What is Trochanteric Bursitis?
Trochanteric bursitis (also known as greater trochanteric pain syndrome) is inflammation or irritation of the bursa — a small fluid-filled sac — located over the outer part of the hip. This bursa cushions the tendons and muscles as they move over the greater trochanter (the bony prominence on the side of the thigh). When inflamed, it can cause pain over the outside of the hip, which may radiate down the thigh. The condition is more common in women and individuals aged 40–60 years (Segal et al., 2007).
Common Causes
• Repetitive stress or overuse (e.g. running, stair climbing).
• Poor hip or pelvic alignment affecting muscle balance.
• Tight iliotibial (IT) band or gluteal muscle dysfunction.
• Postural imbalances, leg length differences, or lower back issues.
• Direct trauma or prolonged pressure on the side of the hip.
Treatment Options
WCCC management may include:
• Gentle chiropractic adjustments and mobilisations to improve pelvic and lumbar alignment.
• Soft tissue therapy targeting the gluteal, IT band, and hip stabilising muscles.
• Specific stretching and strengthening exercises to improve hip stability and reduce friction.
• Postural and ergonomic guidance to reduce stress on the hip.
• Collaboration with GPs or imaging referral if persistent inflammation or tendon involvement is suspected.
References:
• Segal NA, et al. Greater trochanteric pain syndrome: epidemiology and associated factors. Arch Phys Med Rehabil. 2007;88(8):988–992.
• Reid D. The management of greater trochanteric pain syndrome: a systematic literature review. J Orthop. 2016;13(1):15–28.
