Trochanteric bursitis or hip bursitis
This is inflammation of one or more of the 3 main hip bursae. The greater trochanter of the femur bone. Symptoms of trochanteric bursitis
include pain at the outside of the hip that
may go down the thigh to the knee.
Causes of this inflammation in the trochanteric bursa are many:
- direct damage from an injury to the area
- repetition of a movement e.g. by a sport such as cycling or dancing
- walking with an uneven gait
- obesity
- after hip surgery
- gluteal tendinitis
- rheumatoid arthritis
- an infection in the area.
Trochanteric Bursitis: where is that?
The trochanteric bursa is located over the prominent bone on the side of
the hip. Who usually gets Trochanteric Bursitis?
Women and middle-aged to older people are more often affected by this type of bursitis. It may occur spontaneously without specific injury. Also, it can be caused by the causes mentioned above.
To Protect Your Hips:
- When bending down to lift something, always bend your knees instead of your back or hips.
- Sitting on cushioned chairs can help.
- If there is a difference in the lengths of your legs get a shoe lift .
So.. for chronic hip bursitis, do you get a cortisone shot... the answer is no and here's why...
Platelet-Rich Plasma Treatment More Effective than Cortisone for Chronic Hip Bursitis
Rachel Lutz writing for HCP live reported that platelet-rich plasma (PRP) treatment is more effective than cortisone for chronic severe hip bursitis, according to a study presented at the Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS).
For the study, 40 patients were selected to receive a single injection of either 40 mg of methylprednisolone or PRP. The patients' functionality was assessed before and after hip treatment using the Harris Hip Score (HHS) and the Western Ontario and McMaster Universities Arthritis Index (WOMAC). Before the injections, both groups' scores were nearly the same; the first group's HHS and WOMAC scores were 50.5 and 58.3, respectively, and the second group scored 51.7 and 58.8.
After 3 months, the methylprednisolone group reported an average HHS score of 75.3 and a WOMAC score of 83.6, compared to the PRP patients, who scored 84.2 and 91.4, respectively.
At 1 year after treatment, the PRP scores remained high at 87.4 for HHS and 89.3 for WOMAC, while the cortisone patients' scores lowered to near pre-treatment levels of 58.8 for HHS and 63.4 for WOMAC.
"This study suggests that PRP injection is significantly more effective and durable than cortisone injection for the treatment of severe chronic greater trochanteric bursitis refractory to traditional non-operative management," study author Raymond R. Monto, MD, concluded.
Comment: Cortisone may provide short term relief but the long term effect is weakening of soft tissue.
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