Trochanteric Bursitis: Symptoms, Causes, Treatment, Exercises

Key Takeaways

• Trochanteric Bursitis is an inflammatory condition affecting the bursa at the outer hip, causing pain and discomfort during various activities.

• Watch for hip pain, tenderness, swelling, and potential limping, especially during activities like walking or climbing stairs.

• Trochanteric bursitis can result from repetitive stress, injuries, anatomical factors, and underlying medical conditions.

• Management includes rest, physical therapy, anti-inflammatory medications, and in some cases, specialised interventions.

• At MSK Doctors, we revolutionise musculoskeletal care by harnessing the power of AI technology and specialised trochanteric bursitis treatments. 

What is Trochanteric Bursitis?

Trochanteric bursitis is a condition characterised by inflammation of the bursa located at the outer point of the hip - known as the greater trochanter. Bursae are small, fluid-filled sacs that act as cushions between bones and soft tissues, reducing friction and allowing smooth movement.

When the bursa becomes inflamed, it can cause significant pain and discomfort, especially during activities such as walking, climbing stairs, or lying on the affected side. This condition is most common in middle-aged or older adults - although it can affect individuals of any age.

Symptoms

• Pain Location: The primary symptom is pain on the outside of the hip, often extending to the thigh but rarely crossing the knee

• Pain Characteristics: Initially, the pain may be sharp and intense, but it often transitions into a dull ache over time

• Pain Triggers: Activities such as walking, climbing stairs, or squatting can exacerbate the pain. Lying on the affected side or prolonged sitting can also worsen symptoms.

• Tenderness and Swelling: The affected area may be tender to touch, and swelling can occur, especially if the condition progresses or becomes infected.

• Limping: Due to pain and discomfort, individuals may develop a limp to avoid putting pressure on the affected hip.

• Redness and Warmth: In severe cases, the hip area may become red and warm due to inflammation.

• Muscle Weakness: Weakness in the gluteal muscles can occur, affecting hip stability and function.

Common Causes

Mechanical and Traumatic Causes

• Falls and Hip Injuries: A fall onto the hip or a direct blow can cause bursitis by damaging the bursa or surrounding tissues.

• Repetitive Stress and Overuse: Activities like running, biking, or stair climbing can lead to repetitive stress on the hip joint, causing inflammation.

• Poor Posture: Chronic poor posture can alter hip mechanics, leading to increased pressure on the bursa.

Anatomical and Biomechanical Factors

• Tight Iliotibial (IT) Band: A tight IT band can rub against the trochanteric bursa, causing irritation and inflammation.

• Gluteal Tendinopathy: Tears or degeneration in the gluteus medius or minimus tendons can contribute to GTPS and associated bursitis.

• Leg-Length Inequality: When one leg is significantly shorter than the other, it can affect gait and posture, leading to increased stress on the hip bursa.

• Spinal Issues: Conditions like scoliosis or lumbar spine arthritis can alter gait and increase pressure on the hip.

Medical Conditions

• Rheumatoid Arthritis (RA): This autoimmune disease can increase the risk of bursitis due to systemic inflammation.

• Gout and Other Crystal Arthropathies: These conditions can cause bursitis by depositing crystals in the bursa.

• Thyroid Disorders: Some thyroid conditions may be associated with an increased risk of bursitis.

Treatment Options

• Rest: Allowing the hip to rest and avoiding activities that exacerbate pain is crucial.

• Physical Therapy: Engaging in guided exercises can strengthen the muscles around the hip and improve flexibility.

• Anti-Inflammatory Medications: Over-the-counter medications like ibuprofen can help reduce inflammation and relieve pain.

• Cold Compress: Cold therapy constricts blood vessels, decreasing blood flow to the area, which helps to reduce swelling, inflammation, and pain. Wrap a bag of ice or a cold gel pack in a towel and apply it to the painful area for 15-20 minutes. Repeat this process several times a day, especially after activities that may aggravate the pain.

• Warm Compress: Once the initial inflammation has subsided, using a warm compress can help relax the muscles and improve blood circulation. Use a warm towel or heating pad on the affected area for 15-20 minutes. Ensure the temperature is comfortable and not too hot to prevent burns. 

• Injections: Corticosteroid injections may be recommended by a healthcare professional for severe cases.

• Surgery: In rare cases where other treatments are ineffective, surgical intervention may be necessary.

Each treatment option has its place, and the choice often depends on the severity of the condition and individual circumstances. Consulting with a healthcare provider is the best course of action to get a treatment plan to your specific needs.

Incorporating natural anti-inflammatories such as turmeric, ginger, and Omega-3 fatty acids into your diet can support your recovery from trochanteric bursitis. These substances can help reduce inflammation throughout the body, including the affected hip area.

Exercises for Relief

Exercises play a crucial role in the recovery and management of trochanteric bursitis. They not only help alleviate pain but also strengthen the muscles around the hip, enhancing stability and flexibility. 

Before starting any exercise regimen, it’s important to warm up your body. This can be as simple as a five-minute walk or gentle stretches. A warm-up prepares your muscles for exercise, reducing the risk of injury.

Clamshell Exercise 

1. Lie on your side with your knees bent. 

2. Keep your feet together and lift your top knee as high as possible without moving your pelvis. 

3. Hold for a few seconds, 

4. Then lower your knee. 

5. Repeat 10-15 times on each side.

Hip Bridges

1. Lie on your back with knees bent and feet flat on the ground. 

2. Lift your hips towards the ceiling, 

3. Squeezing your glutes. 

4. Hold for a few seconds before lowering back down. 

5. Perform 10-15 repetitions.

Standing Hip Abduction 

1. Stand upright, holding onto a chair for balance. 

2. Lift one leg straight out to the side without tilting your body. 

3. Return to the starting position 

4. And repeat 10-15 times per leg.

These exercises should be done consistently to see improvement. If you experience any pain during these exercises, stop immediately and consult a healthcare professional. Remember, the goal is to strengthen and stretch the muscles - not to cause additional pain. 

Preventative Measures

Proper Posture Guidelines

Maintaining proper posture may prevent trochanteric bursitis since poor posture can cause misalignment and increased stress on the hip joint.

When standing, ensure your weight is evenly distributed on both feet, and avoid locking your knees. Sit with your back straight and shoulders relaxed. 

If you work at a desk, make sure your chair supports your lower back and your feet rest flat on the floor. Avoid sitting for extended periods without taking breaks. Stand up, stretch, and walk around every hour to keep your muscles active and prevent joint stiffness.

Staying Active Safely

Regular physical activity is important for maintaining overall health, but it's essential to approach it safely to prevent aggravating the hip joint.

Choose low-impact exercises such as swimming, cycling, or walking, which are gentler on the joints. Incorporate strength training to build muscle around the hip, providing better support and stability.

Listen to your body and avoid pushing through pain. Gradually increase the intensity and duration of your workouts to avoid overuse injuries.

Managing Trochanteric Bursitis for a Pain-Free Life

Living with trochanteric bursitis can be challenging, but at MSK Doctors, we see it as an opportunity to transform pain into healing. Our approach goes beyond traditional treatment, combining advanced diagnostic techniques with innovative regenerative therapies. 

Our specialised team uses cutting-edge musculoskeletal MAI-Motion AI technology to develop precise, personalised treatment plans that address the root cause of your bursitis. We don't just treat symptoms; we empower you with comprehensive care. 

Our orthopaedic consultants use a state-of-the-art musculoskeletal AI platform that provides unprecedented insights into your unique movement patterns, allowing us to craft truly personalised treatment strategies.

Reclaim your mobility and comfort with our specialised trochanteric bursitis care. MSK Doctors is your partner in recovery, offering expert care without the wait. Book your consultation with us today. 

Frequently Asked Questions (FAQ)

What is trochanteric bursitis? 

Trochanteric bursitis is inflammation of the bursa located at the outer point of the hip, causing pain and discomfort during movement.

Who is most likely to develop trochanteric bursitis? 

While most common in middle-aged and older adults, it can affect individuals of any age, particularly those with repetitive stress or certain medical conditions.

Can trochanteric bursitis be cured completely? 

With proper treatment and management, most people can significantly reduce symptoms and improve hip function. The key is early intervention and a comprehensive treatment approach.

What exercises are safe for someone with trochanteric bursitis? 

Low-impact exercises like clamshells, hip bridges, and standing hip abductions can help, but always consult a healthcare professional before starting any exercise routine.

Why choose MSK Doctors for trochanteric bursitis treatment? 

At MSK Doctors, we offer cutting-edge, personalised care using AI technology, advanced regenerative treatments, no GP referral required, and a comprehensive approach to musculoskeletal health.