Hip bursitis, otherwise known as Trochanteric bursitis is a common cause of hip pain, often resulting from overuse, injury, or postural issues. This condition, involving inflammation of the bursa at the outside point of the hip, can significantly impact your mobility and quality of life. Fortunately, physical therapy offers effective strategies to alleviate symptoms and address the underlying causes. In this blog, we explore the role of physical therapy in treating trochanteric bursitis.

Understanding Trochanteric Bursitis: Before diving into treatments, it's essential to understand what trochanteric bursitis is. The condition arises when the bursa – a small, fluid-filled sac that acts as a cushion between bones and soft tissues – becomes inflamed. Common symptoms include pain and tenderness at the outer hip, which may extend down the thigh.

Trochanteric Bursa and surrounding musculature

Key Physical Therapy Treatments:

Stretching Exercises: Physical therapists often recommend specific stretching exercises to relieve tightness in the hip and thigh muscles. These exercises aim to reduce strain on the bursa and surrounding tissues.

Strengthening Exercises: Strengthening the muscles around the hip, particularly the gluteal muscles, can help stabilize the hip joint and reduce the burden on the bursa.

Manual Therapy: Techniques like massage and mobilization can help reduce pain and improve range of motion in the hip.

Heat and Ice Therapy: Applying heat can loosen tight muscles, while ice can help reduce inflammation and pain.

What we often see in therapy is the patient has a history of lower back problems which has caused trigger points to develop in the hip musculature resulting in muscle imbalances and chronic strain and pressure around the hip bursa.  Addressing the trigger points with manual therapy techniques or trigger point dry needling can relieve the pressure on the bursa and allow recovery. 

Lifestyle and Postural Modifications: Your physical therapist may also recommend changes in daily activities or posture to prevent aggravation of the condition. For instance, avoiding prolonged standing or sitting in positions that strain the hip can be beneficial.

Long-Term Management and Prevention: Physical therapy for trochanteric bursitis isn't just about immediate pain relief; it's also about preventing future occurrences. Your therapist will guide you in maintaining proper hip strength and flexibility and advise on activities to avoid or modify.

Trochanteric bursitis can be a painful and frustrating condition, but with the right physical therapy approach, you can manage your symptoms and regain your mobility. Remember, each person's journey to recovery is unique, so it's important to work closely with your physical therapist to develop a treatment plan tailored to your specific needs.

If you're struggling with hip pain and suspect it might be trochanteric bursitis, don't wait for it to worsen. Contact us today and schedule your consult to start your journey toward pain-free movement.