Creating Waves of Awareness
Trochanteric Bursitis and Homoeopathy
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Differential diagnosis. 3
Homoeopathic treatment. 3
Common remedies for Trochanteric bursitis. 3
Trochanteric bursitis is characterized by painful inflammation of the bursa located just superficial to the greater trochanter of the femur (Psora). The superficial trochanteric bursa is located over the greater trochanter and is the most commonly inflamed bursa. A deep trochanteric bursa lies deeper and can become inflamed in more severe cases.
Syn: Greater trochanteric pain syndrome (GTPS)
Patients typically complain of lateral hip pain, though the hip joint itself is not involved. The pain may radiate down the lateral aspect of the thigh. The most classic physical finding is point tenderness over the greater trochanter, which reproduces the presenting symptoms-
Every Low back or Hip pain extending down to leg is not sciatica.
The trochanteric bursa may become inflamed by a group of muscles or tendons rubbing over the it and causing friction against the femur (Causa occasionalis/ Psora). It can occur traumatically from a fall or an impact contusion or lateral hip surgery (causa occasionalis).
This pain comes on gradually due to repetitive irritation to the bursa from such walking or running with poor hip control, walking into fatigue, or cycling, especially when the bicycle seat is too high.
It is can also occur as a result of-
Either it may be true Trochanteric bursitis or Pseudotrochanteric bursitis. If similar pain is due to any cause other than inflammation of Trochaneric bursa, it is called as Pseudotrochanteric bursitis which may be due to-
Regular application of ice packs for 15 minutes daily is highly recommended to reduce pain and swelling.
Physiotherapy is the most important thing in treating Trochanteric Bursitis. Bursa inflammation is best relieved by techniques or exercises that reduce the inflamed structures, like ice, electrotherapy, acupuncture, deloading taping techniques and soft tissue massage. A series of progressive and tailored rehabilitation exercises to address the hip control issues are necessary.
Trochanteric bursitis has a tendency to return due to insufficient rehabilitation.
Muscle weakness or fatigue is a major cause of trochanteric bursitis. Wearing adequate footwear which supports any biomechanical imbalances in feet is a key preventative measure. A footwear assessment or gait analysis is helpful.
Successful weight management minimizes excess stress on the hip joints, which can alleviate pressure on the bursa. The following points are most important to avoid Trochanteric bursitis-
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Chapter 5. Differential Diagnosis > Causes of Hip, Trochanteric, Pubic, and Thigh Pain Dutton's Orthopaedic Examination, Evaluation, and Intervention, 3e... Table 5-14 Potential Causes of Trochanteric, Pubic, and Thigh Pain Dislocation and fracture dislocation of the hip Labral tear Hip or pelvis fracture Pubic stress fracture Femoral neck stress fracture Osteoarthritis of the hip ..
Chapter 6. Adult Reconstructive Surgery > Trochanteric Bursitis Current Diagnosis & Treatment in Orthopedics, 5e... patients lying on their side, can be an inciting cause. Trochanteric bursitis is one of several disorders that falls under the term “greater trochanteric pain syndrome,” which includes gluteus medius and minimus tears and “snapping hip.” It affects about 1.8 patients per 100 per year.
Common Musculoskeletal Injuries > Trochanteric Bursitis Exercise Physiology... Figure 30-13. Trochanteric bursitis in the hip region. Trochanteric bursitis is characterized by painful inflammation of the trochanteric bursa between the greater trochanter of the femur and the gluteus medius…
Greater trochanteric pain syndrome Murtagh's General Practice Companion Handbook, 6e
View on: Murtagh Collection...Also known as trochanteric bursalgia, it is very common in mid-age to elderly females presenting with pain over lateral surface of the greater trochanter.
Hip and Knee Pain > Trochanteric Bursitis (Posterolateral Hip Pain) Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e ....] The trochanteric bursae lie between the gluteus maximus and the posterolateral greater trochanter, with a deep and superficial component..
Rehabilitation of Common Musculoskeletal Conditions > GREATER TROCHANTERIC PAIN SYNDROME CURRENT Diagnosis & Treatment: Physical Medicine & Rehabilitation
Differential Diagnosis > CAUSES OF HIP, TROCHANTERIC, PUBIC, AND THIGH PAIN Dutton's Orthopaedic Examination, Evaluation, and Intervention, 4e...TABLE 5-15 Potential Causes of Trochanteric, Pubic, and Thigh Pain Dislocation and fracture dislocation of the hip Labral tear Hip or pelvis fracture Pubic stress fracture Femoral neck stress fracture Osteoarthritis of the hip Septic arthritis of the hip Reiter syndrome...