What is Hip Bursitis or Trochanteric Bursitis?

Bursitis of the hip is inflammation or irritation of the bursa located at the top of the femur on the greater trochanter. A bursa is a fluid-filled sac that cushions the spaces between the bone and the muscles and tendons. Repetitive movements or prolonged pressure on the hip can cause the hip bursa to become inflamed. Bursitis affects many people from those who are physically active to those with sedentary lifestyles. You might also hear the term greater trochanteric pain syndrome which can include hip bursitis but also encompasses other hip bone issues.

What can cause bursitis symptoms?

One of the primary causes is repetitive stress to the hip and knee from activities like running, cycling, or prolonged standing, which irritates the bursa over time and causes bursitis. Trauma, such as a fall or direct impact on the affected hip, can also cause trochanteric bursitis. Additionally, underlying conditions of arthritis—particularly osteoarthritis or rheumatoid arthritis—can contribute to bursitis by increasing joint stress and pain on the outside of your hip. Previous hip injuries can also contribute to some inflammation of the bursa in your hip.

Improper biomechanics play a crucial role in hip bursitis. Muscle imbalances, poor posture, or gait abnormalities can lead to excessive strain on the hip joint, causing irritation of the bursae. Weak hip or core muscles may force other muscles to compensate, leading to further stress and misalignment.

Lifestyle factors also lead to bursitis. Prolonged inactivity, such as sitting for long periods, can weaken muscles and stiffen the hip joint, making it more prone to injury. Conversely, sudden increases in activity without proper conditioning may overload the hip structures. Addressing these risk factors through stretching, strengthening exercises, and proper movement patterns can help prevent and manage hip bursitis effectively.

Symptoms of Trochanteric Bursitis:

Bursitis usually is characterized by pain and tenderness on the outer part of the hip, often worsening with movement or prolonged pressure. The pain typically starts as a sharp sensation and may later become a dull, aching discomfort that spreads to the outer thigh or buttock. Tenderness is noticeable when pressing on the hip, and lying on the affected side can exacerbate discomfort, making sleep difficult. Activities such as walking, climbing stairs, standing up from a seated position, or sitting for long periods can intensify the pain.

In some cases, swelling or a burning sensation may be present in the hip area. Stiffness and reduced range of motion can also occur, making everyday tasks more challenging. If symptoms persist despite rest, worsen over time, or significantly limit mobility, medical intervention may be necessary. Signs such as severe pain, redness, warmth around the hip, or fever could indicate an infection or another underlying condition requiring prompt medical attention. Consulting a healthcare provider can help determine the best course of treatment, which may include physical therapy, medications, or, in severe cases, corticosteroid injections or surgery.

Effective Treatment Options for inflammation of the greater trochanter hip bursa:

Treatment for hip bursitis typically begins with conservative approaches to relieve pain and irritation. Rest and ice therapy can help alleviate symptoms by minimizing stress on the affected area. It is important to avoid activities that cause pain in the outer hip. Over-the-counter anti-inflammatory medications, such as naproxen, may also reduce pain and swelling. Pain may persist, if so your doctor may recommend corticosteroid injections to target the bursitis directly.

Physical therapy plays a crucial role in long-term recovery. REP Physio offers personalized rehabilitation programs designed to strengthen the hip, leg, and back muscles, improve flexibility, and restore mobility. Their targeted exercises help correct muscle imbalances and improper movement patterns, reducing strain on the hip joint.

Additionally, joint protection strategies and ergonomic adjustments are essential for preventing further irritation. This includes maintaining proper posture, avoiding prolonged standing or sitting, and using supportive footwear. Modifying activities to reduce repetitive stress on the hip can also aid in long-term prevention.

By combining rest, medication, and structured rehabilitation, individuals can effectively manage hip bursitis and regain full function. Working with professionals like REP Physio ensures a tailored recovery approach, addressing symptoms and underlying causes.

Exercises for Hip Bursitis Treatment:

Managing hip bursitis requires gentle exercises to reduce inflammation, improve mobility, and prevent future flare-ups. Here are a few simple movements to strengthen the hip muscles and ease discomfort. These movements should be performed without pain, if there is pain decrease the intensity to a more manageable level.

• Hip Bridges – Lie on your back with your knees bent and feet flat. Lift your hips toward the ceiling, engaging your glutes and core. Hold for a few seconds, then lower slowly. Repeat 10–15 times.
• Standing Hip Abductions – Stand tall and lift one leg sideways without tilting your torso. Lower slowly and repeat 10 times per leg to strengthen the outer thigh.
• Seated Figure-Four Stretch – Sit with one ankle resting on the opposite knee. Lean forward gently to stretch the hip muscles. Hold for 20–30 seconds per side.
• Gentle Hip Circles – Stand and make small circles with one leg to improve range of motion. Switch directions after 10 reps.

These exercises can help alleviate pain and promote long-term hip health. For personalized guidance or a more detailed program, consult REP Physio to ensure exercises are tailored to your specific needs.

When to See a Physiotherapist for bursitis of the hip:

If hip pain persists despite at-home treatment, it may be time to see a physiotherapist. Chronic pain, limited range of motion, or difficulty with everyday activities—such as walking, climbing stairs, or standing for long periods—can indicate the need for professional care.

At REP Physio, experienced physiotherapists create tailored treatment plans to address your specific needs. Through manual therapy, targeted exercises, and joint protection techniques, they help reduce pain, restore mobility, and prevent further injury. Seeking physiotherapy early can speed up recovery and improve long-term hip function.

Don’t let persistent hip pain hold you back—contact REP Physio today for expert guidance and effective treatment.

Conclusion:

Hip bursitis is inflammation of the bursa—fluid-filled sacs that cushion the hip joint. Symptoms include pain on the outer hip, tenderness, and discomfort during movement. Common causes include highly repetitive movements and a sudden increase in physical activity. Early recognition and proactive management are key to preventing worsening pain and mobility issues.

Treatment involves a combination of rest and treatment, gentle exercises, and lifestyle adjustments to reduce strain on the hip. At-home exercises can improve strength and flexibility, while physiotherapy offers targeted rehabilitation to address the root cause.

For long-term recovery and hip health, professional support is invaluable. The experts at REP Physio provide personalized treatment plans, manual therapy, and movement strategies to help you regain comfort and function. Take control of your hip pain—schedule an appointment with REP Physio today!