Trochanteric bursitis is the most common cause of hip pain. This condition results in the inflammation of a sac which is fluid filled called the bursa at the greater trochanter, which is a bone which lies above the femur bone. Muscles are attached to this greater trochanter.
When inflammation of the bursa takes place it results in pain and discomfort in the hip area. This condition causes intense pain the hip. The main function of the various bursae present at various places in the body is lubrication. They thereby reduce friction between the various joints.
Greater Trochanteric bursitis results in intense pain and stiffness around the affected area.
-in conditions where the hip joint is exerted or over used
-any kind of trauma or injury to the hip area
-in cases where the posture is incorrect
-it can occur in association with some other conditions like gout, psoriasis, arthritis etc.
-any kind of prosthesis in that particular area
Intense pain in the hip area is one of the main symptoms of Trochanteric bursitis. Pain can be felt in the following areas:
-pain in the lateral aspect of the hip and the thigh area which may also radiate towards the buttocks
-pain on resting on the side affected
-pain which intensifies while climbing the stairs
-pain which is aggrevates when the outside of the hip area is palpated
-pain which gets intense while standing up from a sitting position
The diagnosis of Trochanteric bursitis starts with simple clinical examination and the history of the onset of pain. The diagnosis should be confirmed by an ultrasound examination. The pain which is felt in Trochanteric bursitis is felt on the outside of the hip which makes the clinical diagnosis easy.
An ultrasound scan is the choice of investigation in Trochanteric bursitis.
Radiographic examination of the affected area should be done. Any kind of bone abnormalities can be easily detected.
MRI scans are done in some few selected cases
The treatment starts with making an effort to reduce the inflammation with anti-inflammatory medications. Symptoms can be relieved by physiotherapeutic exercises. If the condition does not seem to improve with these then invasive mode of treatment is carried out.
Cortisone is injected in the bursa in an attempt to reduce the inflammation. The inflammation in most cases is brought under control by cortisone as it is a very strong anti-inflammatory agent. Repeated injection is needed in very severe cases of Trochanteric bursitis.
Very rarely when the condition does not improve surgical mode of treatment is undertaken which includes removal of the bursa. This kind of treatment is not the first choice of treatment. This is done when all the other modes of treatment fail. This kind of surgery is performed under general anesthesia. The duration of the operation is about 30-45 minutes. Most patients feel intense discomfort after the surgery as dissection done to remove the bursa is deep. Complete bed rest is advised after the surgery at least for 2 days. For complete healing it takes about 6-8 weeks in total.
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