What is Trochanteric Bursitis? What are the symptoms? How is it treated?
Trochanteric bursitis or hip bursitis; It is a delicate and painful inflammation of the bursa that is located between the femur (trochanter) and the outer tendons of the hip.
Bursa’; It is the name given to the protective sacs in the body around the joints or on the bone protrusions. Bursa sacs are found in many of large joints in the body including elbows, shoulders and knees. The inside of the bursa is covered with a membrane similar to the joint membrane. These small pouches, filled with a viscous fluid secreted from this membrane, provides lipidosis of the joints and prevents the friction of body parts.
A trochanteric bursa, like other bursas, becomes inflamed and painful if the hip is overused or traumatized. Trochanteric bursitis may occur unilaterally or simultaneously in both hips. This discomfort is one of the most common causes of hip pain. Trochanteric bursitis; Although it can be seen in all age groups, it is more common in middle age women.
What are the symptoms?
Patients usually come with complaints of pain at the bone protrusion on the side of the hip. In addition; pain may be felt when; lying on the affected side, by pressing the outside of the hip by the hand, getting up from a low place or climbing stairs. In advanced bursitis, the complaint of pain spreading behind the hip can often be confused with sciatic nerve disease.
How is it diagnosed?
Often a careful examination is sufficient for diagnosis. MRI may be ordered to distinguish sciatic pain from other hip pains or to see if there is muscle rupture.
How to it is treated?
Since most hip bursitis is caused by overuse, the best initial treatment is prevention. Avoiding or modifying problematic activities is crucial to the success of the treatment. In person; basic conditions such as leg length differences, posture disorder, poor technique during work or sports should be corrected.
At bursitis caused by excessive use or rubbing; anti-inflammatory drugs and rest treatment are given. The use of walkers, crutches and other tools can also help the process. In addition to all these; support from a specialist physiotherapist may be taken. In particular, bursitis hip exercises provide significant benefits to increase flexibility and strengthen muscles.
Even after all these precautions, it may be beneficial to inject cortisone into the pouch for bursitis that doesn’t heal.
In infected bursitis, the appropriate antibiotic treatment is given after the liquid is withdrawn with the syringe.
If all these treatments do not provide results; In the treatment of chronic bursitis, surgical removal and underlying bone rasp may be required. Surgery can be performed with open or closed / arthroscopic technique. In both cases, patients should not be forced to do heavy work for 2 months. The pain usually gets well within 2-4 months after surgery, but it may take from 6 months to one year to fully heal.