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Febuary 2011

Trochanteric Bursitis
 
Greater trochanteric (hip) bursitis is a relatively common condition in running athletes due to the repeated flexion and extension of the hip under weight-bearing load.  A bursa is a fluid filled sac located in an area of friction between a muscle, tendon, and the bony surface.  It's purpose is to reduce friction between these structures and allow normal gliding movement.  The bursa of the hip can become irritated and inflamed by the constant frictioning of the gluteus medius tendon and/or the iliotibial band (IT band) across the greater trochanter of the femur.   
 
 
 
The diagnosis of hip bursitis accurately identifies the symptomatic pain generator, but the condition is typically indicative of more global muscular and/or joint dysfunctions of the hip and low back.  The resulting pain and inflammation of the hip bursa typically results in pain over the outside aspect of the hip, but can also cause pain that radiates into the glute area and down the side of the leg. 
 
Causes:
  • Acute
    • Direct trauma to hip
  • Chronic
    • Repetitive overuse of the hip
    • Foot pronation
    • High running volume 
Treatment:
  • Acute
    • Rest
    • Ice
    • NSAIDS
  • Chronic
    • Restore soft tissue health
      • Active Release Techniques
      • Foam rolling
    • Establish optimal strength/stability
      • Stabilization exercises
    • Restore soft tissue flexibility/extensibility
    • Identify and remove strength imbalances
  • Pain management
    • Cortisone injection
 
Active Performance Chiropractic focuses on the diagnosis, treatment, and rehabilitation of athletic-related injuries.  Treatment is a unique blend of Active Release Techniques, traditional chiropractic therapy, and physical rehabilitation designed to match each patient's goals and lifestyle.