluid-filled sac located between the greater trochanter of the femur and the gluteal tendons. This inflammation can result from various factors, including:

• Repetitive movements: Activities such as running, climbing stairs, or prolonged standing can lead to repeated stress on the hip, causing irritation and inflammation of the bursa.
• Acute trauma: A fall or direct blow to the hip can damage the bursa, leading to inflammation and pain.
• Gait disturbances: Conditions such as leg length discrepancies or abnormalities in walking patterns can place excess stress on the hip, contributing to bursitis.
• Hip, back, or SI joint arthritis: These conditions can alter the mechanics of the hip joint, increasing the likelihood of developing bursitis.

WHAT ARE THE SYMPTOMS OF GREATER TROCHANTERIC BURSITIS?

The symptoms of Greater Trochanteric Bursitis can vary in intensity but are typically localized to the outer part of the hip. Common symptoms include:

• Pain in the lateral hip: A sharp or aching pain over the greater trochanter, which may radiate down the thigh. The pain is often most noticeable when lying on the affected side, sitting for long periods, or after physical activity.
• Tenderness to touch: The area over the greater trochanter is typically tender when pressed, indicating inflammation in the bursa.
• Difficulty with movement: Pain may worsen with activities such as walking, climbing stairs, or standing up from a seated position. Some patients may experience difficulty with hip abduction (moving the leg away from the body).

These symptoms often develop gradually, but in cases of acute trauma, the onset of pain may be sudden and severe.

HOW IS GREATER TROCHANTERIC BURSITIS DIAGNOSED?

Greater Trochanteric Bursitis is diagnosed through a combination of medical history, physical examination, and imaging studies. During the physical exam, your doctor will check for tenderness over the greater trochanter and assess whether certain movements, like hip abduction, reproduce your pain. Imaging, such as X-rays, can rule out other conditions like arthritis, while ultrasound or MRI may be used to confirm inflammation of the bursa and exclude other soft tissue issues. This comprehensive approach helps ensure an accurate diagnosis and effective treatment plan.

WHEN SHOULD I CONSIDER GETTING TREATMENT?

You should seek treatment for Greater Trochanteric Bursitis if you experience any of the following symptoms:

• Persistent pain in the lateral hip: If you have constant discomfort over the outside of your hip, particularly when lying on the affected side, this could indicate bursitis.
• Pain that limits daily activities: Difficulty walking, climbing stairs, or engaging in other activities due to hip pain is a sign that medical intervention is needed.
• Tenderness or swelling: If the area around your greater trochanter becomes noticeably tender or swollen, it is advisable to seek a professional evaluation.
• Symptoms that do not improve: If rest, home care, or over-the-counter medications do not alleviate your symptoms, it’s time to consult your doctor.

Early treatment can prevent the condition from worsening and improve your recovery outcomes.

WHAT TREATMENTS ARE AVAILABLE?

At our clinic, we offer several effective treatments for Greater Trochanteric Bursitis, tailored to the severity of your condition. Common treatment options include:

• Trochanteric Bursa Injections: The direct injection of corticosteroids into the inflamed bursa helps reduce inflammation and provides pain relief, often with rapid results. The effects can last for weeks to months, depending on the severity of the condition.
• Physical Therapy: Stretching and strengthening exercises for the muscles around the hip can improve flexibility and reduce the stress on the bursa.
• Assistive Devices: Using a cane or crutches temporarily can help reduce pressure on the hip and allow the bursa to heal.

If you are experiencing symptoms of Greater Trochanteric Bursitis, consult with our specialists for a comprehensive evaluation and a customized treatment plan to alleviate your pain and restore hip function.