People may experience some or all of these symptoms including: Pain in the hip/thigh/buttock area. Worse pain when lying on your side or with direct pressure. Pain increasing with exercise such as periods of walking, standing or running.
The main symptom of trochanteric bursitis is pain at the point of the hip. The pain usually extends to the outside of the thigh area.
The pain is often sharp in the first few days. It may be dull and achy later. You may notice it more when getting out of a chair or bed. You may also notice it when sitting for a long time and when sleeping on the affected side.
Doctors define trochanteric bursitis as an inflammation in the sac of fluid (bursa) that surrounds the outside bone, or trochanter, of your hip. The lower outside part of your hip will hurt, and moving hurts. Lying on the hip will cause pain, as will pressure on the area.
Pain in the outer bottom/thigh/buttock area. Worse pain when lying on your side. Pain increasing with exercise such as long periods of walking, standing or running. Altered walking pattern.
Greater trochanteric pain syndrome (GTPS), also known as lateral hip pain or trochanteric bursitis, is a common and painful condition which affects the outer side of the hip and thigh. It occurs when the tissues which lie over the outside of the hip bone (greater trochanter) become irritated.
In the acute phase, pain can be managed with rest, ice, soft tissue therapy, taping, and medications (NSAIDs and/or paracetamol). Runners should avoid banked tracks or roads with excess camber. Exercise and load management are the cornerstone of an effective tendinopathy management.
This condition is also generally referred to as hip bursitis. The main difference between iliopsoas bursitis and trochanteric bursitis is that iliopsoas bursitis causes pain in front of the hip and/or groin area, while trochanteric bursitis causes pain in the outer hip.
A bursa is a small sac filled with fluid that acts as a cushion and allows smooth motion by reducing the friction between the muscles and the bone. Trochanteric bursitis results in pain on the outer portion of the hip which usually increases with prolonged walking or climbing stairs.
Pain that doesn't go away
Hip bursitis (trochanteric bursitis) may be a sign of a more serious issue. If you continue to have bursitis pain at the hip that has not improved despite extensive treatment, you may have a tear of a muscle located next to the bursa called the gluteus medius.
Activities or positions that put pressure on the hip bursa, such as lying down, sitting in one position for a long time, or walking distances can irritate the bursa and cause more pain.
Greater Trochanteric Bursitis can be a painful and debilitating condition that can limit a person's mobility. However, there are several treatment options available that can help to reduce pain and improve mobility.
Bursae are small, fluid-filled sacs that cushion the joints and reduce friction between bones. Inflammation of these sacs, known as bursitis, can cause pain and swelling in the hip, which radiates down the leg.
Bursitis occurs when the bursae become inflamed. Inflammation of the bursae causes pain from the hip that spreads down the side of the thigh. This sharp, intense pain may worsen at night.
Walking, running, cycling, and many cardio exercise machines, as well as, deep squats, and lateral hip exercises can all aggravate hip bursitis pain because of the compression caused. For similar reasons sitting with crossed legs, standing with a dropped hip, or lying on your side can also be very painful.
Apply ice to reduce swelling for the first 48 hours after symptoms occur. Apply dry or moist heat, such as a heating pad or taking a warm bath. Take an over-the-counter medication, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others), to relieve pain and reduce inflammation.
Especially if the hip pain is attributed to Trochanteric bursitis, it is important to have a massage therapist that understands that directly massaging the inflamed bursa may do more harm than good.
Hip bursitis happens when the bursa fills with extra fluid and becomes inflamed. This inflammation puts pressure on the nearby tissue and causes discomfort.
However, you need to be careful and talk to your doctor before walking longer distances. After all, they know about your condition and can give you the best advice about walking and exercising with bursitis. The main thing is to take it slow and listen to your body. If the pain gets too intense when you walk, stop.
Sitting: Avoid crossing your legs. Instead try keeping your hips, knees and feet aligned. Your knees need to be lower than your hips; you can get a wedge cushion to help with this.
The prognosis is promising with trochanteric bursitis, as patients can expect complete resolution of symptoms with conservative management without any long-term sequelae. Resolution with NSAIDs and/or corticosteroid injection can be expected within just several days of initiation of treatment.
The initial treatment of trochanteric bursitis includes rest, anti-inflammatory medications, ice and stretching. Rest: This is the most important part of treatment. At least initially, patients need to avoid any activity that may worsen symptoms.