Trochanteric bursitis has become a catch all term for any pain on the outside of the hip.
A bursae is a fluid filled balloon that works to reduce friction between a bone and the overlying soft tissue.</h4>
A trochanteric bursitis presents with pain on the outside of the hip at the bony prominence below the pelvic crest, the pain may also radiate down the outside of the thigh.
The trochanteric bursitis is a symptom.
The goal of manual physical therapy is to both decrease the pain and determine the underlying cause of the bursitis. Determining the factors that have contributed to the bursitis is critical for a good outcome. A manual physical therapist would like not only at the mechanics of the hip but the sacroiliac joint, lumbar spine and lower leg.
Some common causes of bursitis are:
- Differences in leg length
- Early osteoarthritis of the hip
- Low back or sacroiliac dysfunction (i.e. ‘stuck’ or stiff joints)
- Lumbar nerve irritation (especially the 5th lumbar nerve)
- Habitual posture (sleeping position, standing and sitting posture)
- Overuse i.e. starting or increasing running intensity or mileage
Treatment may include manual therapy (joint manipulation, joint mobilization, soft tissue mobilization), IMS dry needling, stretching, strengthening, posture correction, education on reducing stress on the hip, ultrasound and electrotherapy.
A home exercise program is taught which will include exercises for range of motion, stretching and strengthening.