Trochanteric Bursitis

Bursas are closed sacs filled with fluid that appear throughout the bodies close to joints which reduces friction. Bursitis is an inflammation or irritation of these sacs which can be painful.

Trochanteric and hip bursitis is the same condition where the bursa in the hip joint close to the greater trochanter of the femur becomes irritated and causes hip pain. Pain usually is worse after sitting or lying down but can also increase with repetitive activity such as climbing stairs. If left untreated pain can radiate down the leg, there is increased difficulty lying on affected side or when standing up, increased joint stiffness and more sensitivity to touch.

More common in

• Women
• Middle or elderly individuals

Causes

• Excessive activities where hip movement is repetitive ie. running, cycling
• Trauma can sometimes cause inflammation in the bursa (falls where you land on the hip)

Symptoms

• Dull ache or stiffness in the outside part of the hip
• Pain with movement
• Swelling in surrounding areas
• Redness in the skin
• Skin is warm to touch surrounding the joint

Treatment

• Activity modification- avoid or reduce aggravating activities
• Avoid putting pressure on the side with the bursitis
• Anti-inflammatories can help alleviate swelling
• Use of ice pack in the early acute stage (first 2-3 days)
• Soft tissue massage can be helpful in pain management and increasing circulation to the area