What is Trochanteric Bursitis (Hip Bursitis)?
Trochanteric bursitis is a common cause of lateral hip pain, affecting the bursa—a fluid-filled sac that cushions the greater trochanter (the bony prominence on the outer hip). Inflammation of this bursa leads to discomfort and restricted movement, often contributing to Greater Trochanteric Pain Syndrome (GTPS). While the superficial trochanteric bursa is most commonly affected, deeper bursae can also become inflamed in more severe cases.
Several factors can lead to the development of trochanteric bursitis, including:
Repetitive stress or overuse – Activities such as running, hiking, or cycling can place excessive strain on the bursa.
Hip muscle weakness – Particularly in the gluteus medius and minimus, leading to altered movement patterns and increased stress on the hip structures.
Poor biomechanics – Issues such as leg length discrepancies, improper footwear, or abnormal gait mechanics contribute to irritation.
Direct trauma – Falls or impacts to the hip can trigger inflammation.
Prolonged pressure – Lying on one side for extended periods can compress the bursa.
Aging and hormonal factors – Individuals between the ages of 40 and 60, particularly postmenopausal women, are more prone due to changes in muscle function and tendon elasticity.
What Causes Trochanteric Bursitis?
Symptoms of trochanteric bursitis can range from mild discomfort to debilitating pain, including:
Pain over the outer hip that may radiate down the thigh.
Increased pain when lying on the affected side.
Stiffness and tenderness around the hip joint.
Discomfort when climbing stairs, running, or prolonged standing.
Worsening pain with activity or after periods of inactivity.
Symptoms of Trochanteric Bursitis
How is Trochanteric Bursitis Diagnosed?
A physiotherapist will assess your symptoms, medical history, and perform a physical examination to confirm the diagnosis. Key diagnostic indicators include:
Palpation tenderness – Pressing on the greater trochanter elicits pain.
Movement assessments – Evaluating gait, balance, and hip strength and range of motion.
Imaging (if required) – Ultrasound or MRI can be used to rule out other conditions like tendon tears or hip arthritis.
Effective management of trochanteric bursitis focuses on pain relief, restoring function, and preventing recurrence.
Phase 1: Reducing Pain and Inflammation
Activity modification – Avoid prolonged sitting, lying down on the affected side, crossing legs, or excessive hip loading.
Cold therapy – Applying ice packs for 15–20 minutes can help reduce swelling and manage the pain.
Taping techniques – Kinesiology taping to relieve pressure on the bursa.
Medication – Anti-inflammatory drugs (NSAIDs) may be recommended under medical guidance.
Corticosteroid injections – In severe cases, ultrasound-guided injections can provide relief but should be used cautiously.
Manual therapy – soft tissue techniques can help alleviate pain and muscle tension.
Phase 2: Restoring Hip Strength and Mobility
Targeted strengthening – Focus on gluteal and hip stabiliser muscles.
Stretching exercises – Improve flexibility and reduce muscle tightness.
Gait retraining – Addressing improper movement patterns to prevent further irritation.
Phase 3: Returning to Activity and Preventing Recurrence
Gradual progression – Slowly reintroducing activities like running or cycling.
Ongoing strength training – Maintaining hip and core stability is key.
Ergonomic adjustments – Proper footwear and posture modifications can help prevent flare-ups.
Prevention Strategies
To minimise the risk of developing trochanteric bursitis or experiencing recurrence, consider these tips:
Maintain strong gluteal and hip stabiliser muscles.
Incorporate proper warm-ups and cool-downs before and after exercise.
Use supportive footwear to optimise biomechanics.
Avoid prolonged side-lying positions on hard surfaces.
Gradually increase activity levels to prevent overuse injuries.
Treatment Options
If hip pain persists despite rest and conservative management, seeking help from a physiotherapist is essential. Early intervention can prevent chronic pain and long-term mobility issues.
At Melbourne Physio Clinic, our experienced team provides expert assessment and tailored rehabilitation programs to help you recover quickly and effectively. Book an appointment today to start your journey to pain-free movement.