The Most Common Cause of Lateral Hip Pain: Trochanteric Bursitis

Trochanteric bursitis is one of the most common causes of pain located on the outer side of the hip. It occurs when the bursa—small fluid-filled sacs that reduce friction—becomes inflamed. Patients typically experience sharp or burning pain, especially when walking, climbing stairs, lying on the affected side, or standing up from a seated position.

Why Does Trochanteric Bursitis Occur?

Several factors may contribute to the development of this condition:

• Weakness of the hip abductor muscles (gluteus medius–minimus)
• Repetitive overload, prolonged walking or running
• Prolonged sitting due to desk work
• Leg length discrepancy
• Lumbar spine disorders
• Foot posture abnormalities
• Direct trauma to the lateral hip

Common Symptoms

Typical complaints include:

• Tenderness and burning pain over the lateral hip
• Difficulty sleeping on the affected side
• Pain increasing with long walks
• Sensitivity to pressure
• Pain radiating down the outer thigh

How Is the Diagnosis Made?

Diagnosis is primarily based on a physical examination. When needed, imaging methods such as ultrasound or MRI are used. Ultrasound helps visualize fluid accumulation in the bursa, while MRI can detect tendon pathologies and gluteus medius injuries.

Treatment Options

The goals of treatment are to reduce inflammation, strengthen hip muscles, and eliminate mechanical stress.

1) Medication and Ice Therapy

NSAIDs and ice application several times a day can significantly reduce symptoms in the early phase.

2) Physical Therapy

Strengthening exercises for the hip abductors and stretching the iliotibial band are highly effective. Supervised physical therapy may be recommended.

3) Injection Therapy

For persistent pain, a corticosteroid injection into the trochanteric bursa provides rapid and substantial relief. PRP injections can also be considered in selected cases.

4) Surgical Treatment

In rare and chronic cases, endoscopic removal of the inflamed bursa may be necessary.

Effective Exercises for Trochanteric Bursitis

1) Side Leg Raises (Gluteus Medius Strengthening)

Lift the upper leg while lying on your side without bending the knee. 12 reps × 3 sets.

2) Bridge Exercise

Lift your hips upward while lying on your back and hold for a few seconds. 15 reps × 3 sets.

3) IT Band Stretch

Cross the affected leg behind the other and lean your upper body to the opposite side. Hold 20–30 seconds × 3.

4) Clamshell Exercise

Open and close your knees while lying on your side with knees bent. 15 reps × 3 sets.

5) Hip Flexor Stretch

Kneel on one knee with the opposite foot in front and gently push your hips forward. Hold 20–30 seconds × 3.

Conclusion

Trochanteric bursitis is a highly manageable condition when treated early and supported with proper exercises. Persistent lateral hip pain should not be ignored and must be evaluated by an orthopedic specialist.