TROCANTERIC BURSITIS

It is one of the most common pathologies that cause pain in the hip and lateral side of the thigh. It is generally seen in middle and advanced age group and especially in women. One of the anatomical elements that make up the joint structures are bursae.

Etiopathogenesis: Trochanteric bursa is on the greater trochanter lateral to the hip joint. On this trochanter, under the muscles that extend from the pelvis to the femoral bone and stick to the bones, there are bursa structures filled with a small amount of fluid, which in a sense act as a cushion, rubbing against the bones. Inflammation or irritation of these bursae causes symptoms of trochanteric bursitis.

Clinical: Inflammation becomes chronic as a result of precipitation of calcium in the bursa and creates pain. Patients usually complain of contact pain in the trochanteric region and lateral thigh. It is stinging in acute conditions and common pain in intense chronic conditions. Trochanteric pain can also be confused with sciatica, as it can radiate from the side of the leg to the knee. The most important finding in the examination is the emergence of pain and sensitivity with palpation of the greater trochanter and around it. The opening and outward rotation of the hip against resistance can increase the pain.

Diagnosis: MRI can be used among imaging methods. However, testing with a local anesthetic is decisive for diagnosis.

Treatment: Ice application in the acute phase can reduce pain. In the chronic period, moist warm applications are beneficial. The main method of treatment is to approach this area at a right angle with a long and thin needle and administer corticosteroids (cortisone) into the trochanter bursa. In addition, anti-inflammatory drugs, stretching exercises by opening the leg sideways, and weight loss may be recommended.

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