Commonly the superficial trochanteric bursa is the inflamed bursa. The superficial bursa is located over the greater trochanter of the femur. In severe cases there is a deeper bursa that can become inflamed.
What's a bursa?
A bursa is a small cushioning sac that is situated where tendons pass over the areas of bone around joints.
- pain and or swelling on the affected hip.
- referral pain that travels down the outside of the thigh down to the knee.
- pain sleeping on affected hip.
- pain getting up from a deep chair after prolonged sitting.
- pain climbing stairs.
- pain when sitting with legs crossed.
- increase pain while walking, cycling or standing for long periods of time.
Causes of Trochanteric Bursitis?
- muscles and tendons rubbing over bursa, causing friction against thigh bone.
- can occur due to trauma such as a fall or a sports related impact contusion.
- can be a gradual onset due to repetitive actions such as running, walking or cycling.
- also can be caused by repetitive contracture of the gluteus medius, itb or both during running or walking.
Trochanteric bursitis can be a secondary injury associated with chronic conditions such as:
- unequal leg length,
- weak hip muscles,
- calcium deposition in the gluteal tendons that run over the bursa,
- rheumatoid arthritis.
- medications such as anti inflamatories,
- corticosteroid injection,
- soft tissue therapy such as myotherapy.
How to prevent Trochanteric Bursitis?
- address any muscle weakness or fatigue.
- ensure that you strengthen the muscles to avoid reoccurance.