How long does physiotherapy take to work for trochanteric bursitis?

Treatment commonly addresses hip and trunk strength, pelvic control, walking mechanics and the loads placed on the outer hip. Progress may first appear as easier walking on level ground or less pain when turning in bed. Direct pressure from lying on the sore side, crossing the legs or climbing stairs may remain sensitive while the tissues regain tolerance.

Follow the exercise dose given by your physiotherapist and increase activity in small steps. Avoid repeatedly testing the painful side, and consider changing sleep position or using support between the knees if advised. Break up long walks, hills and stair sessions while symptoms are irritable, then rebuild them as your strength and next-day comfort improve.

Arrange medical review for severe pain after a fall, inability to bear weight, a hot or visibly swollen hip, fever, unexplained weight change, or pain that is constant at rest. Reassessment is also sensible when symptoms do not gradually settle, because pain at the outer hip can have causes other than an irritated bursa.

Ask which movements are currently overloading the hip, how to judge an acceptable exercise response, when walking or side sleeping can be increased, and what findings would prompt a different diagnosis or treatment.