What should you know about hip bursa pain?

Bursae are small fluid-filled cushions near places where tendons and muscles pass over bone. Irritation near the greater trochanter can cause tenderness on the outside of the hip, sometimes with aching down the outer thigh. Pain may be triggered by lying on that side, climbing steps, or repeatedly loading one leg. Similar symptoms can come from gluteal tendinopathy, hip osteoarthritis, sciatica, or other problems, so the location and movement pattern matter. A sudden fall with severe pain or inability to stand raises concern for a fracture rather than simple bursal irritation.

Reduce activities that repeatedly compress the sore side, but keep gentle movement within comfort so the hip does not become stiff. Avoid lying directly on the painful side; a pillow between the knees may reduce strain when lying on the other side. A clinician or physiotherapist can assess hip strength, pelvic control, and walking pattern, then prescribe progressive exercises. Treatment may include activity changes, pain relief, or an injection when appropriate. Explore [Hip Pain](/symptoms/hip-pain/) and [Gluteal Tendinopathy](/conditions/gluteal-tendinopathy/).

Arrange an assessment if pain persists, interferes with sleep, or limits normal walking despite reducing aggravating activity. Seek urgent care after a fall if you cannot bear weight, or if the hip is very swollen or deformed. Fever, spreading redness, warmth, or feeling unwell with hip pain needs prompt medical review because infection requires different treatment.

Ask whether the tenderness is coming from a bursa, tendon, joint, or nerve; which movements to modify; what exercises are suitable; and when imaging or an injection should be considered.