Pain on the side of your hip? It could be due to trochanteric bursitis. This is the inflammation or swelling of the bursa (fluid-filled sack) that sits in between your greater trochanter bone and tendon on the outside of your hip. The role of the bursa is to reduce the friction between the bone and the surrounding tissue including tendons, ligaments and skin. If the bursa becomes inflamed or irritated, it can then cause pain. There are more than 140 bursae in the body but the hip bursa that is most prone to bursitis is the trochanteric bursa.
Your physiotherapist can diagnose bursitis through a clinical assessment, and it can also be diagnosed with an ultrasound. Physiotherapy treatment is focused on reducing compression and offloading the area to reduce pain. Soft tissue techniques such as massage, dry needling and trigger point therapy can be effective at easing symptoms.
Your physiotherapist will be able to identify and correct any issues that have caused the bursa to become inflamed, such as poor postural control, increased load or strength deficits. Having a good exercise program is key in the treatment of bursitis to prevent it from reoccurring. This includes a graded loading of the gluteal muscles, as well as other stabilising muscles surrounding the joint.
For cases where bursitis does not respond to physiotherapy management, injections such as cortisone or platelet-rich plasma (PRP) can be used, however, this will be discussed with yourself, your physiotherapist and your GP first.
There are several positions that increase the shear load through your greater trochanter that you should avoid if you have bursitis. These are:
If you have hip pain and think it may be bursitis or another hip condition, consult your physiotherapist for diagnosis, management and rehabilitation plan.
If you would like any more information, or to book an appointment, please click here to book an appointment with one of our experienced physiotherapists or contact us at 9078 8434 or reception@malvernphysio.com.au.
Published July 8, 2021