Trochanteritis

Trochanteritis, also known as trochanteric bursitis, is a condition characterized by inflammation of the bursa located near the greater trochanter, which is the bony prominence on the outside of the hip. The bursa is a small, fluid-filled sac that acts as a cushion between bones and soft tissues, reducing friction and allowing for smooth movement. When the bursa becomes irritated or inflamed, it can cause pain in the hip, which may radiate down the side of the leg.

Symptoms

Pain on the outside of the hip

This is the most common symptom. The pain may be sharp initially and become more of an ache over time.

Pain that worsens with activity

Activities such as walking, climbing stairs, or lying on the affected side can exacerbate the pain.

Tenderness

The area around the greater trochanter may be tender to the touch.

Swelling

In some cases, there may be visible swelling around the affected area.

Causes

– Overuse or repetitive stress: Activities that involve repetitive movements, such as running or cycling, can lead to inflammation.
– Injury: A fall or direct blow to the hip can cause trochanteritis.
– Hip surgery: Procedures like hip replacements can sometimes lead to bursitis.

– Leg length discrepancy: Having one leg longer than the other can increase stress on the hip.
– Other conditions: Conditions like rheumatoid arthritis, gout, or spinal disorders may contribute to trochanteric bursitis.

Treatment

– Rest: Avoiding activities that exacerbate the pain can help reduce inflammation.
– Ice application: Applying ice to the affected area can reduce swelling and pain.
– Nonsteroidal anti-inflammatory drugs (NSAIDs): Medications like ibuprofen or naproxen can help reduce pain and inflammation.

– Physical therapy: Strengthening and stretching exercises can help improve flexibility and reduce strain on the hip.
– Corticosteroid injections: In some cases, a doctor may inject a corticosteroid directly into the bursa to reduce inflammation.
– Surgery: Rarely, if conservative treatments fail, surgery may be considered to remove the inflamed bursa.

Most cases of trochanteritis respond well to conservative treatment, but if the pain persists, it’s important to consult with a healthcare professional for a more detailed evaluation and management plan.

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