The trochanteric bursa is a sac filled with fluid to lubricate the movement of muscles and tissues over a bump on the upper outer aspect of the hip bone called the trochanter.
If this sac become inflammed it will lead to pain on the outside of the hip and thigh or in the buttock. There is also pain when lying on the affected side. The diagnosis is usually reached by clinical examination.
Trochanteric bursitis may be due to:
- Direct trauma to the point of the hip e.g. falling onto the hip or lying on one side of the body for an extended period.
- Activities that cause overuse or injury to the joint areas e.g. running up stairs or climbing.
- Faulty postures e.g. scoliosis, and other spine problems.
- Previous hip surgery.
- Rest and avoiding activities that aggrevate the pain.
- Using a walking cane in the opposite hand
- Ice packs to the affected area.
- Weight loss, to reduce pressure on the hip.
- Non steroidal anti-inflammatory medications.
- In severe cases a local steroir injection may be required.
- Physical therapy to stretch the overlying tissues can relieve tension in the hip and reduce friction.
- Surgery is rarely required.