M70.60

Clinical Causes: Repetitive movements or overuse, especially activities that involve frequent hip bending or twisting Trauma or injury to the outer hip area, such as falls or direct blows Prolonged pressure on the hip, often from activities like prolonged lying on one side or heavy lifting Structural abnormalities or anatomical differences, like leg length discrepancies Hip diseases such as osteoarthritis or rheumatoid arthritis Weakness or tightness in the muscles around the hip, leading to increased stress on the bursa Certain physical activities, especially running, biking, or stair climbing

Key Symptoms: Pain on the outer part of the hip, especially over the bursa region Pain that worsens with activity or pressure on the hip Tenderness when touching the outer hip area Swelling or warmth over the affected area Difficulty sleeping on the affected side Moving the hip — such as walking, climbing stairs, or getting in and out of a chair — can exacerbate pain Possible radiating pain down the thigh or to the buttocks

Diagnosis Path: Diagnosis of trochanteric bursitis typically involves a physical examination, where a healthcare provider assesses tenderness and range of motion. Imaging tests such as ultrasound or MRI may be ordered to rule out other conditions like tendinitis, fractures, or arthritis. In some cases, a diagnostic injection of anesthetic and corticosteroid into the bursa can help confirm the diagnosis by relieving symptoms temporarily.

Treatment Protocols: Most cases of trochanteric bursitis improve with conservative methods such as: - Rest and avoiding activities that aggravate symptoms - Applying ice packs to reduce inflammation and pain - Non-steroidal anti-inflammatory drugs (NSAIDs) to manage pain and inflammation - Physical therapy to strengthen hip muscles and improve flexibility - Corticosteroid injections for more persistent or severe inflammation In rare or persistent cases, surgical options may be considered, including bursectomy (removal of the inflamed bursa) or addressing any underlying structural issues. Preventative measures involve regular stretching, strengthening exercises, and avoiding repetitive motions that strain the hip.