Spinal pathologies
Trochanteric bursitis
Trochanteric bursitis, also known as trochanteric pain syndrome or trochanteric bursitis, is one of the most frequent causes of lateral hip pain and is caused by inflammation and alteration of the periarticular structures located around the greater trochanter of the femur.
It is currently considered a multifactorial pathology that can involve not only the trochanteric bursa, but also gluteal tendons, muscle structures, and biomechanical alterations of the pelvis and lower limb.
Pain can significantly affect a patient’s mobility, gait, sleep at night, and quality of life.
What structures are involved?
The greater trochanter is a bony prominence located on the lateral side of the hip where various pelvic stabilizing muscles are inserted, especially the gluteal muscles.
Mechanical overload, tendon degeneration, or inflammation of the periarticular bursae can cause pain and local irritation.
Among the structures frequently affected are:
- Trochanteric bursa
- Gluteus medius and minimus tendon
- Fascia lata and iliotibial tract
- Hip abductor muscles
- Periarticular tendon insertions
In many patients, gluteal tendinopathy and associated biomechanical alterations coexist.
What are the most frequent causes?
Trochanteric bursitis can develop due to multiple factors, including:
- Biomechanical overload and gait disturbances
- Gluteal muscle weakness
- Limb length difference
- Lumbar or hip osteoarthritis
- Associated sacroiliac pathology
- Overweight and functional overload
- Repetitive sports activity
- Repeated trauma or microtrauma
- Previous hip or spine surgery
What are the most common symptoms?
Symptoms can vary in intensity and duration.
Among the most common are:
- Pain on the side of the hip
- Pain when walking or climbing stairs
- Nighttime pain when sleeping on the affected side
- Pain radiating to the thigh or buttock
- Local tenderness over the trochanter
- Functional limitation and difficulty walking
- Pain when standing for long periods
In some patients, the pain can become chronic and coexist with lumbar or sacroiliac pathology.
Specialized diagnostics and precision medicine
Diagnosis requires a proper clinical and biomechanical assessment along with imaging studies aimed at identifying the structures responsible for the pain.
Treatment of Trochanteric Enteritis
The treatment will depend on the degree of inflammation, tendon degeneration, and associated biomechanical alteration.
At VERTEBRA SpinePain & Regenerative SURGERY CENTERS we provide a comprehensive and personalized approach through conservative, interventional and advanced regenerative treatments.
Among the available therapeutic options, the following stand out:
- Specialized pharmacological treatment
- Physiotherapy and advanced functional rehabilitation
- Biomechanical correction and gluteal strengthening
- High-precision ultrasound-guided infiltrative treatments
- Radiofrequency ablation of the greater trochanter
- Regenerative Medicine and Advanced Cell Therapies
- Minimally invasive techniques in selected cases
Radiofrequency and Regenerative Therapies can offer significant improvement in pain and functionality in patients with refractory chronic trochanteric pain.
At VERTEBRA SpinePain & Regenerative SURGERY CENTERS we have a highly specialized unit in hip pathology, trochanteric pain and advanced musculoskeletal intervention, offering personalized treatments using techniques of maximum precision and minimal invasiveness.
Our goal is to relieve pain, restore mobility, and improve the patient’s quality of life.
Contact us and regain your quality of life
