Diagnosing Trochanteric Bursitis
Diagnosing trochanteric bursitis can be difficult as many conditions (iliotibial band syndrome (ITBS), hip muscle strain, ligament sprains, etc.) have bursitis-like symptoms. Your doctor will need to perform a thorough assessment and possibly run tests to determine if your pain is caused by bursitis or by muscle or joint injury, local bleeding, synovitis, arthritis, tendonitis, cellulitis or a number of other conditions.
To begin with, your doctor will gather a medical history about you and your current condition and symptoms. You will discuss the intensity of your present pain, the duration of your symptoms, which movements are causing your pain, and the limitations you are experiencing. He/she will inquire about any recent activity or injury, when your pain started, and whether or not you have ever had treatments for this or a similar condition in the past.
A physical examination will be performed and your doctor will visually assess and palpate (feel) the bones and soft tissue around your sore hip and the opposite joint to evaluate symmetry and recognize differences. This will identify any abnormalities, such as mild or severe inflammation, bone deformities, atrophied muscles, redness and/or warmth on the skin.
You will generally be asked to complete a series of movements to measure your active (performed by you) and passive (performed by your examiner) range of motion. These will test any possible weaknesses, joint stability and location of tenderness.
In order to rule out other conditions your doctor may recommend blood tests, an x-ray or MRI to investigate your bone structure and/or to examine the soft tissues and fluid in your hip.
Diagnostic Exams and Tests
Your doctor may aspirate (use a needle) to remove fluid from the bursa to check for possible staphylococcus epidermis (or staphylococcus aureus) bacterial infection. The knee and elbow tend to be the joints that are prone to septic (infectious) bursitis. If infection is detected you will be prescribed an antibiotic to treat it.
X-rays will provide a two-dimensional image of the overall structure of your pelvis. Although bursitis cannot be diagnosed from an X-ray, they are helpful in identifying other possible causes of pain and/or ruling out other conditions.
Some other possible causes of pain that an x-ray can identify include instability, abnormal bone shapes (bone spurs or bone cysts), wear and tear on the joints, avulsion fractures (when a fragment of bone tears away from the main bone along with the muscle, tendon, or ligament as a result of trauma), dislocations, arthritis, calcium deposits in the bursa or joint, and/or other problems.
MRI and CT Scans
You doctor may also order an MRI (magnetic resonance imaging) or a CT (computed tomography) scan for more detailed information to help evaluate the soft tissues (bursa, muscles, tendons, ligaments, fascia, and other connective tissues) in and around your hip joint. They will show fluid next to the muscle, and may identify bursitis, tendinitis, inflammation, tears and other associated conditions.
Ultrasonography can confirm diagnosis and demonstrate tissue disruption or thickened tendons. It is good for identifying bursitis and excessive fluid in bursa, and/or eliminating other causes of pain.
Trochanteric Bursitis Treatments
Relieving the symptoms of trochanteric bursitis initially focuses on keeping the pressure off your trochanteric bursa and resting your hip. This can be difficult when you have to carry on with daily activities, but resting your hip whenever you can is recommended. During your recovery you will probably have to modify or avoid the activities that stress your bursa until your pain and inflammation settle.
Treatments should involve decreasing swelling, relieving stress on the hip joint, correcting any bio-mechanical dysfunction (uneven leg length, bone spur, etc.), treating scar tissue, and then restoring strength and movement in your leg and hip. Surgery may be required if your bursa irritation is a result of a bone formation problem, such as a bone spur.
If your bursitis is caused by an infection (septic bursitis), the doctor will drain the bursa sac with a needle and prescribe antibiotics to treat the infection. For non-infectious bursitis, the preliminary treatment starts with non-operative options such as Freezie Wrap® Cold Compression Therapy and Inferno Wrap® Blood Flow Stimulation Therapy™. Blood Flow Stimulation Therapy™ (BFST®) is recommended once inflammation has been calmed to heal your hip muscles and other surrounding tissue faster and reduce the risk of bursitis returning.
Freezie Wrap® Cold Therapy
To decrease inflammation and relieve the pain of trochanteric bursitis doctor's recommend cold therapy.
Applying cold to your inflamed trochanteric bursa when you are experiencing hip pain, decreases the swelling and redness around it. Cold therapy will also help to numb the pain in your bursa and surrounding tissue and help to control the inflammation. In addition, the deep cooling effect provided by the Back/Hip Freezie Wrap® reduces tissue damage.
The Back/Hip Freezie Wrap® uses a supercharged cooling gel pack, that chills in the fridge, not in the freezer like ice or other freezer packs, giving you deep cold therapy without the risk of 'cold burns' or cryoburn.
The Back/Hip Freezie Wrap® can be used to apply cold in a safe, convenient and effective way - and the gel pack is reusable. The gel pack sits gently over the inflamed bursa to reduce swelling and redness. Use it as needed throughout the day for ongoing treatment of your bursa.
The wrap is soft and adjustable so it fits your body properly, without irritating the trochanteric bursa, and allows you to adjust the compression. This is important when treating an inflamed bursa because too much pressure can cause you further pain. You control how much pressure the bursa receives so you can benefit from the compression to hold the cold where you need it, without increasing your pain.
Click here to learn more about Cold Compression Freezie Wraps®
Applying cold to your tender bursa and hip pain is the first step in treating your bursitis. Next, you can begin using the Inferno Wrap® to accelerate the healing process and to reduce your hip pain.
Inferno Wrap® Blood Flow Stimulation Therapy™
Once the inflammation of your bursitis has been reduced with the Freezie Wrap® cold compression therapy treatment it is time to start BFST® treatments with the Inferno Wrap®. Regular treatments with the Inferno Wrap® will improve blood flow and improve the elasticity of your surrounding soft tissue. Your body needs a fresh supply of blood to improve the health of your tissue and get your trochanteric bursa back to normal.
Unfortunately, when you are suffering from bursitis it can be painful to even walk or lift your leg. When you limit movement in your hip the blood flow is reduced, starving your tissue of the necessary oxygen and nutrients.
The trick is to find a way to increase blood flow without causing pain and/or further inflaming the bursa. This is where Blood Flow Stimulation Therapy™, or BFST®, becomes a powerful tool.
BFST® compliments your body's natural healing process by promoting blood flow while you give your hip the rest it needs.
The Hip Inferno Wrap® uses a patented process to generate the same energy that is part of the sun's spectrum of light, the same energy that is necessary to all living things for optimum health. The energy emitted from the Energy Web® stimulates blood flow to your hip, more than your body would ever be able to generate on it's own, giving your body the boost it needs to continue the reconditioning process. The healing energy reaches deep into your trochanteric bursa and IT band to speed tissue repair, whisk away the toxins and dead cells, and rejuvenate your hip tissues for improved elasticity.
Click here to learn more about the Inferno Wrap®
With these easy to use home therapy wraps - the Inferno Wrap® and the Freezie Wrap® , you will notice significantly reduced pain and an incredible improvement in your hip pain and range of motion.
NSAIDs, non-steroidal anti-inflammatory drugs, can be used if required to help manage your pain. However, these aren't recommended for long term use, as they can cause gastrointestinal difficulties and increase the risk of cardiovascular disease. Many of our customers find they no longer require NSAIDS once they begin using Elbow Freezie Wrap® cold compression therapy and Elbow Inferno Wraps® to treat their pain and heal their bursa.
Please be aware that this information is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider before using any of our outstanding products to make sure they're right for you and your condition or if you have any questions regarding a medical condition. It is recommended that you see your doctor for a proper diagnosis as there are many injuries and conditions that could be the cause of your pain.