Trochanteric Bursitis (Hip Bursitis)

Hip bursitis occurs when the tissue overlying the hip bone becomes inflamed and irritated.  This may occur from overuse, from sports, activity, or it can simply occur without a clear cause. Sometimes it may be triggered by underlying gluteal tendonitis and tears.   Patients typically complain of the following symptoms:

    • Hip pain
    • Limping
    • Clicking
    • Catching
    • Pain with direct pressure over the hip – eg lying on your side at night time.

Many cases of trochanteric bursitis can be managed by your GP effectively, however, in severe cases or those not responding to treatment, specialist opinion may be valuable to evaluate you for other causes of bursitis. 

The surgeons at Victorian Bone & Joint Specialists bring the latest approaches to hip bursitis, using cutting edge surgical and non-surgical treatment options to help treat trochanteric bursitis.

Specialising in hip problems in the young, right through to advanced age, our team is dedicated to getting you recovered to be in the best health you can be.

Trochanteric bursa – image courtesy AAOS

Causes

In many cases there is no clear cause for hip bursitis, however, in many cases it can be due to underlying tendon damage, tendonitis, overuse, minor trauma or inflammatory causes.  

Investigations

Baseline X rays are required to rule out other common causes of hip pain which can co-exist – for example osteoarthritis.  Similarly, ultrasound and MRI is typically indicated to evaluate the bursa and the soft tissues for tendon inflammation, bursitis, and other evidence of chronic inflammation. 

Non-operative treatment

There are a variety of non-operative treatments which should be trialled prior to hip surgery.  These include:

    • physiotherapy  focussing upon myofascial releases, gluteal strengthening and hip stabilising activities
    • anti-inflammatory medications – such as neurofen, celebrex, meloxicam 
    • crutches and activity modifications
    • injections – steroids and PRP may be used

Hip Surgery

Hip bursitis occasionally requires surgery, if you have been treated non operatively without success, then you may be a candidate for surgery.  Typically surgery involves excision of the bursa via either a small excision or keyhole techniques, and in the same operation correcting any underlying tendon problems. 

All patients are different. At Victorian Bone & Joint Specialists , we will tailor a treatment plan for you based upon your symptoms, your underlying diagnosis, activity levels, age and many other factors. Please call us to arrange a consultation so that we can get you on the pathway to recovery, and back enjoying life!

Contact our team of orthopaedic specialists for hip bursitis treatment today

Our team of hip surgeons are internationally trained to handle a range of painful conditions and syndromes in the hips. Focusing on each individual to deliver the best possible outcome, we can help to streamline your experience and manage every step of your journey from start to finish.

Get in touch today. Use our contact form to submit an enquiry and one of our specialists will get back to you as soon as possible.

 

Hip Bursitis FAQs

What are the symptoms of hip bursitis?

The most common symptom is pain over the outside of the hip joint, which is worse with activity, and which prevents you from sleeping on your side at night.  You may also experience clicking, catching, and snapping over the outside of your hip. 

What is the difference between hip bursitis and gluteal tendonitis?

Bursitis is the inflammation of tissue lying above the tendons, whereas gluteal tendonitis is inflammation of the tendons which lie deep to the bursa.