What should you know about aafp trochanteric bursitis?

Many clinicians use the broader term greater trochanteric pain syndrome because irritation can involve the gluteal tendons as well as nearby bursae. Pain is often worse when lying on that side, climbing stairs, walking uphill or standing with weight shifted onto one hip.

Bursae are small fluid-filled sacs that reduce friction where tissues pass over bone. Around the greater trochanter, repeated compression and tendon overload can sensitise the tissues. A sudden increase in walking or running, prolonged side-lying, altered gait or weak hip control may contribute.

Trochanteric bursitis commonly presents with local outer-hip tenderness and pain, rather than deep groin pain. Examination helps distinguish it from hip-joint problems, referred back pain, nerve irritation and injury. Imaging is not always required, but may be considered when the pattern is unclear or progress stalls.

Temporarily reduce activities that sharply increase pain, but keep moving within a tolerable range. Avoid hanging on one hip while standing, crossing the legs tightly, or sleeping directly on the sore side. A pillow between the knees can reduce compression when lying on the other side.

Physiotherapy may use gradual strengthening of the hip and trunk, gait advice and a paced return to activity. Pain relief or anti-inflammatory medicine must fit your health history. A cortisone injection may settle symptoms for some people, while shockwave therapy may be considered in selected persistent cases; rehabilitation still addresses load tolerance.

Get urgent care after a fall if you cannot bear weight, the leg appears shortened or rotated, or pain is severe. Fever with a hot, red, swollen hip area, rapidly worsening symptoms, or feeling acutely unwell can point to infection and should be assessed promptly.

Arrange a clinical review for persistent night pain unrelated to position, unexplained weight loss, a new lump, progressive weakness or numbness, or pain that continues despite sensible activity changes. New bladder or bowel trouble with leg symptoms requires emergency evaluation.

Ask which structures appear to be generating the pain, whether your back or hip joint also needs assessment, and how much discomfort is acceptable during exercise. Discuss a staged return to walking, work or sport, plus the benefits and drawbacks of injection or shockwave options in your situation.