Understanding Trochanteric Bursitis
A bursa is a thin, slippery, sac-like film. It contains a small amount of fluid. This structure is found between bones and soft tissues in and around joints. A bursa cushions and protects a joint. It keeps parts of a joint from rubbing against each other. If a bursa becomes inflamed and irritated, it is known as bursitis.
The trochanteric bursa is found on the hip joint. It lies on top of the bump at the top of the thighbone called the greater trochanter. Inflammation of this bursa is called trochanteric bursitis.
How to say it
Causes of trochanteric bursitis
Causes may include:
Overuse of the hip during running or other sports, dance, or work
Falling on or irritation to the side of the hip
This condition may occur along with other problems, such as osteoarthritis of the hip or knee, or low back problems. In rare cases, it may occur after hip surgery.
Symptoms of trochanteric bursitis
Pain or aching on the side of the hip. The pain may travel down the leg.
Swelling, tenderness, or warmth on the side of the hip at the bony bump at the top of the thigh
Treatment for trochanteric bursitis
These may include:
Resting the hip. This allows the bursa to heal.
Prescription or over-the-counter pain medicines. These help reduce inflammation, swelling, and pain.
Cold packs and heat packs. These help reduce pain and swelling.
Stretching and strengthening exercises. These improve flexibility and strength around the hip.
Physical therapy. This includes exercises or other treatments.
Injections of medicine into the bursa. This may help reduce inflammation and relieve symptoms.
If you don’t give your hip time to heal, the problem may not go away, may return, or may get worse. Rest and treat your hip as directed.
When to call your healthcare provider
Call your healthcare provider right away if you have any of these:
Fever of 100.4°F (38°C) or higher, or as directed
Redness, swelling, or warmth that gets worse
Symptoms that don’t get better with prescribed medicines, or get worse
June 19, 2017
Canoso JJ. Greater trochanteric pain syndrome (formerly Trochanteric bursitis). UpToDate. June 19 ed: UpToDate; 2015. p. 28., Ferri F. Trochanteric Bursitis. In: Ferri F, editor. Ferri's Clinical Advisor 2016. Philadelphia: Elsevier; 2016. p. 1254., Guo HM, et al. Trochanteric Bursitis. Pain Management. 2 ed. Philadelphia: Saunders; 2011. p. 813-6., Robertson VJ, et al. A Review of Therapeutic Ultrasound: Effectiveness Studies. Physical Therapy. 2001 July;81(7):1339-50., Safran MR, et al. Trochanteric Bursitis. In: Safran MR, et al, editors. Instructions for Sports Medicine Patients. 2 ed. Philadelphia: Saunders; 2012. p. 1246-50.
Bellendir, Trina, MSPT, CLT,Image reviewed by StayWell medical illustration team.,Joseph, Thomas N, MD