The greater trochanter is the bony knob near the top of the thighbone femur , where the upper thigh curves outward. The trochanteric bursa is located over this bony knob. When the trochanteric bursa becomes inflamed, it is called trochanteric bursitis, or hip bursitis. The trochanteric bursa typically becomes inflamed because of:.
In addition to the trochanteric bursa, there are other bursa located near the hip joint. One of them, called the iliopsoas bursa, is located near the groin, under the iliopsoas muscle. If this bursa becomes irritated, the condition is called iliopsoas bursitis or iliopectineal bursitis. This condition is also generally referred to as hip bursitis. Diagnosis and treatment for the two types of bursitis are similar. This article focuses mainly on trochanteric bursitis, which is more common.
See why the complex hip joint structure is susceptible to arthritic conditions. Read more about Hip Anatomy. Tenderness at the outside of the hip may be referred to as greater trochanter pain syndrome 2.
The terms hip bursitis and greater trochanter pain syndrome may be used synonymously. Knee bursitis is inflammation or irritation of one or more of the bursae in your knee. Bursitis bur-SY-tis is a painful condition that affects the small, fluid-filled sacs — called bursae bur-SEE — that cushion the bones, tendons and muscles near your joints.
Bursitis occurs when bursae become inflamed. The most common locations for bursitis are in the shoulder, elbow and hip. But you can also have bursitis by your knee, heel and the base of your big toe. Bursitis often occurs near joints that perform frequent repetitive motion. Treatment typically involves resting the affected joint and protecting it from further trauma. In most cases, bursitis pain goes away within a few weeks with proper treatment, but recurrent flare-ups of bursitis are common.
The most common causes of bursitis are repetitive motions or positions that put pressure on the bursae around a joint. Examples include:. Other causes include injury or trauma to the affected area, inflammatory arthritis such as rheumatoid arthritis, gout and infection. While not all types of bursitis can be prevented, you can reduce your risk and the severity of flare-ups by changing the way you do certain tasks.
Mayo Clinic does not endorse companies or products. Bursitis does not only happen in the hip. It can also occur in the shoulder, knee and elbow joints. Bursitis may be acute short-lived or chronic long-lasting. Symptoms include joint pain and tenderness. You may also see swelling and feel warmth around the affected area. The pain is often sharp in the first few days.
It may be dull and achy later. You may notice it more when getting out of a chair or bed. You may also notice it when sitting for a long time and when sleeping on the affected side. Acute bursitis usually flares over hours or days. Chronic bursitis can last from a few days to several weeks. Chronic bursitis can go away and come back again.
Acute bursitis can become chronic if it comes back or if a hip injury occurs. Over time, the bursa may become thick, which can make swelling worse. This can lead to limited movement and weakened muscles called atrophy in the area. Your doctor will examine you and ask about your symptoms. Sometimes certain tests may be needed to rule out other conditions that can cause similar symptoms. These tests may include X-rays and magnetic resonance imaging MRI.
You can avoid getting bursitis by not putting too much strain on your hips. Avoid activities that are especially difficult or painful. And take breaks to rest your hips. When you exercise, remember to warm up your muscles and then stretch to prevent injury. Building strength in your hips with an approved workout routine can greatly reduce your chances of getting bursitis. Ask your doctor what types of exercise are best for you.
Treatment for bursitis usually involves doing strengthening exercises and stretching. This helps prevent muscle atrophy. You should avoid activities that cause pain. Ask your doctor about exercises to help build strength in the area.
Your bursitis may affect your ability to function normally. If so, you may need physical therapy to help you move again.
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