September 3, 2019
Trochanteric Bursitis (TB)
Have you recently experienced lateral (side) hip pain and been diagnosed with Bursitis?
Lateral hip pain or Trochanteric Bursitis can be caused from acute trauma or more commonly long standing biomechanical weaknesses.
We commonly see people improve quickly with simple changes such as not crossing their legs, this places stress on the outside of the hip and can aggravate your symptoms.
The highest incidence of injury is in middle aged to elderly adults (most commonly females).
Treatment can include:
Activity modification
Physio, including strength work
Weight loss
Corticosteroid injection
NSAIDS (anti-inflammatory medications)
There is a reported 90% cure rate, however some patients may undergo multiple courses of the above treatment options, prior to full recovery.
The Conservative Approach:
Physiotherapy that includes strength exercises, steroid Injections (rarely), Ice and/or Heat
Patients are able to return to sport and labour intensive work within approx. 2-3 months
Along with Physiotherapy, you should partake in a 6 week home exercise program incorporating:
Gluteal strengthening
Straight Leg Raise Exercises
Assisted Squat Exercises
The information below has been developed to guide you of the rehabilitation process:
Stage 1
1. Decrease Pain
2. Activity Modification
3. Ice
4. NSAIDS
Stage 2:
1. Strengthen Glute Medius muscle
2. Core Strengthening
3. Stretching Piriformis and ITB
4. Assisted Squats – 1/4 Squat against the Wall
5. Ice as needed
Stage 3:
1. Continue Core and Stabilising Exercises (Using Swiss Ball)
2. Strengthening – Gluts / Hamstrings
3. Straight Leg Raise Exercises (SLR)
4. Assisted Squats – Against Wall (1/2 > 3/4)
5. Progressively increase activity
Your Physiotherapist will work with you throughout each stage to tailor your recovery and progress your exercises as appropriate.
Any questions?
Should you have any questions please feel free to call us on 9544-0477 or email us at beachsidephysio@gmail.com or simply drop in to our Cronulla clinic in person, look forward to hearing from you.
