What Is Trochanteric Bursitis?
This is an irritation or swelling of the trochanteric bursa. This small, fluid-filled sac is found on the outer side of the femur. It acts as a cushion for the iliotibial band, a thick tendon in your leg.
What Causes Trochanteric Bursitis?
Trochanteric bursitis can be caused by repetitive stress. It can be caused by a fall or a hard blow to the outer side of your hip. It can be caused by poor posture. It can also be caused by certain diseases and conditions.
What are the Symptoms of Hip Bursitis?
The most common symptom of this type of bursitis is pain on the outer side of your hip. It may be sharp, or it may be a dull ache. It may spread to your thigh and buttock. This pain may feel worse during physical activity that involves your hip. It may also feel worse when you lie on the affected side of your body.
How is Hip Bursitis Treated?
Treatment options include rest, medications and physical therapy. You may benefit from the temporary use of a cane or crutches. If these methods are not helpful, you may benefit from a surgical procedure. Your healthcare provider can create a care plan that is right for your needs.
What Are Some Underlying Reasons I Developed Hip Bursitis?
Inflammation in the bursa near the hip joint occurs as a result of repeated irritation. Usually, bursitis develops over time due to one or more of the following:
- Incorrect posture.
- Abnormal gait caused by spine problems, differences in leg length, or injury.
- Muscle weakness in the hip area.
- Infection or injury to the hip.
- Previous hip surgery.
- Repetitive motions involving the hip, such as climbing stairs, running, or walking on uneven surfaces.
- Autoimmune disease is also a risk factor for hip bursitis.
I Have Pain in the Back of My Hip. Is that a Sign of Bursitis?
The most common type of hip bursitis, trochanteric bursitis, occurs in the bursa sac near the hip joint and causes pain at the side of the hip. If you have pain in the back part of the hip, near the buttock, you may have a less common form of hip bursitis called ischial bursitis. In this condition, it's a bursa sac in the pelvic bone that has developed inflammation.
How Will My Doctor Diagnose My Symptoms as Hip Bursitis?
When you visit the team at Summit Healthcare, you can expect a comprehensive evaluation of your symptoms. During your consultation, we'll gather information about your health history, previous surgeries, and lifestyle that may help us understand the potential factors that could be contributing to your pain and restricted mobility. You will discuss the frequency and intensity of your symptoms, the impact of your hip pain on your daily activities, and what you do to alleviate pain.
Your doctor will also examine your hip and thigh to pinpoint the location of your pain. They'll also assess the degree of mobility restriction you may have and the intensity of your discomfort. You may be observed as you walk, balance on one leg, squat, or step up onto a stair. Finally, your doctor may order an x-ray or MRI of the hip to ensure that your symptoms are, in fact, coming from an inflamed bursa and not the hip joint.
What's Involved in Physical Therapy for Hip Bursitis?
Physical therapy is often prescribed for persistent bursitis. If you are advised to receive physical therapy, you might expect your therapist to focus on the following:
- Reducing pain and swelling in the hip. This may be done through various activity modifications. Symptoms may also be relieved through various modalities, including ultrasound, specific exercises, taping, electrical stimulation of the muscle, heat, ice, and massage.
- Improving mobility. Initially, physical therapy may involve "passive" motions that your therapist performs for you while you're in a relaxed state. These are done to increase the range of motion in the hip joint before you progress to active stretches and exercises.
- Improving your flexibility. An injury or painful condition like bursitis can cause constriction in the muscles and ligaments around the hip and leg. Tight spinal muscles can also contribute to inflammation in the hip. Your physical therapist can reduce constriction and improve flexibility by demonstrating and prescribing specific stretching exercises.
- Building strength in and around the hip. Using body-weight exercises, stretch bands, or weights, your therapist can help you progress through each stage of hip bursitis recovery, gaining strength to prevent further inflammation.
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