What should you know about lesser trochanteric bursitis?

A bursa is a small fluid-filled cushion that reduces friction between moving tissues. Irritation in the trochanteric region can cause aching or tenderness at the outer hip, discomfort when lying on that side, and pain during stairs, walking, or getting up from a chair. Tendon or joint problems can feel similar, so the label should not be based on location alone.

Assessment includes the precise point of tenderness, hip strength, range of movement, back symptoms, and walking pattern. Imaging is considered when symptoms are unusual, persistent, or not responding as expected.

Temporarily reduce activities that repeatedly compress or load the painful side, while keeping gentle movement within comfort. Avoid lying directly on the sore hip and consider a pillow between the knees when side-lying. A physiotherapist can tailor strengthening for the hip and trunk, correct loading habits, and plan a gradual return to activity.

If symptoms continue, a clinician may discuss medicines, a cortisone injection, or shockwave therapy depending on the examination and diagnosis. Each option has considerations, so treatment should match the suspected pain generator rather than the scan or label alone.

Arrange an appointment when hip pain limits sleep, walking, work, or exercise, or when it keeps returning. Seek prompt care for fever, a hot or visibly swollen hip, inability to bear weight, sudden severe pain, or symptoms after a fall. Numbness, leg weakness, or loss of bladder or bowel control needs urgent assessment.

Ask which structure is most likely causing the pain, whether your back or hip joint needs assessment, and which movements to modify. Discuss a physiotherapy plan, expected review points, and when an injection or shockwave therapy should be considered.