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Trochanteric Bursitis

Trochanteric bursitis, commonly called hip bursitis, is a frequent cause of hip and outer upper thigh pain. This condition occurs when the trochanteric bursa, a fluid-filled sac cushioning the hip joint, becomes inflamed. It is frequently seen in runners but can also affect soccer players, cyclists and football players. A direct impact or fall onto the hip can also trigger the condition.

Sometimes, those who have undergone hip replacement or surgical operation for a hip fracture may be at risk of developing trochanteric bursitis.

Signs and Symptoms

Individuals with trochanteric bursitis are likely to experience:

  • Discomfort or a burning feeling in the hip or along the outer upper thigh, sometimes radiating toward the knee but hardly extends past it
  • Tenderness felt above the outer hip bone region
  • Pain when you lie or sleep on the affected part

In the early stages, pain may only occur after physical activity, such as sports or exercise. However, as the condition progresses, even everyday movements, which includes climbing stairs, walking uphill, or covering long distances can trigger discomfort.

Diagnosis

During trochanteric bursitis diagnosis, the doctor will conduct a physical examination to look for tenderness in the external hip region. They will also assess the rigidity of the iliotibial (IT) band, which is a thick tendon running from the hip toward underneath the knee.

X-rays might be required if bony spurs or calcium deposits are suspected as contributing factors. In cases where the diagnosis is unclear, or symptoms persist despite treatment, diagnostic ultrasound or MRI may be used in order to obtain a more detailed view of the affected area.

Treatment

Initial trochanteric bursitis treatment focuses on reducing inflammation and relieving pain. This is achieved through a combination of these remedies:

  • Rest. Avoiding activities that aggravate symptoms is vital for recovery. Nonetheless, low-impact exercises like swimming or walking on even surfaces may be allowed if they don’t worsen the condition.
  • NSAIDs. Over-the-counter anti-inflammatory drugs, including ibuprofen or naproxen, can help reduce pain and swelling.
  • Ice therapy. Placing ice packs on the affected area every 3–4 hours for up to 20 minutes at a time can help alleviate inflammation. A cloth or towel barrier should be used to prevent skin damage from direct contact.
  • Stretching & strengthening. A tight IT band is usually common in the majority of persons with trochanteric bursitis. Regular stretching and strengthening exercises for the hip muscles can improve symptoms within weeks. Foam rolling the IT band may also help, although it can initially be uncomfortable. Doctors may recommend a supervised and structured physical therapy program in order to aid recovery and prevent recurrence.

Advanced treatment options:

If symptoms persist despite conservative treatment, additional options which may be suggested include:

  • Cortisone injections. This steroidal hormone helps reduce inflammation and relieve pain when injected directly into the bursa. Usually, it is combined with lidocaine, a local anaesthetic that provides instant pain relief. Ultrasound imaging can be used to ensure precise shot placement. If symptoms persist, other treatment options may also be considered. These may include trigger point injections, platelet-rich plasma (PRP) therapy, or dry needling.
  • Surgery. Although rare, non-invasive treatments can fail to improve the condition. In such instances, arthroscopic surgery may be performed to get rid of the inflamed bursa. With this minimally invasive procedure, patients can go back home the same day and even resume walking with minimal discomfort the next day.

Recovery

Most individuals experience symptom relief with appropriate treatment within 6 to 10 weeks. Physical activities should be reintroduced gradually to prevent recurrence. Also, continued stretching and strengthening exercises should be part of long-term care.

Bottom Line

Trochanteric bursitis can be painful and disruptive. However, the majority of the people recover fully within a few weeks with the right treatment and rehabilitation. Early intervention also prevents long-term discomfort while ensuring that you resume your daily activities. Whether through rest, physical therapy, or advanced treatment options, there are effective solutions to help you find relief.

Book an appointment with our professional doctors today to ensure a pain-free and active lifestyle!