Trochanteric bursitis is a common cause of hip pain that occurs when the bursa, a small fluid-filled sac located on the outside of the hip near the greater trochanter (the bony prominence on the side of the hip), becomes inflamed. The bursa's primary role is to reduce friction between the bones and surrounding tissues, such as tendons and muscles. When this bursa becomes irritated or inflamed, it can cause sharp or aching pain on the outer side of the hip, which may radiate down the thigh. Activities like walking, climbing stairs, or lying on the affected side can aggravate the condition.
The mechanics behind trochanteric bursitis are often linked to repetitive overuse, muscle tension and weakness of surrounding muscles. Common contributing factors include activities that put excessive strain on the hip, such as running, prolonged standing, or sudden increases in physical activity. Muscle weakness, especially in the hip abductors (gluteus medius and minimus), can also increase the stress placed on the bursa, leading to inflammation.
As a physiotherapist, my role is to help alleviate pain and restore function through targeted rehabilitation. Here’s how physiotherapy can help with trochanteric bursitis:
· Pain relief: Techniques such as soft tissue mobilisation, deep tissue massage, and modalities like ice or ultrasound therapy can reduce inflammation and manage pain.
· Strengthening exercises: Strengthening the hip abductors and surrounding muscles helps to stabilise the hip joint, reducing strain on the bursa and supporting proper movement patterns.
· Stretching and flexibility exercises: Stretching the hip flexors, hamstrings, and IT band can help reduce tightness, which can alleviate pressure on the bursa.
· Postural and movement correction: Physiotherapists assess your posture and movement patterns to identify imbalances or poor mechanics that may be contributing to the condition. Addressing these helps prevent further irritation.
· Activity modification: Advice on how to modify or avoid activities that exacerbate pain (like running or prolonged standing) helps promote healing and prevent flare-ups.
With the right physiotherapy approach, many people with trochanteric bursitis experience significant relief, improved mobility, and a return to pain-free activities.
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