Greater Trochanteric Bursitis

Trochanteric bursitis is a common pain condition that frequently presents as pain in the lateral hip and may radiate down the leg (mimicking sciatica). The trochanteric bursa lies between the greater trochanter and the tendon of the gluteus medius and the iliotibial tract. Pain is distinct and well localized to the area over the trochanter. Trochanteric bursitis may be hallmarked by an inability to sleep on the side of the affected hip.


What causes greater trochanteric bursitis?

Trochanteric bursitis often exists with arthritis of the hip, back and SI (sacroiliac) joint disease, and can be associated with a gait disturbance. It can occur from both acute trauma (i.e. falls) and repeated microtrauma (i.e. overuse injury).

What are the symptoms of greater trochanteric bursitis?

  • Point tenderness in the lateral thigh over the greater trochanter
  • Passive adduction and abduction as well as active resisted abduction of the affected lower extremity reproduces the pain
  • No sensory deficit should be noted

Common Treatments for Trochanteric Bursitis