Trochanteric Bursitis is characterized by inflammation in the hip joint, specifically in the bursa (fluid filled sacs that act as a cushion or shock absorber between tendons, bone and skin). TB is often seen in runners or athletes who participate in running sports.
A tight iliotibial band (IT Band) places pressure on the trochanteric bursa (located between the iliotibial band and the greater trochanter). This pressure leads to swelling (inflammation). Trochanteric Bursitis can also be caused by bruising from a fall, a direct hit during contact sports or other sources of impact.
The following are common symptoms of trochanteric bursitis:
- Point tenderness over the greater trochanter.
- Palpation also may reproduce the pain that radiates down the lateral thigh.
- Swelling of the bursa (hard to note in many patients due to the fat deposits common in this area).
- Bruising may be noted over the bursa in the case of trauma.
- Pain in the hip with flexion (bending) and abduction (raising leg out to the side).
A diagnosis of trochanteric bursitis is made by taking a medical history, doing a physical examination (looking for tenderness directly over the location of the bursa) and x-rays to rule out bone spurs or calcification.
How Can Physical Therapy Help
A physical therapist will evaluate the hip and confirm the diagnosis of
trochanteric bursitis. The use of modalities such as electrical
stimulation, ultrasound and iontophoresis will help control the pain and
inflammation. They will provide a custom exercise program consisting of
stretching and strengthening for the hip.
American Academy of Orthopedic