Lateral Hip Pain

Technical Name: Trochanteric Bursitis

AKA Name: Hip Bursitis

Short Summary:

Hip Bursitis (Trochanteric bursitis) is a common condition affecting the fluid filled sac (bursa) that lies over the greater trochanter which is the bony prominence at the top of the femur.  This area can become inflamed and painful when moving.

Inflammation around the hip bursa is a complaint affecting both males and females but is more common in middle-aged woman.  Although there are treatments available it is difficult to treat and completely eradicate.  

What are the symptoms?

Patients complain of pain down the outside (lateral) aspect of the hip joint and can radiate down the side of the leg.   The pain is commonly made worse when lying on that side especially at night.

It can be common following hip surgery such as after total hip replacement  

How is it diagnosed?

A diagnosis is made by a thorough history and examination with a clear discussion of the symptoms.  Imaging with x-rays is not always helpful but can assist a diagnosis on occasions but if imaging were to be suggested an MRI scan can identify areas of inflammation around the hip.

How is it treated?

Non-operative treatment – is the mainstay of treatment for this condition and centres around physiotherapy working on core stability (lower back and abdominal muscles) as well as general strengthening exercises for your hip.  In certain situations it can be helpful to have a local anaesthetic and steroid injection into and around the hip bursa to relief pain and discomfort either temporarily or permanently.

Operative treatment – is uncommon for treatment for hip bursitis but is possible in certain situations.  The procedure involves removal of the inflamed bursa but even with this surgery the symptoms can still persist.

Important: this information given above is only a guideline as is not complete.  For more information or to book an appointment please contact us.