Trochanteric Bursitis

 in Blog  tagged Hip pain / Lateral Hip pain / Trochanteric bursitis by

Trochanteric Bursitis | A common cause of lateral hip pain.

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What is Trochanteric Bursitis?

Trochanteric bursitis is inflammation of the bursa that sits on the side of your greater trochanter, the side of your hip. A bursa is a sac of fluid that sits between muscles/tendons and bones to provide cushion as well smooth frictionless movement.

Who does it affect and what causes it?

More common in women, especially middle-aged women 

Excessive or repetitive movements – such as athletics, running, cycling or jumping 

Cycling 

Direct trauma to the bursa – commonly seen in elderly patients who are at risk of falls 

Sedentary or bed bound patients due to constant pressure over the greater trochanter

How does Trochanteric Bursitis occur? 

This usually occurs due to either repetitive microtrauma that can be from running or exercise involving the hip and tendinopathy of the surrounding musculature. It can also be caused by direct trauma and compression of the bursa or idiopathically, without any reason. 

What are the symptoms?

One sided lateral hip pain 

Gradual onset of pain 

Local pain over the greater trochanter 

Pain that improves with anti-inflammatories 

Pain that is worse with prolonged activity that involves stabilisation of the pelvis e.g standing on one leg 

Pain that is brought on with adduction of the femur – swinging the leg across the midline of the body

How can Trochanteric Bursitis be treated?

In most cases trochanteric bursitis can be managed with conservative care through adequate rest and pharmacotherapy. However, there are instances where more direct intervention is required through physical therapy and stronger pharmacotherapy. In rare cases, surgery may be considered if patients do not respond well to conservative measures.

Here are some common exercises that can be prescribed to manage your lateral hip pain. This is general advice only and not to be substituted for personalised medical advice.  

  1. Sit to stand 
  • Using a chair or bench
  • Place your feet shoulder width apart with your hands out in front for balance 
  • Sit back down into a squat position and barely touch the chair or bench with your bottom and then stand back up 
  • Perform 3 sets of 15, 3x a week 
  1. Glute bridges 
  • Lie flat on the ground with your hips and knees bent at 90 degrees 
  • Raise your hips to the sky by squeezing your bottom and hamstrings to elevate your bottom from the ground. Most of body weight should be on your upper back 
  • Perform 3 sets of 10, 3x a week 
  1. Step ups 
  • Using a small stool or a stair case 
  • Standing with both feet on an elevated platform such a small stool or stairs. 
  • Slowly bring one leg back and drop it down to the bottom level whilst keeping tension over the glutes of the elevated leg. 
  • Whilst holding this tension, raise the leg on the bottom level back to the starting position. 
  • Perform 3 sets of 10 on each leg, 3x a week. 

If you’re experiencing pain or had a recent flare up of an old injury, we recommend you consult with one of our Osteopaths to find out the “do’s and don’ts” depending on the severity of your injury as there is no ‘one size fits all’ with treatment plans.  

References:

    1. Seidman AJ, Taqi M, Varacallo M. Trochanteric Bursitis. [Updated 2022 Nov 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538503/

Make an appointment today – Book online!

(03) 9570 9061

www.valuedhealth.com.au

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 Osteopathy, Clinical Pilates, Infant & Children Osteopathy, Pelvic Health Osteopathy, Exercise Rehabilitation and Strength & Conditioning. Valued Health Osteopathy is open 6 days a week with early morning and evening appointments.

Osteopath in Bentleigh East, Osteopath in Bentleigh, Osteopath near Ormond, Osteopath near McKinnon, Osteopath near Oakleigh, Osteopath near Cheltenham, Osteopath near Brighton, Osteopath near Caulfield, Osteopath near Carnegie, Osteopath near Clarinda, Osteopath near Moorabbin.

Valued Health Osteopathy is located at 3/658 Centre Road, Bentleigh East, Melbourne, Victoria, 3165.

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About Tom McCormick

Dr. Tom McCormick (Osteopath) is the Director and Principal Osteopath at Valued Health Osteopathy in Bentleigh East. Tom is a qualified Osteopath and Dry needling practitioner and is also a Level 1 Strength and Conditioning Coach. Tom has also completed further studies in optimal movement patterns with the FMS (Functional Movement Systems).Tom believes it is important to address the immediate issues causing pain, however feels it is equally important to improve his patient’s ongoing movement, tissue quality, muscle activation and muscle strength in order to optimize injury recovery and reduce the chance of re-aggravation. Since Tom graduated as an Osteopath he has had the opportunity to work both in Queensland and Victoria within private practice and has worked closely with sporting teams. Tom has suffered many injuries and complaints over the years due to his heavy interest in sport. From broken bones, torn cartilage, tendon and muscle injuries to even a double hernia repair, this is ultimately what led Tom into the health field. Tom has a hands on approach to healthcare by utilizing a broad range of techniques that are tailored specifically to each patient. Such techniques include mobilization, soft tissue massage, stretching, trigger point therapy, dry needling and exercise rehabilitation. Although Tom enjoys treating athletes, he also thrives on the sense of enjoyment that comes with helping his patients of all ages with many other injuries. Tom also has experience in treating headaches, back and neck pain, hip, knee and ankle injuries and shoulder and elbow pain. Here at Valued Health Osteopathy Tom will use his Osteopathic experience, coupled with his further training to assess, diagnose, rehabilitate and treat in order to get you moving better with less pain. Outside of work Tom loves to travel, watch plenty of sport, exercise and loves a good coffee.