The “point” of the hip, also known as the greater trochanter, is an area that can be subject to significant amounts of stress due to direct pressure, during activities like sleeping on the side, or injuries, like a fall on the hip. The tight, canvas-like iliotibial (IT) band passes over this area and imparts significant pressure on the greater trochanter. The boney prominence is covered by a layer of gel-like tissue, called a “bursa”, which provides padding and protection. The bursa can become inflamed and irritated in the setting of direct injury or repetitive activities, like running, which increase the IT band friction over the trochanter. Trochanteric bursitis, as this condition in known can cause significant pain and debility.

Patients usually complain of pain over the point of the hip. This can be worse with lying on the affected side, and with activities like stair climbing, and is commonly associated with abrupt weather changes.
The diagnosis is typically made by a combination of the patient’s history, the findings on physical examination and x-ray evaluation. An MRI scan of the area helps exclude other conditions.
The treatment approach depends on the symptoms experienced, the age and activity level of the patient, response to conservative measures and imaging findings, among other factors. Conservative options include rest, activity modification, anti-inflammatory medication and steroid injections which have a diagnostic and therapeutic value. For patients with persistent pain and/or functional limitations, surgery is indicated. Options include minimally invasive arthroscopic treatment or open surgical debridement of the trochanteric bursa, and associated decompression of the IT band as needed. Associated procedures may be indicated to ensure surgical success.

At Oceana Sports Medicine and Orthopaedic Center, Dr. Aboka will thoroughly evaluate your hip condition and discuss your options. If surgery is indicated, Dr. Aboka specializes in minimally invasive, Hip Arthroscopy for the treatment of Trochanteric Bursitis.

This procedure is outpatient/same-day surgery, and leads to improvement or resolution of pain, and minimal scarring and quicker recovery.