Trochanteritis: diagnosis, symptoms and treatment

In this article you will find info on

  • What is trochanteritis really?
  • What is the treatment of trochanteritis?
  • Recommended exercises for trochanteritis

“I have been told that I have a trochanteritis … or whatever it is said”

It is curious how one of the most frequent pathologies treated in a pain clinic has a very complicated name to pronounce for patients.

The trochanter is a lateral protrusion of the femur in the upper part of the thigh – usually it can be touched from the outside – and it gives its name to the painful pathology of that area of ​​the hip.

When a patient presents a problem in that area it is usually accompanied by a pain radiating along the side of the leg, up to the knee or sometimes to the ankle. The trochanteritis can be bilateral or only affect one side – the left or the right – of the hip.

trochanteritis

What is trochanteritis really?

When we talk about trochanteritis, we refer to a set of pathologies with a different origin.

  • Trochanteritis is really the inflammation of the site where the muscles are inserted into the femur
  • The bursitis trocanterea is the inflammation of a bag, normally virtual and empty, whose mission is to avoid that the pressure of the skin between the bone and a hard surface causes a wound . When that bag is filled by inflammation we talk about bursitis
  • The lateral femoral cutaneous syndrome is pain along a nerve that runs down the side of the leg to the ankle parallel to the sciatic but on the side instead of the back of the leg, and with the peculiarity that it is a purely sensitive nerve without motor function.
  • The fascia lata syndrome is a pain along this muscle that goes from the area above the trochanter to below the knee.
  • The hip in spring , which is a jump that makes a tendon to move the hip, from front to back of the trochanter, jump that can be touched from the surface of the skin.

There are some more but these are the most frequent and above all the first two stand out.

They are very invalidating problems because they affect activities of daily life as basic as lying on their side on the hip or walking (in the trochanter they are inserted especially the buttocks, which are muscles that give stability to the hip in the support phase on a leg in the march).

On the website of Dr. Eugènia Miranda you will find more information on how trochanteritis affects the daily life of patients as well as some recommendations and treatments that will make your life easier.

What is the treatment of trochanteritis?

Its treatment is varied and often it is difficult to solve the problem. You can resort to  anti-inflammatories , both oral and cream (depending on the size of the fat located in that area), capsaicin cream (eye wash hands well after use), infiltrations of anesthetics and corticosteroids(especially if there is bursitis and they are controlled with ultrasound, which allows to introduce the medication directly into the bursa), electrotherapy and thermotherapy techniques …

Recommended exercises for trochanteritis

Here we leave you linked a video of Clara Bergé with recommended exercises to improve the functional mobility of the hip.

Lately other techniques have begun to be used, such as shock waves in the case of trochanteritis proper, with good results

In summary and to finish, what is clear is that the pain located on the lateral aspect of the thigh can have its origin in different structures.

It is necessary to make an adequate diagnosis to be able to choose the appropriate treatment. Not everything goes for everything.

And for this, the most important thing is to go to your doctor, who by means of the exploration and if it is necessary some test like an ultrasound will reach a diagnosis and will establish the most appropriate treatment guideline.

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