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Trochanteric
bursitis is an inflammation of the bursa surrounding the trochanteric bursa of the femur. A bursa is a fluid-filled sac that surrounds joints. The trochanter is the outer part of the upper thighbone (femur). Trochanteric bursitis usually affects older people. It can cause pain and discomfort when doing various activities involving movement, such as walking. Treatment is usually with rest, medicines, and warm or cold compresses.
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- The most common complaint is pain. The pain can begin slowly or suddenly.
- The pain can be on the outer part of the buttock, in the hip area, or in the lower back. Sometimes, the pain goes down into the knee or groin area.
- The pain gets worse with movements such as rising from a seated position, or climbing up and down stairs.
- Sleeping on the painful side can make the symptoms worse.
- Pushing on the outer part of the upper thigh may cause pain.
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- The cause of the disease is not known.
- Sometimes it may be related to arthritis in the joint.
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- The symptoms and the doctor's exam usually suggest the diagnosis.
- X-Rays may show some Calcium build-up in the femur, but usually they are not needed to make the diagnosis.
- Sometimes an MRI scan of the area may be done to confirm the diagnosis, but it is not usually needed.
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- Treatment begins with rest and warm or cold compresses.
- Anti-inflammatory medicines such as Ibuprofen, aspirin, or Naproxen can be used to reduce inflammation.
- The pain usually improves within a few days. It is best to continue the anti-inflammatory medicines for 4-5 more days to assure healing.
- It the symptoms do not improve in 5-7 days, the joint may have to be injected with lidocaine (a numbing medicine) and a steroid.
- Also, sleeping with a small pillow under the affected hip will help reduce the pain.
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- Septic joint
- Lumber strain
- Arthritis of the hip
- Ischial bursitis
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