Posted on February 14th, 2025

 

 

Trochanteric bursitis, commonly referred to as hip bursitis, is a condition that causes pain and discomfort around the outer side of the hip. This article explains what trochanteric bursitis is, outlines its symptoms and causes, and reviews available treatment options.

 

We also discuss how specialized physical therapy services in Rockland County and Ulster County can support those seeking relief from hip pain.

 

 

Identifying Trochanteric Bursitis: Symptoms and Causes

 

Trochanteric bursitis starts with recognizing its signs and the factors that contribute to its development.

 

Symptoms

Trochanteric bursitis is marked by inflammation of the bursa, a small fluid-filled sac that reduces friction between the hip bone and surrounding tissues. Common signs include:

• Tenderness and Aching: A noticeable discomfort on the side of the hip that may persist throughout the day.
• Worsening Pain with Pressure: Increased pain when lying on the affected side or standing for long periods.
• Swelling and Warmth: Occasional swelling and a feeling of warmth over the outer hip may accompany the discomfort.

These symptoms can become more pronounced after activities that place extra stress on the hip, such as prolonged walking or climbing stairs.

 

Causes

Several factors can contribute to the onset of trochanteric bursitis. Key causes include:

• Repetitive Stress: Activities that involve repeated hip movements or prolonged standing can put strain on the bursa.
• Anatomical Differences: Variations in pelvic structure may alter the distribution of pressure on the hip joint, sometimes leading to irritation of the bursa.
• Hormonal Influences: Changes in hormone levels, especially during menopause, can affect tissue integrity and increase the risk of inflammation.
• Additional Factors: Conditions like obesity, gait irregularities, and lower limb discrepancies may also contribute to the stress placed on the bursa.

By identifying these signs and causes early, individuals can seek the proper treatment to manage the condition and reduce discomfort.

 

 

Greater Trochanteric Pain Syndrome Overview

 

Trochanteric bursitis is often part of a broader condition known as Greater Trochanteric Pain Syndrome (GTPS). GTPS includes various issues that result in pain around the greater trochanter, not solely inflammation of the bursa.

 

Key Characteristics of GTPS

• Multiple Structures Involved: GTPS may include tendon irritation or injury along with bursa inflammation.
• Localized Discomfort: Pain is usually focused on the outer hip and can extend to the lateral thigh.
• Similar Symptoms to Other Conditions: The pain may mimic symptoms of lower back issues or hip joint arthritis, making diagnosis challenging.

A careful examination, including clinical assessment and imaging when necessary, helps distinguish GTPS from other sources of hip pain. Learning about the range of symptoms under GTPS is important for determining the best course of treatment.

 

 

Treatment Options for Hip Bursitis

 

There are several ways to manage trochanteric bursitis without resorting to surgical intervention. The focus is on reducing pain and inflammation while supporting the structures around the hip.

 

Medications

Over-the-counter pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs), are often recommended to reduce inflammation and ease discomfort. These medications may help provide temporary relief while other treatment methods take effect.

 

Lifestyle Adjustments

Simple changes in daily routines can make a difference in managing hip pain. Consider the following adjustments:

• Weight Management: Reducing excess weight can lower the pressure on the hip joints.
• Activity Modification: Avoiding prolonged standing or repetitive hip movements may help lessen symptoms.
• Footwear Choices: Wearing supportive shoes can assist in maintaining proper alignment and reducing strain on the hip.

Breaking down these adjustments into daily practices can help control the condition without drastic changes to lifestyle.

 

Physical Therapy

Physical therapy offers a non-invasive approach that centers on manual techniques and patient education. A physical therapist can work with you to:

• Relieve Tension: Hands-on manual therapy helps to ease the tension in the soft tissues around the hip.
• Improve Joint Function: Tailored techniques assist in reducing inflammation and relieving pain.
• Educate on Daily Movements: Learning proper body mechanics helps prevent excessive strain on the bursa.

This approach avoids the introduction of exercise regimens that might put additional strain on the hip. Instead, it focuses on relieving discomfort and improving movement patterns.

 

Advanced Treatments

In cases where initial treatments do not provide sufficient relief, more advanced options may be considered:

• Corticosteroid Injections: These injections can reduce inflammation in the bursa, offering temporary relief from severe pain.
• Surgical Interventions: When non-invasive methods fail, procedures such as bursectomy or tendon repair might be discussed as a last resort.

Each option comes with its own set of considerations. A thorough discussion with a healthcare provider helps in deciding on the best approach based on the severity and persistence of symptoms.

 

 

Related - Ehlers-Danlos Syndrome Physical Therapy: Managing Joint Instability

 

 

Lotus Physical Therapy Services

 

For those seeking specialized care, Lotus Physical Therapy offers services designed to address trochanteric bursitis. By focusing on manual therapy and education, we tailor treatments to meet your needs without adding exercise regimens that may worsen the condition.

 

At our practice, the treatment plan is built around reducing hip pain and improving function through targeted manual techniques and adjustments to daily habits. Our professionals work closely with you to:

• Reduce Discomfort: Using non-invasive methods to lessen pain and inflammation.
• Modify Daily Routines: Offering guidance on changes that can prevent further irritation of the hip.
• Support Overall Function: Aiming to improve your ability to perform everyday activities without significant discomfort.

Residents in Rockland County and Ulster County have access to these dedicated services, where the focus is on a careful and tailored approach to managing trochanteric bursitis.

 

 

Wrapping Up

 

Trochanteric bursitis is a condition marked by inflammation and pain around the outer hip, often resulting from repetitive stress, anatomical variations, or hormonal changes. Recognizing the symptoms and causes is important for effective management. Treatment strategies include the use of pain-relieving medications, lifestyle modifications, and physical therapy centered on manual techniques and education. When traditional methods fall short, advanced treatments such as corticosteroid injections or surgical options may be considered.

 

Our practice is committed to supporting those in need of specialized care, especially residents in Rockland County and Ulster County. Are you experiencing persistent hip pain due to trochanteric bursitis? Reach out today to learn how our dedicated physical therapy services in Rockland County and Ulster County can help ease your discomfort and improve your quality of life! 

 

Feel free to contact us for physical therapy programs that are aligned with your needs. (845) 517-5100 will connect you with our specialists, and we are always available at [email protected] for any inquiries or appointment scheduling.

 

Let us assist you in enhancing your everyday function and ensuring your body's resilience is always at its peak.