Greg Robinson Podiatrist

  • Home
  • What is a Podiatrist?
  • About Greg Robinson
  • About Ibraheem Hoosain
  • Online appointments
  • How to find FixMyFeet Podiatry - Map & Directions
  • Shockwave therapy
  • Laser treatment for toenail fungus
  • Orthotics
  • Biomechanics - Digital video analysis
  • Digital Orthotics - CAD/CAM design
  • Common foot and lower limb conditions treated
    • Achilles problems >
      • Achilles tendonitis / tendinopathy
    • Ankle problems >
      • Ankle sprain (Ankle instability)
    • Arch and Ball problems >
      • Flat feet / fallen arches (over pronation)
      • High arched foot / Pes Cavus
      • Metatarsalgia (pain in the ball of the foot)
      • Plantar Fasciitis (arch pain)
      • Sesamoiditis
    • Children - Common conditions affecting children - Osteochindrosis >
      • Osteochondrosis
      • Freiberg's Disease - Pain in the ball of the foot
      • Kohler's Disease - Pain in the navicular (bone near ankle)
      • Osgood-Schlatter Disease - Tenderness in the knees
      • Sever's Disease - Heel pain
      • Sinding-Larsen-Johansson Syndrome - Pain at the bottom of the kneecap
    • Common foot injuries >
      • Ankle sprain injuries (ankle instability)
      • Fractures
    • Deformities >
      • Bunions
      • Burrowing toe
      • Claw toe
      • Curly toe
      • Digital deformity
      • Flat feet / fallen arches (over pronation)
      • Hammer toes
      • Mallet toe
      • Metatarsalgia (pain in the ball of the foot)
      • Overriding and Underriding toes
      • Retracting toe
      • Tailors Bunion / bunionette
    • Diabetes and your feet
    • Diseases of your feet >
      • Arthritis >
        • Osteoarthritis
        • Rheumatoid arthritis
      • Freiberg's Disease - Pain in the ball of the foot
      • Gout / gouty arthritis
      • Kohler's Disease - Pain in the navicular (bone near ankle)
      • Raynaud's Disease
      • Sever's Disease - Heel pain
    • Forefoot pain >
      • Metatarsalgia (pain in the ball of the foot)
      • Neuroma / Mortons Neuroma
      • Sesamoiditis
    • Fungal problems >
      • Athlete's foot (Tinea pedis)
      • Fungal nails (Onychomycosis)
    • Geriatric foot care >
      • ​Foot care for seniors
    • Hip pain >
      • Trochanteric (hip) bursitis
    • Heel Pains >
      • Cracked heels / Heel fissures
      • Heel callus
      • Heel spur
      • Plantar Fasciitis (heel and arch pain)
    • Heel pain in adults >
      • Heel spur
      • Plantar Fasciitis (arch pain)
    • Heel pain in children >
      • Plantar Fasciitis (arch pain)
      • Sever's Disease - Heel pain
    • Knee pain/ injuries >
      • ITB - Iliotibial band syndrome
      • Patellar tendinopathy (jumper's knee)
      • Patellofemoral pain syndrome (anterior knee pain, runner's knee)
    • Nail problems >
      • Black toenails
      • Ingrown toenails (Onychocryptosis)
      • Fungal nails (Onychomycosis)
      • Paronychia (infection of the skin around the toenail)
    • Osteoarthritis
    • Pronation of the foot
    • Shin splints and shin pain
    • Skin problems >
      • Allergies
      • Athlete's foot (Tinea pedis)
      • Blisters
      • Burning feet
      • Callus (thickened skin) & Corns
      • Corns & Callus (thickened skin)
      • Cracked heels / Heel fissures
      • Paronychia (infection of the skin around the toenail)
      • Sweaty feet and Smelly feet
      • Swelling
      • Ulcers
      • Warts / Verrucae (plantar wart)
    • Stress fracture
    • Toe problems >
      • Bunions
      • Burrowing toe
      • Claw toe
      • Curly toe
      • Digital deformity
      • Hammer toes
      • Ingrown toenails (Onychocryptosis)
      • In-toeing and out-toeing
      • Mallet toe
      • Neuroma / Mortons Neuroma
      • Overriding and Underriding toes
      • Retracting toe
      • Subluxation
      • Tailors Bunion / bunionette
      • Turf toe
    • Vascular / Nerve problems >
      • Alcoholic neuropathy
      • Burning feet
      • Chilblains (cold feet)
      • Neuroma / Mortons Neuroma
      • Raynaud's Disease
      • Spasms
  • Product store - Medipod foot repair cream
  • Product store - FungiSolve
  • Blog Articles
  • Testimonials

​Trochanteric (hip) bursitis or "greater trochanteric pain syndrome”

The greater trochanter is a projection in the upper head of the thighbone, near the hip joint, and is the site of attachment for five muscles. Around these bony protrusions and surrounding soft tissues are fluid-filled sacs called bursae which provide cushioning.
Trochanteric bursitis is a common condition of the hips that leads to pain in the outer hip, thigh, and buttocks. It’s a relatively common condition.
Picture
​​The syndrome encompasses a wide range of causes, including muscle tears, tendinosis (chronic degeneration of tendons without inflammation) and other disorders.

It is typically present in middle aged adults, but its frequency in young adults is on the rise, particularly runners.
​It is four times more frequent in women than in men in the general middle age population.
Picture
Symptoms of trochanteric bursitis include:
  • Pain at the hip joint – Pain may be sharp at first, and then dull as time passes. The pain may be aggravated when sitting or lying down for a prolonged period of time, walking up a flight of stairs, sleeping on the affected side, running and climbing
  • Difficulty walking
  • Joint stiffness
  • Joint swelling
  • Warmth at the affected site
  • A catching and clicking sensation

Common risk factors of trochanteric bursitis:
  • Repetitive stress applied to the hip area, for example from running.
  • Leg length discrepancy
  • Infection and diseases that cause inflammation of the bursae

Diagnosis for trochanteric bursitis:
This is usually clinical, but can be complemented by the use of imaging techniques, especially when making differential diagnosis (that is, considering the possibility that the present symptoms may be due to a different injury).

A thorough history is important and may reveal activities that causes overuse injuries.
The patient usually presents pain in the lateral hip, and tenderness at the greater trochanter when palpated. There is also pain at the extreme of hip rotation, adduction or abduction.

Pain can extend down the outer side of the buttocks and down the outer side of the thighs, but usually not beyond the upper thigh. This feature can be used to differentiate between cases of trochanteric bursitis and other pathologies such as ITB disorders that usually causes pain below the knee.

Imaging techniques such as plain radiographs, ultrasounds, and MRI can greatly assist in making the correct diagnosis.

Treatment
Initial treatment usually involves non-steroidal antiinflammatory drugs (NSAIDs), ice, rest and activity modification.
Patient may also be advised to sleep with a pillow between the knees to minimize bursae compression.
Once the pain decreases, massage can also be introduced to aid in rehabilitation.
Weight loss and physiotherapy to assit in the treatment regimens.

Back, hip, lower limb, foot adjustments can be beneficial to restore full range of motion and biomechanics.
Strengthening muscle imbalances, which may have contributed to the condition is necessary to properly fix biomechanical faults.

Orthotics for the feet and lower limb may be utilized to correct poor foot biomechanics and lower limb discrepancy.

If symptoms are unresponsive, shockwave therapy (ESWT), corticosteroidal injections or local anaesthetics may be given.

If symptoms persist, surgery is considered. Surgical intervention has shown significant success for these patients, and has several options.
Powered by Create your own unique website with customizable templates.