An Overview on Trochanteric Bursitis
The greater trochanter is part of the thigh bone (femur) and is located on the outside of the hip near the pant pocket. This part of the femur is large and can typically be palpated on the outside of a person’s hip. With movement of the hip, the greater trochanter slides past the IT band and this friction is alleviated by the trochanteric bursa (a thin sac of fluid-filled tissue that lubricates the area). This bursa can become inflamed and pathologic and can result in pain with hip motion – a syndrome referred to as trochanteric bursitis. This problem is more common in older individuals but may also be seen in younger patients who are active in exercises such as walking, running or biking. Hip specialist, Dr. Jeff Padalecki is available to diagnose and treat this common hip condition in patients living in Greater Austin, Texas.
Trochanteric Bursitis Symptoms
Pain felt in the area of the hip right over the bump that forms the greater trochanter is the chief symptom associated with trochanteric bursitis. The pain can radiate down the hip to the outside of the thigh. Some patients may limp when walking and the pain can cause issues with sleeping.
Trochanteric Bursitis Diagnostic Testing
Dr. Padalecki will perform a thorough physical exam placing the patient in various positions to determine alignment, pain level, and flexibility. He will also order an x-ray to ensure there are no other abnormalities in the hip such as loose bodies or impingement. In some cases, an injection of a local anesthetic directly into the bursa will assist with the diagnosis and treatment of trochanteric bursitis.
Trochanteric Bursitis Treatment
Trochanteric bursitis typically does not require surgery. It’s suggested that younger, active patients reduce their activities and rest. A course of physical therapy involving stretching and strengthening movements may help alleviate pain and inflammation. In more severe cases, cortisone injections may temporarily control the pain and decrease the inflammation for a matter of months.
When the pain is simply debilitating and the conservative approach yields no results, there are surgical options to treat trochanteric bursitis. Dr. Padalecki utilizes an arthroscopic procedure to remove the thickened bursa. During this procedure, he also carefully evaluates the surrounding area for other associated problems such as tendon tears.
After surgery, Dr. Padalecki will prescribe a brief period of rest followed by a physical therapy program to help restore strength and motion. You can expect a time period of about four to six weeks before resuming normal activities.
For more information on trochanteric bursitis, or for additional resources on hip injuries, please contact the office of Dr. Jeff Padalecki, orthopedic hip specialist in Austin, Texas.