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Greater Trochanteric Bursitis Physiotherapy
Greater trochanteric bursitis, also known as greater trochanteric pain
syndrome, is one of the most common causes of hip pain.
Yes, even though greater
trochanteric bursitis affects both active and inactive individuals, it
is most common in
- moderately active, middle-aged females or
- those who
have recently increased their activity / exercise levels
That being said, pain
on the outside of the hip from greater trochanteric bursitis can lead to a limited ability to lie on the involved
- climb stairs
- squat or
- participate in recreational activities
To treat greater
trochanteric bursitis, our senior physiotherapists focus on pain relief using combination of
and prevention with strengthening activities to decrease
irritation in the hip and resolve pain.
What is Greater Trochanteric Bursitis?
Greater trochanteric bursitis is an irritation of the bursa, which specificly refers to a
fluid-filled sac that sits on top of the greater trochanter, a bony
prominence on the outside of the hip bone (femur), the most outside
aspect of the hip.
The bursa acts as a shock-absorbing cushion that serves to decrease friction
between the outside of the hip bone and muscles attaching to the bone.
Greater trochanteric bursitis results when the bursa on the outside of
the hip becomes irritated.
Most of the time, greater trochanteric bursitis is the result of repetitive
friction to the hip bursa. This repetitive friction is due to a combination
- muscular weakness
- muscle tightness
that causes increased friction on
the outside of the hip, and is most often treated with physiotherapy
to decrease irritation.
Greater trochanteric bursitis may result from a combination of several different variables, including:
- Iliotibial (IT) band tightness (a thick band of tissue that runs along the outside of the leg from the pelvis to the knee)
- Hip muscle tightness
- Hip muscle weakness
- Abnormal hip or knee structure
- Abnormal hip or knee mechanics
- Improper technique with repetitive activities
- Change in an exercise routine or sport activity
How Does it Feel like?
Patients may experience:
- Tenderness to touch on the outside of the hip
- Pain when lying on the involved side
- Pain in the hip that may at first feel sharp, then change to a dull ache, and may radiate into the side of the leg
- Tightness in the hip
- Pain and stiffness with prolonged sitting, walking (worst with the first few steps), negotiating stairs, or squatting
How Is It Diagnosed?
Our senior physiotherapists will review your medical history and complete
a thorough examination of your hip, and possibly your lower back, knee,
The goals of the initial examination are to assess the degree
of the injury and determine the cause and contributing factors to your
Greater trochanteric bursitis may be the result of a single
injury, such as a direct blow to the outside of the hip (such as falls, blows or motor-vehicle accidents), but most of the time, it's likely
is a condition that develops as a consequence of repetitive irritation.
Our senior physiotherapists will assess the mobility and strength of your
hip, and may watch you walk, step onto a stair, squat, or balance on 1
We will also gently touch the front, side, and back of
your hip to determine exactly where it is most painful.
We may also ask questions regarding your
- exercise regimens
- footwear to identify other
contributing factors to your pain.
Imaging techniques, such as x-ray or MRI, are typically not needed to diagnose greater trochanteric bursitis.
How our senior physiotherapists can help you
We will work together to develop a plan
to help achieve your specific goals. To do so, we will select treatment strategies in any or all of the following areas:
- Pain Relief
Many pain-relief strategies may be
implemented; the most common one is to apply cold therapy , manual therapy (see below), radio-frequency Indiba physiotherapy and ultrasound therapy to the area. A period
of decreased selective activities may also help.
- Range of motion
Your back, hip, or knee joint may
be moving improperly causing increased tension at the greater
Stretching techniques may be applied to the lower body
to decrease tension and help restore normal motion in the back, hip, and
- Manual therapy
Our senior physiotherapists may treat your
condition by applying hands-on treatments to move your muscles and
joints in order to improve their motion and strength, most likely in
your back or hip.
These techniques often address areas that are
difficult to treat on your own.
- Muscular strength
Muscular weaknesses or
imbalances can result in excessive strain at the greater trochanter.
Based on your specific condition, we will design a
safe, individualized, progressive resistance program for you, likely
including your core (midsection) and lower extremity.
You may begin by
performing strengthening exercises lying on a table (eg, lifting your
leg up while lying in different positions). You then may advance to
exercises in a standing position (eg. standing squats).
We will choose what exercises are right for you based on your age
and physical condition.
- Functional training
Once your pain, strength, and
motion improve, you will need to safely transition back into more
To minimize the tension on the hip and your risk
of repeated injury, it is important to teach your body safe, controlled
Based on your own unique movement assessment and goals, we will create a series of activities to help you learn
how to use and move your body correctly and safely.
Physiotherapy promotes recovery from greater trochanteric bursitis
by addressing issues such as
- any lack of strength,
flexibility, or body control
We may also recommend
When greater trochanteric bursitis
remains untreated, your hip pain will persist and result in
long-term difficulty performing your desired activities, including even walking and moving about.
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Phoenix Rehab Physio Services
Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
See all the conditions our principal physiotherapists treat.
HAND THERAPY & CUSTOMIZED SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, usually will benefit / require Hand Therapy to
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following injuries or post-operations
Commonly treated hand pain injuries includes
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It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
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DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to accelerate recovery and shorten downtime / recovery period required.
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
performance. Having regular deep tissue and sports massage will keep your muscles healthy and fit with body/movement-confidence.
Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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