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Trochanteric Bursitis

Stuart Fossella - Saturday, November 24, 2012 | Comments (0)
Posted 6 years ago
hip anatomy displaying trochanteric bursitis

Trochanteric Bursitis

A Trochanteric bursa is a fluid filled sac that lies on the bony part of the upper, outside edge of the thigh bone (the greater Trochanter). This Bursa or sac acts to reduce friction from overlying muscles.

The following link provides a 3D image of the outside of the thigh bone where the sac sits Healthline

If this structure or structures around this area become irritated and inflamed it can cause pain locally at the site of the Bursa.

Pain came become apparent because of dysfunction of the muscles that attach to closely to the site of the Bursa, because of altered movement patterns, because of hip Arthritis, repetitive trauma from cycling, running frequently on a camber, increasing training intensity rapidly or because of foot posture.

Clinical Signs

  • Localised pain at the upper outside part if the thigh or pain further down the thigh.
  • Pain in walking, running or stair climbing.
  • Sleep may be disturbed because side lying causes an increase in pain.

Treatment

  • It is important to establish the underlying cause of the ‘Bursitis’ that is limiting your function whilst addressing your acute pain.
  • To do this we will use techniques such as icing, soft tissue release, local hip stretching and strengthening.
  • Pelvis stability may need to be improved to prevent re-traumatising the Bursa.
  • Ultimately foot posture may need modifying or bike set up may need investigating.

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