{"id":23922,"date":"2022-03-15T01:43:52","date_gmt":"2022-03-15T05:43:52","guid":{"rendered":"http:\/\/osteomag.ca\/trochanteric-bursitis\/"},"modified":"2026-09-27T23:47:20","modified_gmt":"2026-09-28T04:47:20","slug":"trochanteric-bursitis","status":"publish","type":"post","link":"https:\/\/osteomag.ca\/en\/trochanteric-bursitis\/","title":{"rendered":"Trochanteric bursitis"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #000000;color:#000000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #000000;color:#000000\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/osteomag.ca\/en\/trochanteric-bursitis\/#Introduction\" >Introduction<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/osteomag.ca\/en\/trochanteric-bursitis\/#Causes\" >Causes<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/osteomag.ca\/en\/trochanteric-bursitis\/#Symptoms\" >Symptoms<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/osteomag.ca\/en\/trochanteric-bursitis\/#Differential_diagnosis\" >Differential diagnosis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/osteomag.ca\/en\/trochanteric-bursitis\/#Diagnosis_and_treatment\" >Diagnosis and treatment<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/osteomag.ca\/en\/trochanteric-bursitis\/#Diagnosis_of_trochanteric_bursitis\" >Diagnosis of trochanteric bursitis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/osteomag.ca\/en\/trochanteric-bursitis\/#Treatment_of_trochanteric_bursitis\" >Treatment of trochanteric bursitis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/osteomag.ca\/en\/trochanteric-bursitis\/#Trendelenberg_test\" >Trendelenberg test<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/osteomag.ca\/en\/trochanteric-bursitis\/#Exercises_and_stretching\" >Exercises and stretching<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/osteomag.ca\/en\/trochanteric-bursitis\/#Muscle_strengthening_exercises\" >Muscle strengthening exercises<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/osteomag.ca\/en\/trochanteric-bursitis\/#Stretching\" >Stretching<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/osteomag.ca\/en\/trochanteric-bursitis\/#Piriform\" >Piriform<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/osteomag.ca\/en\/trochanteric-bursitis\/#Iliotibial_band\" >Iliotibial band<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/osteomag.ca\/en\/trochanteric-bursitis\/#abduction\" >abduction<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/osteomag.ca\/en\/trochanteric-bursitis\/#References\" >References<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px\"><em>Trochanteric bursitis is a common source <\/em>of <em>lateral hip pain that results from inflammation of the hip bursa.<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Introduction\"><\/span><strong>Introduction<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Trochanteric bursitis, a painful problem occurring in the hip region, is increasingly recognized as a major source of discomfort and functional limitations for many people.&nbsp;This inflammatory condition specifically targets the bursa, a small pocket of fluid designed to minimize friction between the tendons, muscles and bones surrounding the hip.&nbsp;When this bursa becomes inflamed, it causes persistent pain and reduced mobility, leading to a significant influence on the quality of life of affected individuals.&nbsp;This introduction provides a solid foundation for examining in detail the origins, symptoms, diagnoses, and treatment options related to trochanteric bursitis.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" width=\"321\" height=\"356\" src=\"https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/02\/trocha-burs.png\" alt=\"\" class=\"wp-image-33634\" srcset=\"https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/02\/trocha-burs.png 321w, https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/02\/trocha-burs-72x80.png 72w, https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/02\/trocha-burs-150x166.png 150w, https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/02\/trocha-burs-300x333.png 300w\" sizes=\"(max-width: 321px) 100vw, 321px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"cause\"><span class=\"ez-toc-section\" id=\"Causes\"><\/span><strong>Causes<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Trochanteric bursitis can have various origins, often linked to mechanical, traumatic or inflammatory factors.&nbsp;Common causes include excessive pressure on the bursa from strenuous physical activity, repetitive movements, or poor posture.&nbsp;Traumatic injuries, such as falls to the side of the hip, can also trigger inflammation of the bursa.&nbsp;Additionally, underlying medical conditions such as arthritis may contribute to this condition.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Repeated rubbing:<\/strong>\n<ul class=\"wp-block-list\">\n<li>One of the main causes is repeated friction between the bursa and the tendons or muscles that pass over the greater trochanter.&nbsp;This can result from repetitive movements, such as walking, running, or standing for long periods of time.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Overuse or strenuous activity:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Excessive activity or heavy use of the hip, such as frequent participation in sports such as running or hiking, can contribute to irritation of the bursa.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Unbalanced muscle tension:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Muscular imbalances, particularly those involving the hip and thigh muscles, can place uneven pressure on the bursa, contributing to its inflammation.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Anatomical abnormalities:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Certain anatomical abnormalities, such as differences in leg length or abnormal position of the hip bones, can increase the risk of trochanteric bursitis.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Direct trauma:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Direct trauma, such as a fall to the side of the hip, can also cause inflammation of the bursa.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Inflammatory diseases:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Inflammatory diseases such as rheumatoid arthritis can increase the risk of developing trochanteric bursitis.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Other hip conditions:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Conditions such as tendonitis of the hip muscles or conditions of the hip joint can contribute to irritation of the bursa.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">It is essential to note that several factors can interact to cause trochanteric bursitis, and often, there is not one single cause.&nbsp;People with intensive physical activities, muscular imbalances, or particular anatomical factors may be more predisposed to developing this condition.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"symptomes\"><span class=\"ez-toc-section\" id=\"Symptoms\"><\/span><strong>Symptoms<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Hip pain:<\/strong>\n<ul class=\"wp-block-list\">\n<li>The pain is often located on the side of the hip, above the greater trochanter.&nbsp;It can also radiate towards the thigh or buttock.&nbsp;The pain may be felt when walking, climbing stairs, or getting up after a period of rest.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Increased pain when sitting:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Symptoms may worsen when a person sits for long periods of time, especially on hard surfaces.&nbsp;This can make activities such as driving or sitting at a desk uncomfortable.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Sensitivity to palpation:<\/strong>\n<ul class=\"wp-block-list\">\n<li>By gently pressing on the affected area, the practitioner may note localized tenderness or pain in the greater trochanter.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Swelling or heat:<\/strong>\n<ul class=\"wp-block-list\">\n<li>There may be slight swelling or a feeling of warmth in the affected hip, indicating an inflammatory reaction.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Stiffness:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Some patients may experience hip stiffness, particularly after a period of inactivity.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Night pain:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Some individuals may experience increased pain during the night, especially when the hip is stressed during sleep.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Difficulty lying down on the affected side:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Some patients may have difficulty finding a comfortable position when trying to lie on the affected side.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Differential_diagnosis\"><\/span><strong>Differential diagnosis<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Osteoarthritis of the hip:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Osteoarthritis of the hip can cause pain similar to trochanteric bursitis.&nbsp;However, osteoarthritis is usually associated with wear and tear of the cartilage in the hip joint.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Hip muscle tendinopathy:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Tendinopathies of surrounding muscles, such as the gluteus medius tendon, can also cause pain in the trochanteric region.&nbsp;This condition can coexist with trochanteric bursitis.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Piriformis syndrome:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Piriformis syndrome can present with similar symptoms, including buttock and hip pain.&nbsp;It results from compression of the sciatic nerve by the piriformis muscle.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Lumbar pathologies:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Problems in the lumbar spine, such as herniated disc or spinal stenosis, can radiate pain to the hip area, possibly being confused with trochanteric bursitis.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Bone tumors:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Bone tumors in the hip area can cause similar pain.&nbsp;They require a thorough assessment to rule out this possibility.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Rotator cuff tendinopathy:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Although more commonly associated with the shoulder, rotator cuff tendinopathy can sometimes cause referred pain to the hip.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Joint infections:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Infections in the hip joint can cause similar pain.&nbsp;They require immediate attention due to their severity.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Diagnosis_and_treatment\"><\/span><strong>Diagnosis and treatment<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Diagnosis_of_trochanteric_bursitis\"><\/span><strong>Diagnosis of trochanteric bursitis<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>History and clinical examination:<\/strong>\n<ul class=\"wp-block-list\">\n<li>The healthcare professional will begin by taking a complete medical history, asking about symptoms, history of physical activities, and any traumatic events.&nbsp;A physical examination will also be performed to assess sensitivity to palpation and mobility of the hip.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Imaging tests:<\/strong>\n<ul class=\"wp-block-list\">\n<li>X-rays, ultrasounds, or an MRI may be recommended to rule out other possible causes of hip pain, such as fractures, joint abnormalities, or tendon injuries.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Specific tests:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Certain clinical tests, such as the hip abduction strength test, may be performed to assess the presence of trochanteric bursitis.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Treatment_of_trochanteric_bursitis\"><\/span><strong>Treatment of trochanteric bursitis<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Rest and modification of activities:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Reducing activities that exacerbate hip pain, such as prolonged walking or running, can help relieve pressure on the inflamed bursa.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Ice application:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Applying ice to the affected area can help reduce inflammation.&nbsp;It is recommended to apply ice for 15-20 minutes every 2-3 hours.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Non-steroidal anti-inflammatory drugs (NSAIDs):<\/strong>\n<ul class=\"wp-block-list\">\n<li>Nonsteroidal anti-inflammatory medications, such as ibuprofen, may be prescribed to reduce pain and inflammation.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Osteopathy:<\/strong>\n<ul class=\"wp-block-list\">\n<li>An osteopathy program may be recommended to strengthen surrounding muscles, improve flexibility and correct possible muscle imbalances.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Corticosteroid injections:<\/strong>\n<ul class=\"wp-block-list\">\n<li>In some cases, corticosteroid injections directly into the bursa may be considered to reduce inflammation.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Education and habit modification:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Education about positions and movements to avoid, as well as advice on changing daily habits, can be an integral part of treatment.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Changes in physical activities:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Adjusting physical activities, with the incorporation of appropriate exercises, can help prevent the recurrence of trochanteric bursitis.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Orthotics or walking aids:<\/strong>\n<ul class=\"wp-block-list\">\n<li>In some cases, the use of orthotics or walking aids can relieve pressure on the hip.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">If symptoms do not improve despite conservative measures, surgical intervention to drain or remove the bursa (bursectomy) may be considered in severe cases resistant to treatment.&nbsp;However, most cases of trochanteric bursitis respond well to nonsurgical approaches.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Trendelenberg_test\"><\/span><strong>Trendelenberg test<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The Trendelenburg test is often used to assess the strength of the hip muscles and to detect possible problems in this area, including trochanteric bursitis.&nbsp;Here is how the Trendelenburg test is generally performed:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Trendelenburg Test procedure for screening for trochanteric bursitis:<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Patient position:<\/strong>\n<ul class=\"wp-block-list\">\n<li>The patient is asked to stand with their feet together, facing the person performing the test.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Instructions to the patient:<\/strong>\n<ul class=\"wp-block-list\">\n<li>The patient is then instructed to raise one leg off the ground by bending the knee.&nbsp;This may be the affected leg (the side of the hip with symptoms) or the other leg.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Observation :<\/strong>\n<ul class=\"wp-block-list\">\n<li>The examiner observes the level of the patient&#8217;s hips during the leg raise phase.&nbsp;Normally, the hips remain level, but in cases of hip muscle weakness or a problem like trochanteric bursitis, the pelvis on the side of the raised leg may sag.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Side Rating:<\/strong>\n<ul class=\"wp-block-list\">\n<li>If the hips remain level, the test is considered normal.&nbsp;However, if the pelvis on the side opposite the raised leg sags, this indicates a positive Trendelenburg test.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Interpretation:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A positive Trendelenburg test may suggest weakness in the hip muscles, including the gluteus medius, which is often involved in problems such as trochanteric bursitis.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">It is important to note that although the Trendelenburg test can indicate muscle weakness, it does not provide a definitive diagnosis of trochanteric bursitis.&nbsp;Other clinical examinations, such as specific stress tests, a complete medical history, and imaging studies, are usually necessary to confirm the presence of trochanteric bursitis.&nbsp;If symptoms persist, it is recommended to consult a healthcare professional for a thorough evaluation and accurate diagnosis.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" width=\"352\" height=\"405\" src=\"http:\/\/www.osteomag.ca\/wp-content\/uploads\/2020\/11\/2020-11-30_10-52-58-352x405.png\" alt=\"\" class=\"wp-image-16877\" srcset=\"https:\/\/osteomag.ca\/wp-content\/uploads\/2020\/11\/2020-11-30_10-52-58-352x405.png 352w, https:\/\/osteomag.ca\/wp-content\/uploads\/2020\/11\/2020-11-30_10-52-58-70x80.png 70w, https:\/\/osteomag.ca\/wp-content\/uploads\/2020\/11\/2020-11-30_10-52-58.png 687w\" sizes=\"(max-width: 352px) 100vw, 352px\" \/><figcaption class=\"wp-element-caption\">Tredelenberg test<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Exercises_and_stretching\"><\/span><strong>Exercises and stretching<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Muscle_strengthening_exercises\"><\/span><strong>Muscle strengthening exercises<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Clamshells:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Lie on your side with your knees bent.<\/li>\n\n\n\n<li>Lift your top knee while keeping your feet together.<\/li>\n\n\n\n<li>Hold the position for a few seconds before lowering back down.<\/li>\n\n\n\n<li>Repeat on the other side.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Hip bridges:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Lie on your back with your knees bent and your feet flat on the floor.<\/li>\n\n\n\n<li>Lift your hips by contracting your gluteal muscles and hold the position.<\/li>\n\n\n\n<li>Slowly lower your hips back toward the floor.<\/li>\n\n\n\n<li>Repeat the movement.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Hip extensions:<\/strong>\n<ul class=\"wp-block-list\">\n<li>On all fours, lift one leg behind you while keeping your knee bent at 90 degrees.<\/li>\n\n\n\n<li>Hold the position by contracting your gluteal muscles.<\/li>\n\n\n\n<li>Slowly lower the leg and repeat the movement.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Stretching\"><\/span><strong>Stretching<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Gluteus medius stretch:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Sitting on the floor, cross the affected leg over the other knee.<\/li>\n\n\n\n<li>Place the opposite elbow on the outside of the bent knee and gently twist the trunk.<\/li>\n\n\n\n<li>Hold the position for 15-30 seconds.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Hip flexor stretch:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Kneeling on the floor, move the affected leg forward.<\/li>\n\n\n\n<li>Bend your knee slightly while keeping your back straight.<\/li>\n\n\n\n<li>You should feel a stretch in the front of your hip.<\/li>\n\n\n\n<li>Hold the position for 15-30 seconds.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Stretching the adductor muscles:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Sitting on the floor, extend your legs out to the sides as wide as possible.<\/li>\n\n\n\n<li>Gently lean forward toward one leg, keeping your back straight.<\/li>\n\n\n\n<li>Hold the position for 15-30 seconds and repeat on the other side.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">It is important to progress gradually with these exercises and stretches, always listening to the body.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-piriforme\"><span class=\"ez-toc-section\" id=\"Piriform\"><\/span>Piriform<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" width=\"401\" height=\"379\" src=\"https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/10\/2022-10-15_14-44-02.png\" alt=\"\" class=\"wp-image-33320\" srcset=\"https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/10\/2022-10-15_14-44-02.png 401w, https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/10\/2022-10-15_14-44-02-80x76.png 80w, https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/10\/2022-10-15_14-44-02-150x142.png 150w, https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/10\/2022-10-15_14-44-02-300x284.png 300w\" sizes=\"(max-width: 401px) 100vw, 401px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" width=\"899\" height=\"572\" src=\"https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/10\/better_piriformusstretch.gif\" alt=\"\" class=\"wp-image-33322\"\/><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lie on your side with the affected hip on top.&nbsp;Cradle your head in your arm and bend your lower leg for support.<\/li>\n\n\n\n<li>Slowly move the top leg up and back 45\u00b0, keeping the knee straight.&nbsp;Hold this position for 5 seconds<\/li>\n\n\n\n<li>Slowly lower the leg for a count of 5 and relax it for 2 seconds.<\/li>\n\n\n\n<li>Ankle weights should be used, starting with weights light enough to allow 2 sets of 8 repetitions and progressing to 3 sets of 15 repetitions.<\/li>\n\n\n\n<li>Then return to 2 sets of 8 repetitions and add weight in 2-3 pound increments, working your way up.&nbsp;to 3 pounds, progressing each time up to 3 sets of 15 repetitions.<\/li>\n\n\n\n<li>Perform the exercise 3 times a week, continuing for 2 to 3 weeks.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-bandelette-ilio-tibial\"><span class=\"ez-toc-section\" id=\"Iliotibial_band\"><\/span>Iliotibial band<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" width=\"181\" height=\"233\" src=\"https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/10\/2022-10-15_14-27-02.png\" alt=\"\" class=\"wp-image-33316\" srcset=\"https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/10\/2022-10-15_14-27-02.png 181w, https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/10\/2022-10-15_14-27-02-62x80.png 62w, https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/10\/2022-10-15_14-27-02-150x193.png 150w\" sizes=\"(max-width: 181px) 100vw, 181px\" \/><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Stand about 2 feet from a wall with the affected side toward the wall<\/li>\n\n\n\n<li>Fully extend your arm and place your hand on the wall for support.<\/li>\n\n\n\n<li>Cross the injured leg (the leg farthest from the wall) over the opposite leg.<\/li>\n\n\n\n<li>Lean your hips toward the wall until you feel a stretch on the outside of the injured leg.<\/li>\n\n\n\n<li>Hold the maximum stretch for 30 seconds, then relax for 10 seconds.<\/li>\n\n\n\n<li>Repeat the sequence 4 times on each side.<\/li>\n\n\n\n<li>Perform 2 to 3 sets of 4 repetitions 5 to 7 days per week, continuing for 2 to 3 weeks.<\/li>\n\n\n\n<li>Perform the stretch on both sides.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-abduction\"><span class=\"ez-toc-section\" id=\"abduction\"><\/span>abduction<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" width=\"230\" height=\"230\" src=\"https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/10\/2022-10-15_14-28-03.png\" alt=\"\" class=\"wp-image-33318\" srcset=\"https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/10\/2022-10-15_14-28-03.png 230w, https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/10\/2022-10-15_14-28-03-80x80.png 80w, https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/10\/2022-10-15_14-28-03-150x150.png 150w\" sizes=\"(max-width: 230px) 100vw, 230px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Stretching the iliotibial fascia (iliotibial band)<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" width=\"376\" height=\"450\" src=\"https:\/\/osteomag.ca\/wp-content\/uploads\/2024\/02\/2024-02-13_13-12-41.webp\" alt=\"\" class=\"wp-image-39096\" srcset=\"https:\/\/osteomag.ca\/wp-content\/uploads\/2024\/02\/2024-02-13_13-12-41.webp 376w, https:\/\/osteomag.ca\/wp-content\/uploads\/2024\/02\/2024-02-13_13-12-41-338x405.webp 338w, https:\/\/osteomag.ca\/wp-content\/uploads\/2024\/02\/2024-02-13_13-12-41-67x80.webp 67w, https:\/\/osteomag.ca\/wp-content\/uploads\/2024\/02\/2024-02-13_13-12-41-150x180.webp 150w, https:\/\/osteomag.ca\/wp-content\/uploads\/2024\/02\/2024-02-13_13-12-41-300x359.webp 300w\" sizes=\"(max-width: 376px) 100vw, 376px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Stand with your affected hip against a wall.&nbsp;For additional support, you can use a chair or counter.&nbsp;Shift your weight to your affected hip and cross the other leg in front of it.&nbsp;Raise your arm on the same side as your affected hip above your head.&nbsp;Lean away from the wall, letting your affected hip press against the wall, until you feel a gentle stretch in the side of your hip.&nbsp;Hold the stretch for 15 to 30 seconds.&nbsp;Repeat 2 to 4 times.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"References\"><\/span><strong>References<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Segal NA, Felson DT, Torner JC, Zhu Y, Curtis JR, Niu J, Nevitt MC., Multicenter Osteoarthritis Study Group.&nbsp;Greater trochanteric pain syndrome: epidemiology and associated factors.&nbsp;Arch Phys Med Rehabil.&nbsp;2007 Aug;88(8):988-92.&nbsp;[&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2907104\/\">PMC free article<\/a>&nbsp;] [&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/17678660\">PubMed<\/a>&nbsp;]<\/li>\n\n\n\n<li>Bird PA, Oakley SP, Shnier R, Kirkham BW.&nbsp;Prospective evaluation of magnetic resonance imaging and physical examination findings in patients with greater trochanteric pain syndrome.&nbsp;Arthritis Rheum.&nbsp;2001 Sep;44(9):2138-45.&nbsp;[&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/11592379\">PubMed<\/a>&nbsp;]<\/li>\n\n\n\n<li>Fearon AM, Cook JL, Scarvell JM, Neeman T, Cormick W, Smith PN.&nbsp;Greater trochanteric pain syndrome negatively affects work, physical activity and quality of life: a case control study.&nbsp;J Arthroplasty.&nbsp;2014 Feb;29(2):383-6.&nbsp;[&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/24210307\">PubMed<\/a>&nbsp;]<\/li>\n\n\n\n<li>Steinert L, Zanetti M, Hodler J, Pfirrmann CW, Dora C, Saupe N. Are radiographic trochanteric surface irregularities associated with abductor tendon abnormalities?&nbsp;Radiology.&nbsp;2010 Dec;257(3):754-63.&nbsp;[&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20876391\">PubMed<\/a>&nbsp;]<\/li>\n\n\n\n<li>Ganderton C, Semciw A, Cook J, Moreira E, Pizzari T. Gluteal Loading Versus Sham Exercises to Improve Pain and Dysfunction in Postmenopausal Women with Greater Trochanteric Pain Syndrome: A Randomized Controlled Trial.&nbsp;J Womens Health (Larchmt).&nbsp;2018 Jun;27(6):815-829.&nbsp;[&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29715073\">PubMed<\/a>&nbsp;]<\/li>\n\n\n\n<li>Attum B, Varacallo M. StatPearls [Internet].&nbsp;Stat Pearls Publishing;&nbsp;Treasure Island (FL): Dec 18, 2021. Anatomy, Bony Pelvis and Lower Limb, Thigh Muscles.&nbsp;[&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29494052\">PubMed<\/a>&nbsp;]<\/li>\n\n\n\n<li>Mellor R, Bennell K, Grimaldi A, Nicolson P, Kasza J, Hodges P, Wajswelner H, Vicenzino B. Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: prospective, single blinded , randomized clinical trial.&nbsp;Br J Sports Med.&nbsp;2018 Nov;52(22):1464-1472.&nbsp;[&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30385462\">PubMed<\/a>&nbsp;]<\/li>\n\n\n\n<li>Mathew J, Sankar P, Varacallo M. StatPearls [Internet].&nbsp;Stat Pearls Publishing;&nbsp;Treasure Island (FL): Apr 28, 2021. Physiology, Blood Plasma.&nbsp;[&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30285399\">PubMed<\/a>&nbsp;]<\/li>\n\n\n\n<li>credit in part: Aaron J. Seidman;&nbsp;Matthew Varacallo.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Trochanteric bursitis causes lateral hip pain from inflammation of the bursa over the greater trochanter, often due to overuse, trauma, or muscle imbalance; symptoms include tenderness, pain with activity and at night, diagnosed clinically and with imaging, and treated with rest, NSAIDs, physio, injections.<\/p>\n","protected":false},"author":1,"featured_media":23920,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[334,229],"tags":[],"class_list":["post-23922","post","type-post","status-publish","format-standard","has-post-thumbnail","category-bursitis","category-hip"],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/posts\/23922","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/comments?post=23922"}],"version-history":[{"count":0,"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/posts\/23922\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/media\/23920"}],"wp:attachment":[{"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/media?parent=23922"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/categories?post=23922"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/tags?post=23922"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}