By Jessica Chi, OTA/PTA Student, Mohawk College
Photography (c) Steve Horvath for ISM Rehab
What is Trochanteric Bursitis? (1,3)
Inflammation to the bursa (fluid sac near joint). The bursa is filled with a thick fluid and is meant to lubricate joints and protect body parts from friction. In other words, acts like a cushion between bone and soft tissue such as muscles, tendon and skin. It occurs with muscle tear and trauma from a substantial fall, post operative hip surgery, poor posture, overuse and underuse of the hip, and also gout which is a type of arthritis.
Inflammation to the bursa (fluid sac near joint). The bursa is filled with a thick fluid and is meant to lubricate joints and protect body parts from friction. In other words, acts like a cushion between bone and soft tissue such as muscles, tendon and skin. It occurs with muscle tear and trauma from a substantial fall, post operative hip surgery, poor posture, overuse and underuse of the hip, and also gout which is a type of arthritis.
What are some symptoms of Trochanteric Bursitis? (2,3)
- Pain on the outside of the hip and thigh or in the buttock.
- Pain when lying on the affected side.
- Pain when you press in on the outside of the hip.
- Pain that gets worse during activities such as getting up from a deep chair or getting out of a car.
- Pain with walking up stairs.
- Swelling.
- Increase pain at night or with inactivity such as prolonged sitting.
- Stiffness or restriction of hip range of motion.
What kinds of treatment are available for my Trochanteric Bursitis?
Ultrasound Soft Tissue Massage (4)
Acupuncture (4)
Cryotherapy, thermotherapy, electrotherapy (4)
Education on corticosteroid injections or anti-inflammatory medication (3)
Education on braces or splints (3)
Strengthening and range of motion exercises
Ultrasound Soft Tissue Massage (4)
Acupuncture (4)
Cryotherapy, thermotherapy, electrotherapy (4)
Education on corticosteroid injections or anti-inflammatory medication (3)
Education on braces or splints (3)
Strengthening and range of motion exercises
Phases of Treatment (4)
Phase 1:
Managing your inflammation and swelling with rest and ice therapy. May use cane or crutches to off-load the affected side.
Phase 2:
Restoring normal range of motion, muscle strength, endurance, proprioception, balance and gait (walking pattern). Along with prescription of the best exercises for your specific needs.
Phase 3:
Final stage of rehabilitation is fine tuning your hip stability and function. Physiotherapist will make sure you are comfortable with your home exercise program, along with education with pain and prevention strategy.
Phase 1:
Managing your inflammation and swelling with rest and ice therapy. May use cane or crutches to off-load the affected side.
Phase 2:
Restoring normal range of motion, muscle strength, endurance, proprioception, balance and gait (walking pattern). Along with prescription of the best exercises for your specific needs.
Phase 3:
Final stage of rehabilitation is fine tuning your hip stability and function. Physiotherapist will make sure you are comfortable with your home exercise program, along with education with pain and prevention strategy.
How Physiotherapy will benefit Trochanteric Bursitis?
Physiotherapy will promote range of motion of the hip, with strengthening and flexibility exercises that will reduce the friction and the pain of the hip. In addition will relieve the pain with the use of modalities such as thermotherapy, cryotherapy and also electrotherapy.
Physiotherapy will promote range of motion of the hip, with strengthening and flexibility exercises that will reduce the friction and the pain of the hip. In addition will relieve the pain with the use of modalities such as thermotherapy, cryotherapy and also electrotherapy.
References
(1) https://www.webmd.com/pain-management/trochanteric-bursitis#1
(2) https://my.clevelandclinic.org/health/diseases/4964-trochanteric-bursitis
(3) https://www.pivotalmotion.physio/body-parts/hip-pain-physiotherapy/hip-bursitis/
(4) https://physioworks.com.au/injuries-conditions-1/trochanteric-bursitis/
(1) https://www.webmd.com/pain-management/trochanteric-bursitis#1
(2) https://my.clevelandclinic.org/health/diseases/4964-trochanteric-bursitis
(3) https://www.pivotalmotion.physio/body-parts/hip-pain-physiotherapy/hip-bursitis/
(4) https://physioworks.com.au/injuries-conditions-1/trochanteric-bursitis/