Hip Bursitis (Trochanteric Bursitis)

Hip Bursitis (Trochanteric Bursitis): Treatment in Palm Beach

Trochanteric bursitis refers to inflammation of the bursa overlying the greater trochanter of the hip. While bursal inflammation can certainly contribute to lateral hip pain, it is now understood that gluteal tendinopathy is the primary pain driver in most cases of greater trochanteric pain syndrome.

At Palm Beach Regenerative, Dr. Ghattas uses diagnostic ultrasound to accurately identify whether the bursa, the gluteal tendons, or both are the primary contributors to your hip pain before determining the most targeted treatment approach. Schedule a visit to Palm Beach Regenerative today by filling out our online form.

What Is Hip Bursitis (Trochanteric Bursitis)?

The trochanteric bursa is a fluid-filled sac that cushions the greater trochanter from the iliotibial band and gluteal tendons. When inflamed, it causes lateral hip pain that can be difficult to distinguish clinically from gluteal tendinopathy. Accurate differentiation guides effective treatment.

Signs and Symptoms

• Pain on the outer hip, often described as a burning or aching sensation
• Pain worsening with lying on the affected side at night
• Discomfort with prolonged walking or stair climbing
• Tenderness with direct pressure over the greater trochanter
• Snapping sensation with hip movement in some cases (iliotibial band snapping)

Common Causes and Risk Factors

• Repetitive friction from the iliotibial band over the greater trochanter
• Hip abductor muscle weakness creating abnormal hip mechanics
• Prior hip surgery or direct trauma
• Leg length discrepancy
• Running with excessive hip adduction

How It Is Diagnosed

Diagnostic ultrasound differentiates bursal inflammation from gluteal tendon degeneration and tearing, and guides precise injection placement. MRI provides the most comprehensive assessment when both conditions are suspected.

Conventional Treatment Options

• Physical therapy for hip abductor strengthening and IT band stretching
• Activity modification
• Trochanteric bursa steroid injection
• Shock wave therapy

The Palm Beach Regenerative Approach

Using real-time ultrasound guidance, Dr. Ghattas delivers targeted orthobiologic injection to the precise location of pathology, whether that is the bursa, the gluteal tendon insertion, or both. This precision is what distinguishes the Palm Beach Regenerative approach from blind or landmark-based injection.

Addressing the correct anatomical target is the most important factor in achieving meaningful relief from lateral hip pain.

The BioMod Advantage: MLS Robotic Laser Therapy to the lateral hip region reduces bursal and tendon inflammation simultaneously. Xymogen anti-inflammatory protocols provide systemic support, reducing the inflammatory burden that drives bursitis recurrence.

Like all medical procedures, orthobiologic treatments have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.