Trochanteric/Hip Bursitis

Symptoms

Symptoms of trochanteric/hip bursitis may include:

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Pain

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Swelling

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Warmth

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Pain while movement

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Unable to lie down on affected side

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Lower back pain

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Ascending stairs is painful

Causes

The causes of hip bursitis may include:

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Gender- Women are commonly affected than men

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Obesity

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Trauma

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Overuse of the surrounding muscles of bursa

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Incorrect position may increase the pressure

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Hip osteoarthritis

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Lumbar spondylosis

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Poorly cushioned shoes

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Leg length discrepancy

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Iliotibial Band Syndrome

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Bacterial infection

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Hip prosthesis

Diagnosis

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MRI Scan- Can reveal inflamed bursae and soft tissues.
With detailed history, physical examination, assessment and special tests the therapist can diagnose the condition. Assessment includes range of motion, tenderness, special tests, muscle tests and gait analysis.

Treatments

Physical therapy can improve patient’s flexibility, range and muscle strength. The initial phase of treatment is to reduce the inflammation and pain and for that we can apply cryotherapy. IFT, US and TENS are the modalities for pain management.

Our Musculoskeletal Wellness Program incorporated the use of Shockwave Therapy (ESWT), which is an advanced modality for the treatment of musculoskeletal conditions and its very effective in trochanteric/hip bursitis. ESWT uses sound waves (high amplitude pulses of mechanical energy) to breakup infected tissues and stimulate the healing process. The energy triggers the regeneration and reparative processes of the bones, tendons and other soft tissues. ESWT is used to treat chronic, sub-acute and acute conditions. After the shockwave session, Cryotherapy is advised to avoid muscle soreness.

Pulsed Cell Repair Therapy (PCRT) is another advanced modality that can be used for the treatment of trochanteric/hip bursitis. PCRT directs a series of electromagnetic impulses through injured tissue. Each pulse induces a tiny electrical signal that stimulates cellular repair, and harnesses the body’s own ability to heal itself. This natural signal promotes the body to repair damaged or worn bone/tissues/cartilages and to maintain healthy and proper functioning of the joint.

Elements of Musculoskeletal Wellness Program

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Extracorporeal Shockwave

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Pulsed Cell Repair

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Electrotherapy & Pain management

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Exercises

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Nutrition & Diet Management

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Lifestyle Management

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Ergonomics Guidance

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Calicut
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Frequently Asked Questions

What are the symptoms of trochanteric (hip) bursitis? Symptoms include pain, swelling and warmth over the hip, pain with movement, inability to lie on the affected side, lower back pain, and pain climbing stairs.

What causes hip bursitis? Risk factors include being female, obesity, trauma, overuse of the surrounding muscles, hip osteoarthritis, lumbar spondylosis, poorly cushioned shoes, leg length discrepancy, iliotibial band syndrome, and hip prosthesis.

How is hip bursitis diagnosed? MRI can reveal inflamed bursae and soft tissue changes, alongside a physical exam assessing range of motion, tenderness, special tests and gait.

How is hip bursitis treated without surgery? Treatment starts with cryotherapy and IFT/ultrasound/TENS for pain and inflammation, followed by Shockwave Therapy (ESWT) to support tissue repair.