Trochanteric Bursitis: Causes, Symptoms, and Management

Trochanteric Bursitis: Causes, Symptoms, and Management

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Focused Health Topics
Contributed byAlexander Enabnit+3 moreDec 13, 2023

Introduction:

Trochanteric bursitis is a condition characterized by inflammation of the bursa located near the outer part of the hip, specifically over the greater trochanter of the femur. The bursa is a small fluid-filled sac that acts as a cushion between the tendons, muscles, and bones, reducing friction during movement.

Causes:

Trochanteric bursitis can result from various factors, including:

  • Repetitive Movements: Overuse or repetitive activities involving the hip joint, such as running or climbing stairs, can lead to irritation and inflammation of the bursa.
  • Hip Injury: A direct blow or trauma to the hip can cause bursitis.
  • Poor Posture: Prolonged sitting or standing with improper posture can put additional pressure on the hip joint and bursa.
  • Muscle Imbalances: Weakness or tightness in the muscles around the hip can lead to abnormal stresses on the bursa.
  • Medical Conditions: Certain medical conditions like rheumatoid arthritis or gout may increase the risk of developing trochanteric bursitis.

Symptoms:

Patients with trochanteric bursitis may experience the following symptoms:

  • Pain: Pain is the most common symptom and is typically felt on the outer aspect of the hip. It may radiate down the thigh or buttock.
  • Tenderness: The affected area may be tender to touch.
  • Swelling: Inflammation of the bursa can cause localized swelling.
  • Difficulty Sleeping: Pain may worsen at night, leading to difficulty sleeping on the affected side.
  • Stiffness: The hip joint may feel stiff, especially after prolonged periods of inactivity.

Management:

The management of trochanteric bursitis aims to reduce pain, inflammation, and improve hip function. It may include:

  • Rest: Avoiding activities that aggravate the condition allows the bursa to heal.
  • Ice: Applying ice packs to the affected area can help reduce inflammation and pain.
  • Pain Medications: Over-the-counter pain relievers or anti-inflammatory medications may be recommended for pain management.
  • Physical Therapy: Targeted exercises to strengthen and stretch the hip muscles can improve hip stability and alleviate symptoms.
  • Corticosteroid Injections: In some cases, a corticosteroid injection may be administered directly into the bursa to reduce inflammation and pain.
  • Supportive Devices: Using assistive devices like crutches can relieve pressure on the hip during walking.
  • Posture Correction: Improving posture during sitting and standing can alleviate pressure on the hip joint.
  • Ultrasound or Extracorporeal Shock Wave Therapy: These treatments can be helpful in some cases of trochanteric bursitis.
  • Surgical Intervention: In rare cases, when conservative treatments fail, surgical removal of the bursa may be considered.

Prevention:

To prevent trochanteric bursitis, individuals can take the following precautions:

  • Maintain Proper Posture: Avoid prolonged periods of sitting or standing with improper posture.
  • Warm-Up and Stretch: Before engaging in physical activities, warm-up and stretch to prepare the hip muscles.
  • Avoid Overuse: Avoid repetitive activities that put excessive strain on the hip joint.
  • Gradual Progression: If starting a new exercise routine, gradually increase intensity and duration to avoid overloading the hip joint.

Conclusion:

Trochanteric bursitis is a condition characterized by inflammation of the bursa near the hip joint, leading to pain and discomfort. It can result from overuse, trauma, poor posture, or underlying medical conditions. Management involves rest, ice, pain medications, physical therapy, and other supportive measures. In severe cases, surgical intervention may be necessary. Preventive measures can help reduce the risk of developing trochanteric bursitis.

Hashtags: #TrochantericBursitis #HipPain #Inflammation #PhysicalTherapy #PainManagement #HipHealth #PostureCorrection #Exercises #Prevention #Treatment


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Krish Tangella MD, MBA picture
Approved by

Krish Tangella MD, MBA

Pathology, Medical Editorial Board, DoveMed Team
Alexander Enabnit picture
Author

Alexander Enabnit

Senior Editorial Staff
Alexandra Warren picture
Author

Alexandra Warren

Senior Editorial Staff
Sandhya Kumar picture
Author

Sandhya Kumar

Editorial Staff

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