Lateral hip bursitis, also known as greater trochanteric pain syndrome (GTPS), is a condition that I have personally experienced and can be quite debilitating. It is characterized by pain and tenderness on the outer side of the hip and thigh. The pain can radiate down the side of the leg and make it difficult to perform daily activities such as walking or climbing stairs.
The greater trochanter is a bony prominence on the outer side of the hip bone, and it serves as an attachment site for various muscles and tendons. Surrounding the greater trochanter is a small fluid-filled sac called the trochanteric bursa, which acts as a cushion between the bone and the overlying soft tissues.
In cases of lateral hip bursitis, the trochanteric bursa becomes inflamed and irritated. This can be caused by a number of factors, including repetitive activities that put stress on the hip, such as running or cycling. It can also be a result of trauma or injury to the hip, such as a fall or direct blow to the area.
The most common symptom of lateral hip bursitis is pain on the outer side of the hip. The pain is often described as a sharp or burning sensation and can be aggravated by activities such as walking, running, or lying on the affected side. In some cases, the pain may radiate down the side of the leg, mimicking sciatica.
Other symptoms may include tenderness and swelling over the greater trochanter, as well as stiffness and limited range of motion in the hip joint. Some individuals may also experience a clicking or snapping sensation when moving the hip.
Diagnosis of lateral hip bursitis is typically made based on a combination of the patient’s symptoms, a physical examination, and imaging studies such as X-rays or MRI. The healthcare provider will also rule out other conditions that can cause similar symptoms, such as hip osteoarthritis or a hip labral tear.
Treatment for lateral hip bursitis usually involves a combination of conservative measures. Resting the affected hip and avoiding activities that exacerbate the pain is often recommended. Ice or heat therapy can help to reduce inflammation and provide temporary pain relief. Nonsteroidal anti-inflammatory drugs (NSAIDs) may also be prescribed to reduce pain and inflammation.
Physical therapy is an important component of treatment for lateral hip bursitis. A therapist can provide exercises to strengthen the muscles around the hip and improve flexibility. They may also use techniques such as manual therapy or ultrasound to help reduce pain and inflammation.
In some cases, if conservative measures fail to provide relief, corticosteroid injections may be recommended. These injections can help to reduce inflammation and provide temporary pain relief. However, they are usually not a long-term solution and should be used judiciously.
In rare cases, surgical intervention may be necessary for severe or chronic cases of lateral hip bursitis. Surgical options may include bursectomy, which involves removing the inflamed bursa, or tendon repair if there is associated tendon damage.
Lateral hip bursitis, or greater trochanteric pain syndrome, is a painful condition that affects the outer side of the hip and thigh. It is caused by inflammation and irritation of the trochanteric bursa. Treatment typically involves rest, physical therapy, and medication, with surgery being a last resort option. If you are experiencing symptoms of lateral hip bursitis, it is important to consult with a healthcare provider for an accurate diagnosis and appropriate treatment.