Trochanteric Bursitis is a common hip complaint that involves inflammation of the Bursa (a small, cushioning sac located where tendons pass over areas of bone around the joints). The trochanteric bursa sits on the permanent part of the hip bone (femur) and has both a superficial and deep part.
The bursa may be inflamed by a group of muscles or tendons rubbing over the Bursa and causing friction against the thigh bone.
Bursitis may develop gradually or traumatically. When inflamed, pressure on the hip, such as sleeping on your side may be painful. Pain can also be present when getting out of a chair or climbing stairs. Trochanteric Bursitis is a common injury in runners and cyclists.
Diagnosis is made based on patient history and the presence of tenderness to pressure over the Bursa. Bursitis may be secondary to condition such as osteoarthritis and rheumatoid arthritis.
Treatment typically includes ice (up to three to four times per day), weight loss (if overweight), heel lifts (if legs are significantly uneven) and chiropractic care to restore biomechanical balance to pelvis and hips. Chiropractic care will usually involve a combination of specific spinal, hip and pelvic adjustments, along with an appropriate exercise programme.
In some cases non-steroidal anti-inflammatory drugs (NSAIDs) or cortisone injections may be required. For these cases your chiropractor will refer to another practitioner for care management.
