A bursa is a fluid filled sac that allows smooth motion between bones and tendons and it can become inflamed and painfull.
The trochanteric bursa Is located over the greater trochanter (the prominence at the upper, outer end of the thigh-bone). Bursitis most commonly occurs due to repetitive or prolonged activities-typically repetitive running or walking etc (especially up hills or on uneven surfaces), or due to prolonged pressure on the bursa (such as excessive side-lying). Occasionally, the condition may occur suddenly due a direct blow to the bursa.
Treatment from a trained physiotherapist will usually be very effective but some patients require injections of local anaesthetic and cortisone.
Treatment for Trochanteric Bursitis
Physiotherapy treatment for patients with this condition is vital to hasten the healing process, ensure an optimal outcome and decrease the likelihood of injury recurrence. Treatment may comprise:
- Deep tissue massage/myofascial release
- Exercise programs to stretch, self treat and improve proprioception, balance and strength
- Biomechanical Assessment
- Education / training advise/ phased return to exercise
- Activity modification advice
- Joint mobilisation
- Spinal and pelvic realignment
- Dry needling /acupuncture
- Orthotic/Insole advice
- Ice or heat treatment
- Clinical Pilates
- Injection advice