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Greater Trochanteric Bursitis

    Greater Trochanteric Bursitis

    This is very common reason for pain on the side of the hip. It often occurs in women in their 40’s to 60’s and is characterized by a deep, achy pain over the bony prominence on the outside of the hip. The pain is often worsened with lying on the affected side at night and also with activity. This is caused by inflammation of the bursal tissue on the side of the hip. This bursa provides a cushion on the bony portion of the hip and provides lubrication to allow the IT band to move without friction over the side of the hip. When it is inflamed it can create a significant amount of discomfort itself and also prevents the IT band from moving smoothly back and forth. This inflammation can also create problems for the gluteus medius tendon, which inserts on the bone in this region as well.
    The treatment for this typically involves judicious use of steroid injections into the bursa, anti-inflammatories and Physical Therapy to stretch the IT Band and strengthen the Gluteus Medius muscle. It is a problem that likes to recur and is best treated by preventive stretching and therapy once the acute flare is treated.