hip TROCHANTERIC BURSITIS
DEFINITION:
- An inflammatory process involving a fluid filled sac (bursa), which normally acts as a cushion between the bone and soft tissues (muscle and tendons), located on the lateral (outside) aspect of the hip bone (greater trochanter). (See illustration).
MECHANISM OF INJURY / HOW IT OCCURS:
- Often seen in runners and cyclists.
- Can be exacerbated with stair climbing.
- Direct trauma to the outside region of the hip, such as during a fall, can result in symptoms.
SYMPTOMS:
- Individuals will present with a complaint of pain over the outer aspect of the hip.
- Direct pressure, as when lying on the affected side, will exacerbate the symptoms.
- Getting up from a seated position will exacerbate the symptoms.
DIAGNOSIS:
- Physical examination will reveal tenderness over the greater trochanteric region of the hip.
- May see swelling, warmth, and redness (erythema).
- Plain x-rays are of benefit, especially if trauma occurred, to determine if a fracture occurred.
TREATMENT/REHABILITATION:
- Initial treatment includes rest from aggravating activities, ice, and anti-inflammatory medications (NSAIDs).
- Therapy with emphasis on stretching as well as the use of various modalities such as ultrasound.
- For persistent symptoms your physician may wish to consider a cortisone injection in the bursa.
- Prevention is best achieved with routine stretching. (See exercises for trochanteric bursitis).