Trochanteric Bursitis Physical Therapy
Trochanteric Bursitis Physical Therapy is a very reliable and famous cure for this pain. If you have heard about Trochanteric Bursitis or your close relative is suffering from it, stick with us. This will give you a deep insight into Trochanteric Bursitis and how to deal with it?
Our hips play an integral role in walking, jumping, and other physical activities. That’s why even the slightest pain in the hips can affect human power, stability, and physical movements. One of the main reasons for hip pain is bursitis. Let’s have a deep insight into this issue.
Before understanding Trochanteric Bursitis, understanding bursitis is essential. Bursitis is an inflammation in the bursa. Bursae are fluid-filled sacs that act as cushions between bones and muscles.
Our hips consist of 2 primary bursae. The one lying on the outside on the hip at the greater trochanter is Trochanteric Bursa. At the same time, the one lying on the inside of the hips is known as iliopsoas bursa.
When the bursa lying on the outside of the hips gets inflamed, you suffer from Trochanteric Bursitis. It is also called GTPS or greater trochanteric pain syndrome. It is easily treatable and manageable.
Causes of Trochanteric Bursitis
Trochanteric Bursitis can affect 5 out of every 1000 adults. It occurs commonly in middle-aged and older people. Some of the significant causes of Trochanteric Bursitis are:
- Muscle tears
- Hip injuries
- Hip surgery complications
- Bone spurs
- Tendon injuries
- Chronic disease
- Septic Bursitis
- Poor posture
- Previous illnesses like gout
- A sudden increase in activity
The major symptom of Trochanteric Bursitis is pain on the affected side of the hip that may increase with:
- Climbing stairs
- Physical activity
When you visit a physical therapist, they may take your history and perform various tests. These tests include:
- Range of Motion
- Gait Analysis
- Spinal Mobility
- Hip and Leg Flexibility
- Balance Assessment
Trochanteric Bursitis Treatments
Some of the major treatments of Trochanteric Bursitis are as follows:
- Physical Therapy
- Non-steroidal anti-inflammatory drugs/ NSAIDs
- Corticosteroid Injections
- Tendon repair and IT band release
- Trochanteric bursectomy
Trochanteric Bursitis Physical Therapy
The major goal of treatment is to reduce inflammation and pressure in bursae. Other goals include decreasing pain, increasing strength, and enhancing functional mobility.
Most people suffering from Trochanteric Bursitis prefer to seek help from a physical therapist. Physical therapists are the ones having a lot of knowledge about musculoskeletal conditions.
Help by Physical Therapist
Physical therapists have different options for physical therapy treatments. These options include:
- Electrical Stimulation
- Manual Stretching
These treatments include getting a therapist’s procedure like heat or ultrasound treatment. These are good options for the treatment of Trochanteric Bursitis. However, the best treatment includes active involvement.
Exercises helps to prevent muscle atrophy increase functional mobility and strength. It usually includes balancing exercises, strengthening exercises, and stretching exercises. Some of the best exercises are as follows:
Side-Lying Straight Leg Raise
This exercise is particularly useful in strengthening the gluteus medius. This muscle provides stability to the hips and helps in the movement of the legs. However, weakness in the gluteus medius can cause inflammation and irritation in tendons, muscles, and bursae. To do this exercise:
- Lie down in your side. Maintain your posture and keep your legs stacked on top of each other.
- Now, lock your knee joint by the contraction of the quadriceps muscle.
- Now, lift your leg gradually. Make sure to keep the contraction constant and the leg straight.
- Keep this position for 2 to 3 seconds, and make sure to keep your posture straight.
- Now bring your leg back to starting position while keeping the contraction constant.
- Switch sides and perform the same exercise with the other leg.
- Perform 5 sets with 7 to 10 reps on both sides.
Standing Hamstring Stretch
The Hamstrings comprise a set of 3 different muscles. They start from the hip till the back of the knee. Due to any reason, if they become stiff and tight, it can cause overuse of surrounding muscles. It can easily cause irritation and inflammation in the hip bursae. To perform this exercise:
- Keep one foot on a heightened surface. The elevated the surface is, the better it is for stretch.
- Now, contract quadriceps muscles which will straighten your knee.
- Lean forward to stretch your Hamstrings while ensuring that your knee should be straight throughout the stretch.
- Keep this position for almost 20 to 30 seconds, then move back to starting position.
- Now repeat using the other leg. Perform 3 to 5 reps on both sides.
When the gluteus medius and external rotator of a hip joint become weak, the chances of misalignment of the femur increase. They strain the hip, leading to irritation and inflammation of underlying bursae.
Clamshells help in strengthening and stabilizing these muscles. To perform this exercise:
- Lie down on your side and keep your knees bent. Make sure to stack your knees, ankles, and hips on top of each other.
- Gradually, raise your top knee while keeping your ankles together. Do not roll your body forward or backward.
- Keep this position for 2 to 3 seconds, then lower to starting position.
- Perform 5 sets with 7 to 10 reps on each side.
Under the glutes, piriformis muscles are present. These muscles help to rotate your hips externally. Due to tightness in this muscle, mobility of the hips is affected. It causes irritation and inflammation to surrounding muscles and bursae. To perform this exercise:
- Lie down on your back. Keep your feet flat on the ground and bend your knees.
- Raise one foot and place it on the thigh of the other leg. Try to keep your knee away from your body.
- Maintain this position for 20 to 30 seconds and return to starting position.
- Perform 3 reps of this exercise on both sides.
Trochanteric Bursitis can be easily prevented by following ways:
- Exercise appropriately in the proper manner.
- Use suitable inserts and orthotics.
- Lose weight
- Maintaining physical fitness
- Avoiding over-exertion
While keeping these points and practices in mind, you can easily prevent trochanteric bursitis.
Trochanteric Bursitis is a common and painful hip condition that can be prevented easily by following the aforementioned steps. However, if the condition remains constant, don’t forget to consult a physio-therapist.