Trochanteric bursitis is a common cause of hip pain in young athletes. This condition is due to inflammation or irritation of the trochanteric bursa. The trochanteric bursa is a structure located on the outside of the hip between the outer hip muscles and the greater trochanter on the upper thigh bone.
This condition may develop acutely after direct trauma to the area, such as in a fall or could develop gradually due to overuse, such as in distance running. Factors that may cause this condition are unequal leg lengths, tightness of the iliotibial band and weakness of the hip muscles.
Findings in trochanteric bursitis are pain and tenderness along the outside of the hip or upper lateral thigh. The pain is worsened with walking and running, especially on hills or banked surfaces. There may be increased discomfort after prolonged sitting.
Treatment of trochanteric bursitis entails resting to avoid activities that cause pain. Ice application and anti-inflammatory medication may give relief. Physical therapy to strengthen the hip muscles and stretch the iliotibial band may also help this condition. Sometimes a corticosteroid may be given to relieve inflammation.