Hip Bursitis (Trochanteric bursitis)

A bursa is a fluid-filled sac that protects soft tissues at bony points in the body by cushioning and reducing friction between the tissues. Hip bursitis or Trochanteric bursitis is the inflammation of the bursa that lies between the femur (thigh bone) and the tendon of the TFL muscle (Tensor Fascia Latae). The gluteus maximus muscle and the iliotibial band (ITB) lie over this bursa. If any of these structures become tight they cause excessive pressure on the bursa and lead to its irritation and inflammation.


Causes of Hip Bursitis include:

  • overuse syndrome – commonly seen in running sports
  • decreased flexibility of the iliotibial band
  • scoliosis of the lumbar spine
  • prolonged standing on one leg
  • multiple minor traumatic injuries such as carrying a bag that constantly hits the bony hip point (see picture)
  • unequal leg-length
  • trauma – such as a fall
  • excessive or prolonged pressure on the hip (e.g. lying on one side for a long period)

Hip Bursitis:

  • is more common in middle-aged or elderly women
  • is typified by a gradual onset of pain
  • involves pain that usually radiates down the outside of the thigh to the knee
  • commonly involves tenderness over the bony hip area (trochanter)
  • is worse when lying on or rolling over onto the painful side
  • may make it difficult to walk or climb stairs

How Gordon Physiotherapy Sports and Spinal Can Help Your Hip Pain.

    Some of the techniques we use to help with hip pain are to identify and release tight structures using manual techniques and show you the correct stretching and strengthening regimes for your condition. These treatments, coupled with additional help to settle any inflamed structures will help to resolve your hip pain.