To understand what trochanteric bursitis is we first have to understand what both a trochanter and a bursa are. Trochanteric is referring to the greater trochanter, which is a bony prominence (or bump), on the outside of the femur near the hip. A bursa is a fluid filled sac that is designed to cushion tendons and reduce friction as they cross over bony areas. We have bursas throughout our body, but when discussing trochanteric bursitis we are looking at the bursa near the greater trochanter, so on the outside of the leg near the hip. The tendons involved are typically both the gluteus medius and the IT band tendons. When this bursa becomes irritated or inflamed, it can cause localized pain and discomfort on the outside of the hip. This condition can significantly impact mobility and quality of life if left unaddressed.
Common Symptoms
Trochanteric bursitis typically presents with the following symptoms:
- Pain on the outer hip, especially when pressure is applied (e.g., lying on the affected side)
- Pain during movement, particularly walking, climbing stairs, or transitioning from sitting to standing
- Tenderness over the greater trochanter
- Pain that radiates down the outer thigh
- Stiffness or discomfort after prolonged periods of inactivity
How Massage Therapy Can Help
Massage therapy plays a valuable role in the management and treatment of trochanteric bursitis. While direct pressure on the inflamed bursa isn't always tolerable, surrounding structures can be safely and effectively treated.
Massage can help by:
- Reducing tension in the gluteus maximus, gluteus medius, tensor fasciae latae (TFL), and IT band
- Promoting circulation, which may assist in tissue healing
- Improving hip mobility and reducing compensatory patterns
- Recommending homecare and remedial exercises to support recovery
Modalities like Swedish massage, myofascial release, neurofascial reset, stretching, and trigger point therapy can all be part of a treatment strategy, depending on the client’s presentation, tolerance, and goals.
Remedial Exercise Strategies
Rehabilitation often includes:
- Stretching the IT band, TFL, and lateral hip structures
- Strengthening the gluteus medius and core stabilizers to restore pelvic alignment
- Gradual reintroduction of movement through low-impact activities such as walking or aquatic therapy
Prevention Tips
To help prevent trochanteric bursitis:
- Warm up properly before physical activity
- Avoid repetitive hip stress
- Invest in proper footwear
- Address any postural or gait imbalances early
- Listen to your body and rest as needed
Final Thoughts
Trochanteric bursitis can be frustrating, but it’s very manageable with the right approach. Massage therapy, when integrated into a well-rounded care plan, can reduce symptoms, support healing, and help clients return to comfortable movement. If you or someone you know is experiencing lateral hip pain, book your massage therapy appointment to discuss how your RMT can support your recovery.
Disclaimer:
The information provided in this blog post is for informational purposes only and is not intended as medical advice. If you are experiencing any pain and dysfunction, it is important to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan. Always seek the advice of your doctor or another qualified health provider with any questions you may have regarding a medical condition.