Trochanteric Bursitis Treatment Leicester

Trochanteric bursitis often develops when the tissues on the outer side of the hip are repeatedly stressed or compressed. People who walk, run or cycle a lot can be prone to irritation of the iliotibial band (ITB), a band of tissue running from the hip to the knee, where it passes over the trochanteric bursa. This can rub on the bursa and cause inflammation or gluteal tendinopathy (wear and tear in the gluteal tendons).

Other factors that can contribute include:

• Muscle rips result in hip injuries
• Muscle weakness or tightness around the hips and pelvis
• Sudden increase in exercise intensity or physical workload
• Hip surgery, including total hip replacement
• A fall or direct blow to the outer hip
• Post-total hip replacement
• Inflammatory conditions such as gout or certain types of arthritis
• Poor posture or an altered walking pattern

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The most typical symptom is pain over the outside of the hip, usually around the bony prominence you can feel at trouser-pocket level. At first, this may feel sharp, particularly with certain movements, and then it often becomes a deep, aching pain.

Common aggravating factors include:

• Walking or standing for longer periods
• Sitting for a long time and then standing up
• Climbing stairs or hills
• Lying on the affected side in bed

If the condition is not treated, the pain can spread further down the outside of the thigh towards the knee, and the area can become very tender to touch.

Consult a clinician if these symptoms persist for more than two weeks without improvement.

When you attend Joint Care Clinics, we begin with a detailed history and physical examination to understand your symptoms, lifestyle and goals. We then use a trochanteric bursitis ultrasound scan to look directly at the bursa and surrounding tendons, helping us confirm the source of your pain and rule out other conditions.

Based on these findings, we will talk you through suitable treatment options, which may include activity modification, hot or cold therapy, pain-relieving medication, guided exercises and, where appropriate, an ultrasound-guided cortisone injection or HA injection. In a large number of cases, consultation, scan and treatment can be carried out in the same visit.

Occasionally, additional investigations such as X-ray or MRI may be advised if we suspect other underlying problems in the hip or lower back.

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Yes. For many people, simple self-management steps can significantly calm symptoms before any injection is considered. Treatments are often non-invasive and simple to administer at home. Therapy should be considered as the first line of treatment.

We recommend:

• Ice or cold packs – applied to the outside of the hip for 15–20 minutes at a time, several times a day, using a towel to protect the skin
• Pain relief and anti-inflammatory medication – such as paracetamol or ibuprofen, if suitable for you; always check with a clinician or pharmacist first
• Relative rest – temporarily reducing or avoiding activities that aggravate your pain (such as long walks, hills or running)
• Supportive devices – occasionally using a stick, crutch or handrail to reduce load through the painful side
• Targeted exercises – a physiotherapist or rehabilitation specialist can guide you through exercises to improve hip strength and flexibility
• Surgery – even though surgery is rarely required, the bursa can be removed if it is irreparable. Typically, it is an outpatient surgery, requiring no overnight hospitalisation. As with conventional knee and elbow operations, the surgeon will utilise an arthroscope – a type of camera – and small equipment.

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Pain on the outer side of the hip is not always caused by trochanteric bursitis. Other conditions that can give similar symptoms include:

• Gluteal tendon tears or tendinopathy
• Irritation of nerves from the lower back (radiculopathy or “trapped nerve”)
• Hip joint arthritis or labral tears
• Iliotibial band syndrome
• Bony stress reactions or fractures
• Piriformis or iliopsoas muscle problems

A thorough clinical assessment and ultrasound scan help us distinguish between these and ensure you receive the right diagnosis and treatment plan.

Because many cases are linked to overuse or overload, prevention focuses on reducing unnecessary strain on the outer hip:

• Gradually build up any new exercise or training programme
• Warm up properly and include regular stretching for the hips and thighs
• Maintain good posture and hip/pelvic strength
• Address leg-length differences with appropriate footwear or insoles if needed
• Avoid prolonged periods of standing on one leg or crossing your legs

If you are prone to flare-ups, a tailored exercise plan and advice from a clinician can help you stay active while protecting the hip.

Recovery time varies from person to person. Some people improve within a few weeks once the aggravating activities are modified and appropriate treatment is started. For others, particularly if the problem has been present for many months or there are underlying tendon changes, symptoms can take several months to settle fully.

It is also common for the condition to have occasional flare-ups. The aim of treatment at Joint Care Clinics is not only to calm the current episode, but also to give you a clear plan to manage any future symptoms quickly and confidently.

Staying active is important, but it needs to be done in a way that does not constantly irritate the bursa. Start slowly and progressively increase your activity level. Use moderate force and few repetitions, and stop if an unusual pain develops.

• Avoid exercises that place repetitive stress on the hips.
• Start gently and increase activity levels gradually.
• Use shorter, more frequent sessions rather than long, demanding ones
• Avoid sudden bursts of high-impact exercise if they trigger your pain
• Strengthening of gluteal tendons.
• Lose weight if necessary.
• For leg length discrepancies, consider a shoe insert.
• Maintain flexibility and strength in the hip muscles.
• When necessary, use a walking cane or crutches for at least one week.

At Joint Care Clinics, we offer clinical consultation and ultrasound diagnostic scans to confirm the diagnosis. We offer ultrasound-guided cortisone injections and hyaluronic acid injections for Trochanteric bursitis.

If you require any further information on Trochanteric bursitis diagnosis or treatment in Leicester, contact us.

The cost of steroid injections to treat Trochanteric Bursitis may vary depending on the area and how many are required. More than one injection in the same appointment attracts an additional discount.

Please see our prices page for a full breakdown of costs. 

We cover many areas throughout Leicestershire, for Trochanteric Bursitis Pain Treatment, including:

Our clinic is local to Leicestershire clinic covering Ashby-de-la-Zouch, Coalville, Hinckley, Leicester, Loughborough, Melton Mowbray, Market Harborough, Nottingham (Nottinghamshire), Oadby, and Wigston.

Please check our contact page for the clinic that is nearest to you.