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.
Trochanteric bursitis usually gets better after a few weeks to a few months of rest and treatment. You might have an increased risk of it coming back (recurring) if a repetitive motion or activity caused bursitis. Talk to your healthcare provider about ways to reduce stress on your hips.
With proper care, most people begin to feel better quickly, with symptoms resolving in six to 10 weeks. Physical activities should be resumed gradually, so the problem doesn't recur.
The prognosis of bursitis is usually very good. Sometimes adjustment of activities ultimately leads to the best outcome. Infectious bursitis can require surgical resection of the bursa and antibiotics for cure. Gouty and calcific bursitis can often recur, and if chronic, may require excision of the bursa.
Over time, the bursae may become thick, which can make swelling worse. This can lead to limited movement and weakened muscles (called atrophy) in the area.
Pain from bursitis in your hip tends to get worse after you've been sitting or lying down. The pain may also increase when you do a repetitive activity, like climbing stairs.
Chronic pain: Untreated bursitis can lead to a permanent thickening or enlargement of the bursa, which can cause chronic inflammation and pain. Muscle atrophy: Long term reduced use of joint can lead to decreased physical activity and loss of surrounding muscle.
Bursitis can be transient, meaning it only lasts for a short time, but sometimes it can be present for many years if not treated properly and can be very debilitating.
Arthritis and bursitis both affect your joints. Bursitis is usually a short-term issue that's caused by overusing or putting excess stress on a bursa around one of your joints.
Bursa Drainage and Removal
If the bursa is severely damaged, the surgeon may remove the entire inflamed sac. The incision is closed with stitches. Removal of a bursa does not affect the way the muscles or joints work and can permanently relieve the pain and swelling caused by bursitis.
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.
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.
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.
If the outside of your hip becomes tender and swollen, it may be affected with bursitis. Bursitis can be very painful, and tends to be more severe during joint use, or while resting at night. Hip bursitis can become so painful that it may limit your mobility.
Bursitis usually lasts for only days or weeks, but it can last months or years, especially if the cause, such as overuse, is not identified or changed.
Unfortunately, the recovery time for hip bursitis can take quite a while. Many patients tend to recover in about six weeks, but others can spend as many as 12 weeks recovering from hip bursitis. One way patients can speed up their recovery time is with physical therapy.
It occurs when the tissues which lie over the outside of the hip bone (greater trochanter) become irritated. The soft tissues that attach to the outside of the hip include tendons and bursa. When these become overloaded they are the primary sources of pain caused by GTPS.
An injection of corticosteroid medicine may be administered to reduce the inflammation. Sometimes a second injection is necessary if the pain returns after a few months. These nonsurgical treatments provide relief from hip bursitis in the majority of cases.
Bursa injections contain steroids that soothe bursitis inflammation and joint pain. The steroid injection eases symptoms of hip bursitis, shoulder bursitis and other types of bursitis. If injections don't relieve symptoms, you may need surgery.
Consult your doctor if you have: Disabling joint pain. Sudden inability to move a joint. Excessive swelling, redness, bruising or a rash in the affected area.
Conservative measures, such as rest, ice and taking a pain reliever, can relieve discomfort. If conservative measures don't work, you might require: Medication. If the inflammation in your bursa is caused by an infection, your doctor might prescribe an antibiotic.
A hip injury from a fall or accident also puts you at risk for this type of hip bursitis. Other risk factors for trochanteric bursitis include: Overuse injury: Doing the same activity over and over, like running or cycling, can cause repetitive stress. This stress can lead to inflammation of the bursa.
Common symptoms include: Pain at the side of the hip, which may also be felt on the outside of the thigh. Pain that is sharp or intense at first, but may become more of an ache. Difficulty walking.
Hip bursitis or trochanteric bursitis is a tricky condition. It's sometimes called “the great mimicker” because its symptoms are easily mistaken for other conditions like back pain or gluteal muscle injuries.