A New Perspective on Lateral Hip Pain

A New Perspective on Lateral Hip Pain Blog

Persevering lateral hip pain is a known complaint by females over fifty, with 23.5% reporting either unilateral or bilateral hip pain. Lateral hip pain occurs in women four times more often than in men. Trochanter bursa is a fluid filled sac circumfering a trochanter joint. When it inflames, it is taken as the underlying source of pain, and treatment usually centers on anti-inflammatory medication. However, recent research does not support Trochanteric Bursitis as the primary cause of lateral hip pain.

Potential Causes of Lateral Hip Pain

The hip is a complex joint, located in the midst of numerous neuromuscular and anatomical structures, including the lumbar spine and sacroiliac joint, any of which can evoke lateral hip pain. Yet the greater trochateric bursa has been historically blamed, and patients are often misdiagnosed with greater trochanteric bursitis when their pain stems from another source.

The following studies suggest alternative causes of this type of hip pain:

  • A study on bursa inflammation versus asymptomatic control subjects. Bursa samples showed no evidence of acute or chronic inflammation of the bursa whatsoever.
  • A fifty patient study conducted in 2014 of patients with greater trochanteric pain found no evidence of inflammation in the greater trochanteric region of any of the patients.
  • A study held in 2013 examined results of ultrasound examination of almost nine hundred patients, which showed no evidence of bursitis. All of the patients had lateral hip pain symptoms.

Why the Source of Lateral Hip Pain Matters

When lateral hip pain is universally assumed to be caused by greater trochanteric bursitis, all cases are then subjected to a similar course of treatment, geared to reducing inflammation. Pain and inflammation are first managed with NSAIDs, followed by cortisone injections, and then on to surgical interventions. Yet physical therapy is rarely considered as treatment for lateral hip pain, even though evidence suggests that bursitis is rarely the primary cause.

Diagnosis is Key to Proper Treatment and Recovery

The sports medicine professionals at NYDNRehab understand human movement science and how mechanical deficiencies can lead to structural pain. They will conduct a comprehensive physical exam, ultrasound imaging and testing for motor deficiencies to get to the bottom of your lateral hip pain. NYDNRehab is committed to not just treating your pain, but to resolving it by getting to the source. Our advanced treatment strategies are cutting edge, geared to getting you back on your feet and physically active again. Call NYDNRehab today, and find out why we are the leading specialists for lateralhip pain in NYC.

Sources:

Long SS, Surrey DE, Nazarian LN. Sonography of Greater Trochanteric Pain Syndrome and the Rarity of Primary Bursitis. American Journal of Roentgenology. 2013; 201(5): 1083-1086. doi:10.2214/AJR.12.10038.

Board TN, Hughes SJ, Freemont AJ. Trochanteric bursitis: the last great misnomer. Hip Int. 2014; 24(6): 610-615. doi:10.5301/hipint.5000154.

Silva F, Adams T, Feinstein J, Arroyo RA. Trochanteric bursitis: refuting the myth of inflammation. J Clin Rheumatol. 2008; 14(2): 82-86. doi:10.1097/RHU.0b013e31816b4471.

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