Greater trochanteric bursitis is caused by inflammation of the bursa (fluid-filled sac near a joint) at the outside (lateral) point of the hip known as the greater trochanter. When this bursa becomes irritated or inflamed, it causes pain in the hip or outer thigh. This condition can often be associated with osteoarthritis, rheumatoid arthritis, repetitive use, and other traumatic injuries to the area.
Frequently Asked Questions
Am I a candidate for a greater trochanter bursa injection?
Greater trochanter bursitis is typically a diagnosis made by discussing your history and symptoms, reviewing x-ray imaging, and performing a detailed physical exam. Physical therapy can be a very effective treatment for greater trochanter bursitis to reduce pain, swelling, and stiffness in the lower extremity. For patients who don’t gain significant pain relief from therapy or are unable to participate in therapy due to pain, a greater trochanteric bursa steroid injection may provide relief.
What should I expect during my greater trochanter bursa injection?
A greater trochanter bursa injection can be performed under ultrasound or x-ray guidance. After numbing the overlying skin with a local anesthetic, a needle is advanced toward the greater trochanter and a steroid is injected into the bursa to reduce inflammation. The procedure typically takes approximately 10-minutes, and you may return home shortly afterwards.
What types of results can I expect from a greater trochanter bursa injection?
Many patients report immediate relief following the procedure due to the anesthetic medication used during the injection. Occasionally patients may complain of soreness for 1-2 days following the procedure. The steroid used typically takes 2-3 days to take effect, providing more long-term pain relief.