What is the treatment for trochanteric bursitis?
Non-surgical therapies alone generally work well for the majority of patients with trochanteric bursitis. Rest and reducing physical activity for a period of time are strongly encouraged for younger, active patients. Ice application in addition to non-steroidal anti-inflammatory medications (NSAIDs) can be useful for controlling inflammation and pain. If the pain still persists with oral medications, a corticosteroid or platelet-rich plasma (PRP) injection directly into the trochanteric bursa can be administered. Participation in a physical rehabilitation program focused on strengthening and stretching is highly recommended. When these non-surgical treatment measures are carefully followed, symptoms of trochanteric bursitis should begin to subside within 4 to 6 weeks.
Surgical treatment is often necessary for individuals with more severe trochanteric bursitis symptoms or when they did not respond well to non-surgical therapies. A surgery, called a trochanteric bursectomy, involves a small incision over the side of the hip and is typically performed to excise and remove the damaged portions of the trochanteric bursa. Any other irregularities contributing to trochanteric bursitis symptoms including abductor (gluteus medius) tendon tears are also addressed at this time.