What is Trochanteric Bursitis and how can it be Treated?
Trochanteric bursitis, when it happens, is usually an injury associated with repetitive movements like jogging. The common complaint is a hip pain on the outside of the leg, though the hip joint itself may not be involved. Pain might go up to the lower back (causing low back pain) or down to the thigh resulting in sciatica-like pain. The most common way to detect trochanteric bursitis is tenderness over the trochanter (bony bump on the outside of the hip), which reproduces the presenting symptoms.
To understand trochanteric bursitis, we must first understand what a bursa is. A bursa is a small sac that usually contains a small amount of fluid. This fluid acts as a cushion between bones and the soft tissue (muscles, tendons & ligaments) of the hip joint. But, primarily, the hip bursa helps to reduce friction between bones and the tendons of muscles.
The trochanteric bursa is the bursa located in the outer part of the hip, often referred to as the “point” (bump) of the hip. The area of the thigh bone (femur) that forms this bump called the greater trochanter. The trochanteric bursa acts as a flexible spacer between the greater trochanter and the overlying muscles and tissues. This bursa acts as padding and reduces the stress and friction on the soft tissue of the hip.
Inflamed Bursa at the Greater Trochanter of the Hip
The term Trochanteric bursitis is used to describe irritation (inflammation) of the trochanteric bursa. When the bursa is irritated, it can become larger and fill with more fluid. Since fluids are not compressible, accumulation of fluids in a confined environment of a bursa leads to enlargement of the bursa (bursitis) that compresses the nearby tissue, leading to hip pain. Bursitis is not to be confused with tendonitis. Tendonitis is an inflammatory process present within a tendon. Tendonitis and bursitis are often the results of an injury.
When treating our patients, safety is the number one priority. A proper diagnosis is essential to a successful outcome. During your examination, our Doctors of Chiropractic may deem it necessary to do imaging or lab tests to more accurately diagnose your condition. Also, plain radiographs (aka X-rays) of the hip and femur, the upper leg bone, might be used to determine if there is a possible fracture.
What causes bursitis at the trochanteric Bursa?
Anyone can develop hip bursitis. However, it is more common among females, middle-aged and the elderly. Hip bursitis not as common in younger adults. However, an individual who regularly walk, run, or cycle might be defenceless to trochanteric bursitis.
The most common cause of bursitis in athletic or active people is the result of a tightened tissue called the iliotibial band (ITB). The iliotibial band is the tissue that arises from the TFL (tensor Fasciae Latae) at the top of the hip joint and attaches to the tibia (leg bone), just below the knee. Shortening, spams, tightness along the Tensor Fascia Latae or the ITB or iliotibial band can irritate trochanteric bursa, causing bursitis. Shortened or tightness in the TFL or ITB bands are common in those who walk or run for exercise regularly.
What are the risk factors in developing hip bursitis?
The development of trochanteric bursitis is typical with the following risk factors:
- A disorder that involves the spine: Conditions such as a slipped disc, scoliosis, previous spine surgeries, pinched nerves, and arthritis are common risk factors. We have covered spinal disc issues as a cause of bursitis in the next section.
- Hip surgery: Prosthetic hip implants or other forms of hip surgery can cause damage to the bursae of the hip.
- Rheumatoid arthritis: Rheumatoid arthritis or RA is an autoimmune disease that causes inflammatory processes around joints and soft tissues.
- Overuse injuries or repetitive activities: Activates that require repetitive movements such as walking, running, bicycling, climbing or standing for extended periods.
- Injury involving the hip joint: Falling on hips, sleeping on side, sports injuries or motor vehicular accidents that traumatize the hip joint or the hip soft tissues can cause hip bursitis such as trochanteric bursitis.
- A shortened leg length: Inequality in the length of your leg bone can predispose you to an inflamed bursa due to irritation or calcium deposits.
Patients that suffer from Hip Bursitis may also have Degenerations, Arthritis and Slipped Disc (Slip-Disc)
Trochanteric bursitis, osteoarthritis, degeneration, and even low back pain often occur together. Bursitis often presents with co-conditions such as arthritis or back pain. Therefore, if you have hip bursitis, ask your doctor to assess for osteoarthritis, hip degeneration, and spine conditions. Slip-disc or slipped disc is a common co-condition seen in inpatients with trochanteric bursitis of the hips. Furthermore, patients with slip-discs in the lower lumbar spine may develop hip pain and hip weaknesses, leading to bursitis. Therefore, anytime you have a slipped disc or slip disc you doctor should assess your hip and the opposite is true when you have hip pain.
Unfortunately, most centers in Malaysia have poorly skilled doctors and physiotherapists. As such, the vast majority of patients with co-conditions get the wrong treatments because of a poor diagnosis. If you are a back pain sufferer with discomfort or a hip pain suffer from back issues, call us. Our clinical teams are the experts you need for accurate diagnosis and targeted treatments of hip pain and slipped disc.
Osteoarthritis of the Hip, Bone Spurs, Bursitis and Hip Pain
Osteoarthritis or arthritis are the results of excessive calcium deposits in the soft tissues around the area of the greater trochanteric bursa. Bone spurs or other bony lesions may also be present. Bone scans or computed tomography (CT) scans might also be used to determine if there are any underlying diseases such as infection or cancer.
Both ultrasound and magnetic resonance imaging (MRI) may be used to see the trochanteric bursa because these imaging modalities allow actual visualization of the affected structures in a manner not possible through other means. It may seem like an extra bother, but a proper diagnosis is the critical first step for an effective treatment program. That is why we take the time needed to assert the cause of a condition. And as such, today we have a much higher success rate in the treatment of even severe hip pain and trochanteric bursitis.
Opt for Bursitis Treatment From Malaysia’s Premier Spine, Joint, Slipped Disc and sports injuries Center
Simply put, call us if you want the best non-surgical treatment for the spine and joint in Malaysia. Our methods and technology are light-years ahead of the rest. In short, we get results while they fail. Opt for the best and call us today. Our chiropractors and clinical physiotherapists are amongst the best Malaysia have to offer. They have more than a decade of experience treating patients with musculoskeletal conditions including trochanteric bursitis. Our approach is a non-invasive one, based on the cause and severity of your pain. Often, our chiropractors would recommend a combination of chiropractic supplemented with physiotherapy such as:
- Therapeutic Ultrasound
- Interferential Current Therapy
- Stretching exercise
- Strengthening exercises
- Custom made Orthotics
Our Trochanteric Bursitis treatment is through the collective efforts of the best clinical teams of chiropractors and physiotherapists in Malaysia. Trochanteric bursitis requires specialized care, call one of our centers today.