Bursitis of the Hip

Trochanteric bursitis is a very common problem seen in the musculoskeletal universe. Most often, I see patients say that their hip hurts and they point over the lateral part of the hip. Bursitis means that there is inflammation of the fluid filled sac, or cushion, near a joint. This can be caused by numerous factors such as a fall on the hip. It is commonly the result of overuse from activities like prolonged standing, climbing stairs, or running. A leg length discrepancy can alter one’s gait and lead to irritation of the bursa. We also see bursitis secondary to lumbar spine issues. Surgery around the hip or hip replacements can also lead to bursitis.

Symptoms typically seen with trochanteric bursitis include pain on the outside of the hip that can refer along the outer aspect of the thigh. Many patients describe pain when lying on their side or when pushing over the outer hip. Pain may also be increased by climbing stairs and getting up from a seated position.

Treatments traditionally consist of conservative measures like ice and anti-inflammatories. Steroid injections can be performed under ultrasound guidance to further reduce inflammation. However, for many patients, steroids only give a few months of relief. Super concentrated platelets (SCP) can be injected under ultrasound guidance to aid in stimulating a healing response in the area with long term relief as a result. Studies have shown longer lasting benefits from platelet injections when compared head to head with steroids.

All the treatments above work best when also combined with physical therapy. Trochanteric bursitis does not occur in a vacuum. There are other contributing factors like hip or spine pathology that contribute. As I often tell patients, it’s like driving a car that is out of alignment. If you simply put on new tires, but don’t realign, the new tires will quickly wear out as well. The platelets will help heal and repair, and therapy will work to strengthen muscular imbalances. The goal is to stop the recurrent irritation of the bursa and improve functional capabilities. We here at Regenexx Pittsburgh are dedicated to a natural and comprehensive approach to helping you heal!

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tnardozza

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Knee

Regenexx® Procedures are non-surgical injection treatments that are intended to help reduce pain and improve function for those who are suffering from pain due to common injuries, arthritis, and overuse conditions. View Details About Knee Treatments >

Commonly Treated Conditions:

  • Arthritis
  • Meniscus Tears
  • Patellofemoral
  • Syndrome/Chondomalacia
  • ACL Tears + PCL, LCL & MCL Tears & Sprains
  • Patellar Tendonitis
  • Pes anersine bursitis
  • Baker’s cyst
  • Instability
  • Hamstrings Tendinopathy & Biceps Femoris Insertional Tendinopathy

Lower Spine

Regenexx® Procedures are non-surgical injection treatments that are intended to help reduce pain and improve function for those who are suffering from pain due to common injuries, arthritis, and overuse conditions. View Details About Spine Treatments >

Commonly Treated Conditions:

  • Lumbar Facet Injury
  • Degenerative Disc Disease
  • Herniated or Bulging Disc
  • Radiculopathy (pinched nerve)
  • SI Joint Syndrome
  • Many More Disc and Low Back Issues

Foot & Ankle

Regenexx® Procedures are non-surgical injection treatments that are intended to help reduce pain and improve function for those who are suffering from pain due to common injuries, arthritis, and overuse conditions. View Details About Foot & Ankle Treatments >

Commonly Treated Conditions:

  • Arthritis
  • Ankle Instability
  • Plantar fasciitis
  • Peroneal tendon tear or split
  • Ligament sprain or tear
  • Sub-talar arthritis or instability
  • Tarsal tunnel syndrome
  • Bunions

Cervical Spine

Regenexx® Procedures are non-surgical injection treatments that are intended to help reduce pain and improve function for those who are suffering from pain due to common injuries, arthritis, and overuse conditions. View Details About Spine Treatments >

Commonly Treated Conditions:

  • Cervical Instability
  • Cervical Facet Injury
  • Neck, Back or Rib Instability
  • Many More Disc and Cervical Issues Causing Pain

Hip

Regenexx® Procedures are non-surgical injection treatments that are intended to help reduce pain and improve function for those who are suffering from pain due to common injuries, arthritis, and overuse conditions. View Details About Hip Treatments >

Commonly Treated Conditions:

  • Arthritis
  • Osteonecrosis
  • Bursitis
  • Tendinopathy
  • Labral / Labrum Tear

Shoulder

Regenexx® Procedures are non-surgical injection treatments that are intended to help reduce pain and improve function for those who are suffering from pain due to common injuries, arthritis, and overuse conditions. View Details About Shoulder Treatments >

Commonly Treated Conditions:

  • Rotator cuff tears
  • Arthritis of the shoulder joint
  • Thoracic outlet syndrome
  • Labral tears or degeneration
  • Rotator cuff tendonitis & tendonosis
  • AC Joint Separation
  • Recurrent shoulder dislocations

Elbow

Regenexx® Procedures are non-surgical injection treatments that are intended to help reduce pain and improve function for those who are suffering from pain due to common injuries, arthritis, and overuse conditions. View Details About Elbow Treatments >

Commonly Treated Conditions:

  • Arthritis
  • Instability
  • Tennis Elbow or Golfer’s Elbow
  • Nerve entrapment (ulnar nerve)

Hand & Wrist

Regenexx® Procedures are non-surgical injection treatments that are intended to help reduce pain and improve function for those who are suffering from pain due to common injuries, arthritis, and overuse conditions. View Details About Hand & Wrist Treatments >

Commonly Treated Conditions:

  • Hand Arthritis
  • Basal Joint Arthritis or CMC / Carpometacarpal
  • Arthritis
  • Instability
  • TFCC Tear
  • Carpal Tunnel SyndromeTrigger Finger