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How to Manage Greater Trochanteric Bursitis

What is Greater Trochanteric Bursitis?

greater trochanteric bursitis

Greater Trochanteric Bursitis is painful inflammation in the trochanteric bursa between the femur and glute medius/iliotibial complex. The pain from trochanteric bursitis often radiates down the lateral part of the leg. Other symptoms include deep achy pain or burning pain in the hip joint, cramping in the hamstrings, gluteus medius and piriformis muscles.

An indicator of greater trochanteric bursitis is having pain upon palpation of the hip joint. If a client comes in and describes having pain in the hip and down the lateral part of their leg, I immediately press on the hip joint to see if the client feels pain. Although I can never diagnose, I can make my massage treatment based on their symptoms and what I believe could potentially be hip bursitis.

Tenderness in the IT Band and knee pain can also be indicators of trochanteric bursitis.

hip bursitis

Hip bursitis condition is more common for avid runners, dancers, cyclists, and cross country skiers. If you do not incorporate an effective resistance training and stretch and release program into your weekly schedule, the amount of force your joint absorbs when you run will increase. You must keep your muscles functional to prevent injuries at the joints.

If hip bursitis is not addressed, it can cause you to walk with a limp which would in turn cause you to develop a compensation pattern that will effect your knee and ankle joint.

Ways to Manage Greater Trochanteric Bursitis

As with all injuries, be sure to consult with your Doctor prior to beginning any exercise regimen. It’s important to know specifically what is wrong so you can prevent further injury. Also, discontinue any exercise if pain and discomfort increases in the hip or knee.

Release and Stretch

IT Band

Gluteus Medius

Piriformis

Strengthen

Adductors

Glutes

Abductors

Avoid/Decrease

High impact activities decrease

Daily and weekly running mileage


Exercises

Leg Press—no more than half your bodyweight. Controlled reps (no jerking or fast reps) 5 x 15 reps.

Wall squats with stability ball— squat to comfort level 4 x 15 reps

Multidirectional lunges– front, side and reverse lunges. 3 x 12 reps

Leg Extension— comfortable range of motion – 3 x 10 reps

Banded Glute and Hip— click the link. Use the banded exercises seen in the videos. 4 x 15 reps each.

Hip Bridges— Squeeze the glutes on the way up and pause for a 3-4 count. 3 x 20 reps

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