Trochanteric Bursitis (Greater Trochanteric Pain Syndrome)

Daniel L. Warden, MD, Nicholas Moore, MD and Kyle M Samyn, M.S., DO Reviewed 06/2022

BASICS

Trochanteric bursitis is often used as a general term to describe lateral hip pain and tenderness over the greater trochanter. There may be inflammation at one of a number of bursa at the later...

DIAGNOSIS

HISTORY

General history (1)

Pain localized to the lateral hip or buttock
Pain may radiate to groin or lateral thigh (pseudoradiculopathy).
Pain exacerbated by:
- Prolonged walking or standing
- Risi...

TREATMENT

GENERAL MEASURES

Physical therapy to address underlying dysfunction and weakness
Correct pelvic/hip instability.
Correct lower limb biomechanics.
Low-impact conditioning and aquatic therapy
Gait ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

4 weeks posttreatment, sooner if significant worsening

PATIENT EDUCATION

Maintain hip musculature flexibility, including ITB.
Correct issues that may cause abnormal...

REFERENCES

Williams BS, Cohen SP. Greater trochanteric pain syndrome: a review of anatomy, diagnosis and treatment. Anesth Analg. 2009; 108(5): 1662– 1670. [View Abst...

ADDITIONAL READING

Barratt PA, Brookes N, Newson A. Conservative treatments for greater trochanteric pain syndrome: a systematic review. Br J Sports Med. 2017; 51(2...

CODES

ICD10

M70.60 Trochanteric bursitis, unspecified hip
M70.62 Trochanteric bursitis, left hip
M70.61 Trochanteric bursitis, right hip

SNOMED

7674000 trochanteric bursitis (disorder)
11873951000119109 Bil...

CLINICAL PEARLS

Patients with GTPS often present with an inability to lie on the affected side.
Femoral neck stress fractures are a do-not-miss diagnosis, particularly in young female runners.
Corticost...

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