Trochanteric bursitis manifests as pain on the outer side of the hip joint. Several factors can contribute to trochanteric bursitis. In athletes, a shortened iliotibial (IT) band is often the primary cause, while in non-athletes, it typically develops after prolonged pressure on the hip while lying on a hard surface.
The diagnosis of trochanteric bursitis is usually made through physical examination, although in some cases, imaging techniques such as MRI may be required.
Treatment for trochanteric bursitis typically begins with simple methods such as rest, ice application, and pain relievers.
What is Trochanteric Bursitis?
Just like other joints, the hip joint also has fluid-filled sacs called bursae surrounding it. The primary function of bursae is to absorb shocks and protect the joint from trauma. Normally paper-thin, these bursae can become inflamed, swollen, and thickened, leading to significant pain when their functionality is disrupted.
There are two major bursae in the hip joint:
The Trochanteric Bursa
The Iliopsoas Bursa, located deeper inside the hip.
What is the Trochanteric Bursa?
The trochanteric bursa is located on the outer side of the femur, near the hip joint, specifically over the greater trochanter. It is positioned between the Gluteus Maximus muscle and the iliotibial (IT) band. The Gluteus Medius tendon attaches precisely in this area.
Trochanteric bursitis is commonly caused by overuse injuries, repetitive movements, or prolonged pressure. Muscle imbalances around the hip and obesity are other contributing factors. Diagnosis is achieved through an orthopedic examination, and imaging techniques such as MRI and ultrasound are often utilized.
Key Points:
Inflammation of the bursa leads to hip pain.
Repetitive movements and overuse are common triggers.
Diagnosis involves orthopedic evaluation and imaging tests like MRI and ultrasound.
Sometimes, the Gluteus Medius tendon may also suffer from tendinosis or tears, which can mimic the pain associated with trochanteric bursitis. If you're interested in learning more about this, you can visit our Gluteus Medius Pain page.
What Causes Trochanteric Bursitis?
Inflammation and swelling of the trochanteric bursa, located around the hip joint, can occur due to several reasons. Below are some common causes:
Shortened Iliotibial (IT) Band: A tight IT band compresses the trochanteric bursa, causing inflammation and pain.
Post-Traumatic Changes: Structural damage to the bursa after a fall or injury can trigger inflammation.
Repetitive Microtrauma: Activities like cycling, which involve repetitive stress on the hip, can cause micro-injuries over time.
Prolonged Pressure: Lying on one side on a hard surface for an extended period can irritate the bursa.
Symptoms of Trochanteric Bursitis – Hip Bursitis
Trochanteric bursitis occurs when the bursa located over the greater trochanter, a prominent bony area on the hip, becomes inflamed. Common symptoms include:
Pain: A deep ache felt on the outer side of the hip, especially noticeable:
When lying on the affected side at night (disrupting sleep).
During activities like cross-legged sitting, prolonged walking, or cycling.
Tenderness: Increased sensitivity over the outer hip bone with time.
Limping: Patients may experience limping, especially:
When getting out of bed in the morning.
In chronic cases where pain persists, limping becomes more pronounced.
If you're experiencing these symptoms and would like assistance, feel free to contact us via our Contact Page.
How is Trochanteric Bursitis Diagnosed?
During a physical examination, pain and tenderness on the outer side of the hip are strong indicators of trochanteric bursitis. However, diagnosing this condition isn't always straightforward.
In some cases, further imaging, such as MRI, is necessary to differentiate trochanteric bursitis from Gluteus Medius tendon injuries, which can present with similar symptoms.
Early diagnosis and treatment are crucial to prevent chronic pain and functional limitations.
What Does Trochanteric Bursitis Look Like on MRI?
On an MRI scan, trochanteric bursitis typically appears as swelling and signs of inflammation adjacent to the hip joint. The most common finding is an accumulation of fluid within the affected bursa, which is clearly visible on the imaging.
MRI is particularly useful for distinguishing trochanteric bursitis from other conditions, such as Gluteus Medius tendon tears or tendinosis, which can present with similar symptoms. Accurate imaging plays a crucial role in confirming the diagnosis and guiding appropriate treatment.
If you're experiencing persistent hip pain and suspect trochanteric bursitis, consult a healthcare professional for further evaluation and imaging.
MR image of trochanteric bursitis
Where Does Trochanteric Bursitis Pain Radiate?
Trochanteric bursitis pain typically radiates to the outer side of the hip. This pain can intensify during activities such as walking, climbing stairs, or prolonged sitting. In some cases, the pain may spread down the thigh and worsen at night, particularly when lying on the affected side.
How is Trochanteric Bursitis Treated?
Treatment usually begins with avoiding activities and movements that trigger pain. Patients are specifically advised not to lie on the affected hip.
Pain Relief Medications: Over-the-counter or prescription pain relievers can help manage symptoms. Always consult your doctor before using any medication.
Trochanteric Bursitis Exercises
Physical therapy for trochanteric bursitis focuses on two main goals:
Loosening the Iliotibial (IT) Band: Stretching exercises aim to release tension from the IT band.
Strengthening Hip Muscles: Focus is placed on the Gluteus Maximus, Gluteus Medius, and Gluteus Minimus muscles to improve hip stability and reduce strain on the bursa.
Regular and guided exercises are essential for long-term relief and preventing recurrence.
Ultrasound-Guided Cortisone Injection for Trochanteric Bursitis
Ultrasound-guided cortisone injections are highly effective in treating trochanteric bursitis. By delivering medication directly into the bursa, this method can provide relief for several months or even permanent relief in some cases.
If symptoms recur after an injection, the procedure can be repeated.
However, excessive cortisone injections can damage surrounding tissues, so the number of injections should be carefully limited.
For persistent or severe cases, consulting an orthopedic specialist is essential to develop an individualized treatment plan.
Trochanteric Bursitis Physical Therapy
Trochanteric bursitis, also known as hip bursitis, responds well to physical therapy. Physical therapy aims to:
Reduce pain
Strengthen surrounding muscles
Improve joint mobility
This approach facilitates the patient’s return to daily activities and accelerates the healing process. A structured physical therapy program can make a significant difference in managing and preventing future flare-ups.
Trochanteric Bursitis Surgery
If non-surgical treatments fail to provide relief, surgery may be considered.
The current standard surgical approach is arthroscopic surgery (minimally invasive).
During the procedure, a camera is inserted, and the inflamed bursa is removed without disturbing the hip joint itself.
Patients typically return to daily activities within 1–2 weeks post-surgery.
Patient Testimonials on Trochanteric Bursitis – Hip Bursitis
Op. Dr. Utku Erdem Özer's treatment recommendations help patients access accurate information and effective solutions for hip bursitis. Here are a few patient experiences:
"Under Dr. Utku Erdem Özer's guidance, I started physical therapy and received therapeutic injections, which significantly reduced my symptoms."
"I had been suffering from persistent hip pain for a long time and felt hopeless. However, Dr. Utku Erdem Özer's professional approach and treatment plan helped me regain control over my symptoms."
The Importance of Injections in Hip Bursitis Treatment
Injections play a crucial role in treating hip bursitis by reducing inflammation and relieving pain.
Injections often include corticosteroids or Platelet-Rich Plasma (PRP).
This treatment is particularly beneficial for patients with severe symptoms or those who do not respond to conservative therapies.
We evaluate each patient's condition carefully to determine the most appropriate treatment plan and explain the role of injections in the recovery process.
Frequently Asked Questions About Trochanteric Bursitis
How is Trochanteric Bursitis Treated?
The first step in treating trochanteric bursitis is rest and ice application to reduce inflammation. Anti-inflammatory medications and, if necessary, corticosteroid injections can effectively manage pain and swelling. Additionally, physical therapy and stretching exercises help improve flexibility and reduce pressure on the hip.
What Happens if Trochanteric Bursitis is Left Untreated?
If left untreated, trochanteric bursitis can become chronic, leading to persistent hip pain and significant restrictions in daily activities. Chronic inflammation may also result in more severe soft tissue damage.
What Causes Hip Bursitis?
Hip bursitis is commonly caused by:
Overuse injuries
Repetitive movements
Hip biomechanical imbalances
Other contributing factors include obesity, muscle imbalances, improper footwear, and incorrect exercise techniques.
Where Does Bursitis Pain Radiate?
Bursitis pain is typically felt on the outer side of the hip and may radiate down the thigh. It often worsens during activities such as walking, climbing stairs, prolonged sitting, or lying on the affected side.
Conclusion
Trochanteric bursitis, or hip bursitis, is one of the most common causes of outer hip pain. Its symptoms often overlap with Gluteus Medius tendon issues, making accurate diagnosis crucial for effective treatment.
Key Takeaways:
Ultrasound-guided cortisone injections are highly effective in reducing inflammation and pain.
Arthroscopic surgery offers a minimally invasive solution for treatment-resistant cases.
For more detailed information, feel free to visit our website at utkuerdemozer.com. Thank you for reading!
