Trochentric Bursitis Of Hip Joint

Bursa is a sac that is filled with fluid, when this bursa becomes inflamed due to any reason it is called bursitis. There are many bursae in our body and works as a cushion between the bone and soft tissues, one bursa is present over the trochanter (outer edge of the hip) when this trochanter bursa becomes inflamed it is called trochanteric bursitis. Bursitis is a common cause of hip pain.

Causes

Trauma or injury after a fall, things which are hitting the sides of the thigh
Sleeping or lying on the same side for a long duration
Overuse or activities like stair climbing, cycling, or running
After any kind of hip surgery
Other diseases like arthritis or gout can also cause the bursitis
Bone spur formation
Postural abnormalities or deformities of the hip joint

Symptoms

Pain at the outer side of the hip joint
Pain aggravates in stair climbing or walking
Pain can radiate in the thigh
Swelling on the affected part
Stiffness
Tenderness over the outer side of the hip joint

Diagnosis

Physical examination and history of injury or any disease
X-ray is prescribed to check any bone abnormality
MRI for detailed and specific images

Treatment

Conservative:
- Rest and icing on the affected area
  
  Anti-inflammatory medications to reduce pain and inflammation
  
  Injections of steroids to control the pain
  
  Physiotherapy exercises will help in maintaining the joint range of motion and also helps in strengthening the muscles and flexibility
  
  Assistive device: You can also use a stick or can to avoid putting weight on the affected side
Surgery
Surgical management steps in when conservative steps fail:
- The arthroscopic procedure is commonly done to manage the trochanteric bursitis
- Removal of the inflamed bursa
- Tendon repair or IT band releases to remove the stress from the bursa
- Osteotomy of the trochanter