TROCHANTERIC BURSITIS

Bursae are fluid filled sacs located all over the body that enable smooth, pain-free motion between certain structures. Some bursae sit between tendons and bone. The trochanteric bursa is located between the gluteal tendons and the bony point of the hip known as the greater trochanter. When the trochanteric bursa becomes irritated and inflamed, it can cause symptoms, such as pain.

Irritation and inflammation of the trochanteric bursa (trochanteric bursitis) is most commonly caused by overuse and/or an altered gait. Some individuals with a tight iliotibial (IT) band (the muscle and tendon tract that runs between the outer hip to the outer knee) or an underlying gluteal tear may also develop trochanteric bursitis.

Symptoms

• Pain radiating along the outside of the hip
• Stiffness around outer hip region
• Point tenderness directly over the outside of the hip
• Pain when sleeping on the affected side

Diagnosis And Treatment

Dr. Welch considers each patient’s symptoms, as well as a detailed physical examination of the hip to make the diagnosis of trochanteric bursitis.

Non-surgical treatment includes rest, activity modification, physical therapy, and non-steroidal anti-inflammatory medications. Steroid or anesthetic injections may also be helpful in alleviating pain. If the patient fails non-operative management, then surgical removal of the inflamed bursa may be recommended.

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