Trochanteric Bursitis Overview

Trochanteric bursitis is the inflammation of the bursa over the greater trochanter, a bony prominence on the outer hip. It causes pain, tenderness, and limited mobility, particularly during movement or pressure on the hip.

Symptoms

• Pain: Localized to the outer hip, sometimes radiating to the thigh.
• Tenderness: Sensitivity over the greater trochanter.
• Swelling and Warmth: Inflammation causes swelling.
• Stiffness: Reduced hip mobility, discomfort with movement.
• Night Pain: Worsens when lying on the affected side.

Causes & Risk Factors

1. Repetitive Stress: Activities like running or prolonged standing.
2. Hip Injury: Trauma or falls can inflame the bursa.
3. Muscle Imbalances: Weak or tight hip muscles.
4. Spinal/Limb Conditions: Leg length discrepancies, osteoarthritis.
5. Age & Sex: More common in older adults and women.
6. Medical Conditions: Arthritis, diabetes.

Diagnosis
Physical exams, X-rays, ultrasounds, or MRIs help assess inflammation and rule out other conditions like arthritis or tendon tears.

Treatment

• Rest & Activity Modification: Avoid activities that worsen pain.
• Medications: NSAIDs for inflammation relief.
• Physical Therapy: Strengthening and stretching exercises.
• Ice/Heat Therapy: Ice reduces inflammation, heat relaxes muscles.
• Corticosteroid Injections: For pain relief.
• Regenerative Injections: PRP therapy for chronic cases.
• Surgery: Rarely needed for bursectomy or tendon repair.

Prevention

• Strengthen hip muscles.
• Use proper technique during activities.
• Maintain a healthy weight.
• Stretch tight muscles and iliotibial band.

Conclusion
Trochanteric bursitis affects hip mobility but can be managed with early treatment, including rest, therapy, and medications. Surgery is rarely needed, and most individuals recover fully with proper care.