What is trochanteritis bursitis

Trochanteric bursitis - Definition

Behind the somewhat cryptic name "bursitis trochanterica" ​​hides a bursitis on the hip joint. Strictly speaking, it is an inflammation of the bursa on the outside of the hip. After the bursitis in the groin (bursitis iliopectinea), it is the most common form of bursitis of the hip. Bursitis, which affects women more often than men, manifests itself primarily in the form of stress pain, which increases in intensity with increasing stress.

Trochanteric bursitis - causes

The healthy bursa lies between a protruding bone of the thighbone (large roll mound) and a ligament (lat. Iliotibial band) running over it. The purpose of the bursa is to minimize the friction between these structures while you are moving. If this mechanism is disturbed, the bursa can become infected. Often trochanteric bursitis occurs in the context of the so-called "snap hip" (Coxa saltans). The aforementioned ligament (iliotibial tract) jumps over the protruding bone of the thigh bone. This incorrect load leads to inflammation of the bursa in almost everyone affected. You can find out more about hip snapping in our article on the subject. As a rule, however, other factors are the cause, such as mechanical stress caused by legs of different lengths and excessive strain caused by sports (especially long-distance endurance sports). In some cases, underlying diseases such as rheumatism are also the trigger for bursitis.

Trochanteric bursitis - symptoms

The swelling and inflammation of the bursa leads to increased friction of the ligament (iliotibial tract). This friction causes movement-dependent pain on the outside of the hips, which can radiate from the hips into the buttocks and over the thighs to the knee. Those affected describe the external rotation of the hip and the spreading of the leg as particularly painful. As a result of the swelling, which is not visible from the outside, painful tenderness develops. This makes it difficult or even impossible for many of those affected to lie on the hip side with the inflamed bursa for long periods of time.

Trochanteric bursitis - treatment

As with any other bursitis, the basic rule in the treatment of trichanteric bursitis is to protect the inflamed bursa. So you should limit the movement of the hips as much as possible for at least a few days so that the inflammation can subside. You can use pain relievers and anti-inflammatory drugs to help. The best-known so-called non-steroidal anti-inflammatory drugs (NSAIDs) include ibuprofen and diclofenac. Regular cooling of the hips for around 20-30 minutes with an ice pack also provides relief. In addition, many doctors prescribe shock wave therapy and physiotherapy to promote regeneration. After a few days there is usually a clear improvement. If the symptoms persist, a cortisone injection or draining fluid from the bursa (puncture) can provide relief. Then you should increase the load and especially the sporting load slowly again. If it is not an overstrain-related bursitis, the underlying underlying disease must be treated in addition to the symptoms of trochanteric bursitis. Surgery is often the most sustainable option, especially for snap hips, as otherwise bursitis will always occur. Surgery to remove the affected bursa may also be advisable in the case of bursitis that recurs (chronic bursitis).