Hip or Buttock Pain?
Valued Health Osteopathy
3/658 Centre Rd, Bentleigh East, 3165
What is Trochanteric Bursitis?
Have you started to take advantage of the better weather by getting outside and moving? Most of the time getting out and moving is great for our bodies, however, sometimes (e.g. after a winter slump) the movement can be a bit of a shock for us and cause extra stress or strain to different parts of our bodies. It’s okay though, we are here to help you move, grow and thrive through life!
One condition that might occur is something called Greater Trochanter Pain Syndrome (GTPS, otherwise known as Trochanteric Bursitis). The pain is primarily caused by tendinopathy of the gluteus medius, gluteus minimus or the surrounding bursae (3). It’s estimated to affect between 10-25% of the general population and is most common in our 40’s to 60’s (5). GTPS may be caused by trauma, repetitive high-intensitiy use of the hip and buttock muscles (recent return to exercise anyone?) and may be predisposed by dysfunction of the surrounding joints or muscles (that’s where we can help!)
GTPS is characterised by persistent pain in the lateral hip or buttock (and may radiate down the outside of your leg) which is exacerbated by lying on the affected side, prolonged standing, driving, climbing stairs, running or other high impact activities (5).
What is tendinopathy? It is a clinical syndrome most commonly resulting from repetitive motion or overuse of a tendon resulting in pathology of that tendon causing pain, swelling and impairment of function (4). It may be inflammatory in the early stages and progress to a degenerative process if it becomes chronic.
What is a bursae? Bursae are a pretty great inventions by the body. They are small sacs lined by synovium that produce synovial fluid to help lubricate and cushion areas of friction between tissues e.g. bone and muscle, tendons, ligaments and skin (1). There are many bursa throughout our bodies working hard and helping us out daily, but occasionally they get inflamed and we suffer from a condition called bursitis. When the bursa becomes inflamed, it swells and can’t do its job as well and causes pain (2). This can happen in many places, but is common in the shoulder, hip, knee and ankle.
What can we do about GTPS? Your Osteopath will take a thorough history and complete an extensive examination to determine exactly what the cause of your pain and dysfunction is. Once they have determined the cause, they may:
- Mobilise the restricted joints that might be contributing to the dysfunction (e.g. your lower back, hip, knee, ankle/foot)
- Address the tight/weak muscles that may be causing pain, dysfunction and compression
- Provide you with some strengthening exercises if they have identified any weaknesses and provide you with certain mobility exercises
- Advise you how to modify the exercise you are already doing, to help prevent the injury from re-occurring
- If you aren’t responding to Osteopathic Treatment as expected, your Osteopath may advise you to follow up with your GP for further imaging of the area, or further medical intervention if clinically indicated or for a referral to a specialist.
If you have any questions or you would like to make an appointment and see if Osteopathy may help you, do not hesitate to contact one of our team at Valued Health Osteopathy on (03) 9570 9061. We look forward to hearing from you!
If there is anything in your way of achieving these goals that you think our Osteopaths may be able to help you with, please contact the clinic speak to one of our Osteopaths at Valued Health Osteopathy in Bentleigh East about your treatment and rehabilitation options. Call or book online today.
All our Osteopaths at Valued Health Osteopathy are university trained allied health professionals who have completed a minimum of five years of university training in anatomy, physiology, pathology, general medical diagnosis and osteopathic techniques. It is also a requirement that all our Osteopaths at Valued Health Osteopathy are registered with the Australian Health Practitioner Regulation Agency (AHPRA) and Osteopathy Australia (OA).
You do not need a referral to see one of our friendly Osteopaths at Valued Health Osteopathy. We have a very good relationship with many surrounding doctors, other health practitioners and personal trainers in the local community of Bentleigh East , Bentleigh, Ormond, McKinnon, Oakleigh, Carnegie, Caulfield, Moorabbin, Murrumbeena, Brighton, Clayton and Clarinda.
Valued Health Osteopathy offers:
Strength & Conditioning
Valued Health Osteopathy is open 6 days a week with early morning and evening appointments. Move better with Osteopathy!
Valued Health Osteopathy is located at 3/658 Centre Road, Bentleigh East, Melbourne, Victoria, 3165.
Valued Health Osteopathy | Osteopathy Australia
Osteopath Bentleigh East, Osteopath Bentleigh, Osteopath Ormond, Osteopath McKinnon, Osteopath Moorabbin, Osteopath Murrumbeena, Osteopath Oakleigh, Osteopath Carnegie, Osteopath Caulfield, Osteopath Clayton, Osteopath Brighton and Osteopath Cheltenham, Osteopath Dingley, Osteopath Beaumaris, Osteopath Melbourne.References:
- Clunie GPR,Ralston SH, 24 – Rheumatology and bone disease, Davidson’s Principles and Practice of Medicine (Twenty-Third Edition), edited by Ralston Stuart H MD FRCP FMedSci FRSE FFPM(Hon),Penman Ian D BSc(Hons) MD FRCPE,Strachan Mark WJ BSc(Hons) MD FRCPE,Hobson Richard P LLM PhD MRCP(UK) FRCPath, 2018, Pages 981-1060, ISBN 978-0-7020-7028-0, http://dx.doi.org/10.1016/B978-0-7020-7028-0.00024-X.
- Gupta Neeraj, Chapter 52 – Treatment of Bursitis, Tendinitis, and Trigger Points, Roberts and Hedges’ Clinical Procedures in Emergency Medicine and Acute Care (Seventh Edition), edited by Roberts James R. MD FACEP FAAEM FACMT,Custalow Catherine B. MD PhD,Thomsen Todd W. MD, 2019, Pages 1071-1104.e3, ISBN 978-0-323-35478-3, http://dx.doi.org/10.1016/B978-0-323-35478-3.00052-X. (https://www.clinicalkey.com.au/#!/content/3-s2.0-B978032335478300052X)
- Rothmier Justin D.,Harmon Kimberly G.,O’Kane John W., 29 – Sports Medicine, Textbook of Family Medicine (Ninth Edition), edited by Rakel Robert E. MD,Rakel David P. MD, 2016, Pages 622-647.e5, ISBN 978-0-323-23990-5, http://dx.doi.org/10.1016/B978-0-323-23990-5.00029-0. (https://www.clinicalkey.com.au/#!/content/3-s2.0-B9780323239905000290)
- Alqadi Rasha B. M.D., Trochanteric Pain Syndrome (Trochanteric Bursitis), Ferri’s Clinical Advisor 2020, edited by Ferri Fred F. M.D. F.A.C.P., 2020, Pages 1405.e4-1405.e5, ISBN 978-0-323-67254-2, http://dx.doi.org/10.1016/B978-0-323-67254-2.00907-4. (https://www.clinicalkey.com.au/#!/content/3-s2.0-B9780323672542009074)
- Gupta Neeraj, Chapter 52 – Treatment of Bursitis, Tendinitis, and Trigger Points, Roberts and Hedges’ Clinical Procedures in Emergency Medicine and Acute Care (Seventh Edition), edited by Roberts James R. MD FACEP FAAEM FACMT,Custalow Catherine B. MD PhD,Thomsen Todd W. MD, 2019, Pages 1071-1104.e3, ISBN 978-0-323-35478-3, http://dx.doi.org/10.1016/B978-0-323-35478-3.00052-X.