Trochanteric Bursitis and Gluteal Tendinopathy – Assessment and Treatment Options

What is Trochanteric Bursitis?

Pain on the outside (lateral aspect) of the hip is commonly referred to as trochanteric bursitis. Trochanter refers to the greater trochanter which is located on the femur bone, this is where the bursa is located. The ‘-itis’ denotes inflammation of the bursa however, this is somewhat of a misnamed condition. The increased prevalence of radiological imaging has shown that bursal swelling is an inconsistent feature of lateral hip pain (Connell et al 2013; Bird et al 2001) and commonly the bursa doesn’t even show signs of inflammation (Silva et al 2008).

Trochanteric Bursitis Symptoms

Typical symptoms include lateral (outer) hip pain that can spread down the lateral thigh. Occasionally the pain can spread below the level of the knee. Typical symptom triggers include:

  • Night time pain especially with lying on the affected side
  • Climbing stairs
  • Prolonged walking
  • Pain for several steps after sitting for a period of time

What is a Bursa?

A bursa is like a ‘slippery sponge’ found in the body where soft tissues move over harder surfaces (usually bone). The slippery bursa reduces friction between the soft tissues, tendons and bone which helps protect tissues from damage. Bursae are found throughout the body and are normal. Bursitis is associated with other joints too such as the shoulder (subacromial bursitis / impingement). Bursitis is also found in the knee (prepatellar bursitis).

Lateral hip bursas
3 Main Lateral Hip Bursae

What is Bursitis?

When someone suspects or sees a bursa showing signs of swelling on a scan, commonly this is seen as a definitive diagnosis of ‘bursitis’. The next recommendation is invariably a cortisone (steroid) injection aimed at settling the inflammation (which as explained earlier, we now know is often not even present). In this model it is assumed that the bursa is solely responsible for the pain and problem. In reality, bursae are very tough structures that take a decent amount of pressure to become irritated and only become pathological/pain producing after a lot of unnecessary friction has come it’s way. There is now a lot of research out there supporting the idea that bursal distention is almost always a secondary finding associated with gluteal tendinopathy (Grimaldi et al 2015; Kong et al 2007; Woodley et al 2008 and many others).

What Is Gluteal Tendinopathy?

Gluteal musclesCompression is a big player in the development of tendinopathies (Cook and Purdam 2009, 2012) along with other factors such as volume overload (read more in our upcoming piece on tendons). While tendons are designed to resist large tensile forces, they are not great at tolerating compression.

The gluteal muscles, in particular the gluteus medius and gluteus minimus, while they may sound like Roman generals, they are the muscles on the side of the buttock and thigh that control the body’s position when standing, walking or running and are usually the forgotten muscle to strengthen in a sportsperson who is frequently running, jumping or changing direction.

Gluteal tendinopathy is a description of degeneration of these tendons (tendons connect muscles to bones) which results after persistent overload and compression. Tendinopathy is common but is often not painful until the tendon reaches a critical point where the tendon can no longer tolerate the force it is being subjected to.

What is the Role of Gluteus Medius and Minimus When Walking?

If the gluteus medius and minimus muscles are not conditioned, when we weight-bear on one leg, the hips and pelvis will shift and sway to the side – in much the same way as a catwalk model does when sashaying down the runway.

This results in an “adducted” position for your leg. If the muscles cannot hold the body stable over the top of the leg, on doing a single leg squat we see a significant lateral movement of the pelvis which is termed a Trendelenburg Sign. Each time the hips move excessively to the side during the gait cycle (walking), there is increased compression on the outside of the thigh. This can eventually lead to bursitis and tendon compression beneath the ITB (iliotibial band) and against the trochanter. Any increase in ITB tension further increases compression. Tightness and overactivity of other muscles on the outside of your thigh can influence tension of the ITB. These muscles include the TFL (tensor fascia lata), gluteus maximus and outer quadriceps and can increase subsequent compression.

This is particularly the case for those working in seated occupations over many years as there is a rapid increase in compressive loading when moving from a seated position (hip is slightly abducted) to a standing position (hip is adducted for functional loading) (Birnbaum et al 2004).

What is Greater Trochanteric Pain Syndrome?

Unfortunately, the longer these abnormal / compensatory movements are going on for due to the underlying gluteal tendinopathy, the more other structures can become overloaded and painful. Gluteal tendinopathy and trochanteric bursitis often co-exist with pain from other structures around the pelvis that are also being overloaded. These areas include the sacroiliac joint, hamstring tendons and the hip joint itself. Given the typical complexity of this type of presentation, these conditions are referred to under the umbrella term “Greater Trochanteric Pain Syndrome” (GTPS).

What Scans are Needed for GTPS Diagnosis?

In short, most cases do not require any scans as the diagnosis is clinical. That is, the doctor or physiotherapist should be able to make the diagnosis based on the story of your pain and their examination. In cases that are not classic, imaging may be required. The commonest imaging modalities used include;

  • X-rays – to look for other causes of hip pain such as osteoarthritis
  • Ultrasound – to directly look at the bursa and the tendons. Unfortunately the bursa and the tendons can be located quite deep under the skin and the quality of the image may be relatively poor. This is a particular problem if the patient is overweight
  • Magnetic resonance imaging (MRI) – also directly looks at the bursa and the tendons and is less affected by patient size
  • MRI Trochanteric Bursitis
    MRI Trochanteric Bursitis

Although a picture of an unhappy tendon and bursa may seem useful for diagnosis, many studies have shown that patients will have similar ‘abnormal’ findings in the other hip that has no pain! This makes interpretation of these ‘abnormal’ findings tricky. Hence, diagnosis is usually clinical and imaging is reserved for those with atypical cases.

How to Treat Trochanteric Bursitis / Greater Trochanteric Pain Syndrome

GTPS is a stubborn problem with no quick fix, especially as most of us put up with symptoms longer than we probably should! GTPS can be effectively managed though but this often requires a longer timeframe than many musculoskeletal injuries. The most important part of management is a good assessment to determine which structures are involved and how they became injured. Then its necessary to establish a specific treatment plan to address these issues. Each individual is unique in their presentation so they will need a program designed for their particular set of symptoms and circumstances.

Understanding the ‘why’ is very important. Usually there is a need to reduce load on the affected tissues by adjusting exercise or postural loads. For example, any activity that can be completed without causing pain (immediate or delayed) is fine to continue. These activities range from working out at the gym to doing the grocery shopping. However, if symptoms are increased the next morning then this indicates that the load/activity needs to be adjusted to a more manageable level. Likewise, certain postures such a prolonged sitting, particularly in a low chair or couch, or propping on one hip while standing or holding a young child, place additional stress on the outer hip and can cause symptoms to persist. Even sitting or lying in bed with legs crossed over the midline will contribute to compressive loads and exacerbate symptoms.

Trochanteric bursitis / GTPS Exercises and Physiotherapy

Physiotherapy treatment should be focussed upon reducing compression of the gluteal tendons and improving the capacity of the degenerated tendons.

To reduce compression and offload tight lateral hip structures, soft tissue techniques can be used. Techniques such as self trigger releases or dry needling may be effective in the short term but should never be the sole treatment. The best outcomes are achieved through addressing poor postural and movement habits and correction of muscle activation patterns. Treatments that have limited supportive science in the treatment of trochanteric bursitis include ultrasound, ice therapy, TENS and stretching of the ITB. Although stretching of the ITB sounds helpful in theory, anatomy lab studies have shown that the ITB cannot be stretched. To increase the length of the ITB it must be cut surgically. Furthermore, manoeuvres aimed at ‘stretching’ the ITB can result in more compression and worse symptoms.

For best results, a good quality exercise program is required. This should be graduated focussing on controlled loading of the gluteal muscles as well as activation of other stabilising muscles around the pelvis depending on the patient’s unique presentation. Ideally these exercises should be performed in functional or upright positions. Often these are only performed in a side-lying position which is not a natural or functional position. Clams or side leg lifts can be useful in the early stages but do not provide the necessary load required to develop strength for standing tasks. For best outcomes, rehab should be supervised by adequately trained physiotherapists. All of the physiotherapists at Newcastle Sports Medicine are experts in treatment of GTPS.

Trochanteric Bursitis Injections

There are 2 main types of injection performed for trochanteric bursitis; cortisone and platelet-rich plasma (PRP). Both have a role and depends on the individual circumstance. In general, injections are reserved for those who are not responding to physiotherapy.

Trochanteric Bursitis Steroid / Cortisone Injections


Cortisone (Steroid) injections reliably reduce pain associated with tendons and bursae in the short-term. Their long-term effect has been a source of debate for many years. An important study on tennis elbow demonstrated that patients had more pain 1 year after a cortisone injection than if they had had no treatment (Bisset et al 2006). Given primum non nocere (the doctors’ motto of ‘first cause no harm’), well-founded concerns were raised regarding the use of cortisone injections. The findings in the tennis elbow study were then assumed to apply to multiple tendons. The theory is that cortisone is catabolic  and slows inflammation but also slows healing processes down. Therefore cortisone may help pain in the short-term but is unhelpful for long-term recovery. Although this makes logical sense, subsequent studies have not backed up this theory.

Several studies have shown benefit for peritendinous (around the tendon but not into the tendon) cortisone injections for other tendons. Furthermore, a recent GTPS study confirmed that a single cortisone injection helps pain more than no treatment in both the short- and long-term (Mellor et al 2018). In the same study though, exercise and education helped patients more than a cortisone injection. What wasn’t assessed was the combination of cortisone as well as education and exercise. In clinical practice, this combination would be the recommended course of action if pain is not settling quickly with physiotherapy. However, multiple cortisone injections are likely harmful to the long-term health of the tendons and may predispose to significant tears. In general, cortisone should be used judiciously and patients usually should not have more than a couple of cortisone injections for the same condition.

Trochanteric Bursitis PRP Injections

PRPPlatelet-rich plasma (PRP) injections have been popular for nearly 20 years now and also split medical opinion. The premise behind PRP injections (a concentrate of platelets from your own blood) is that tendons degenerate in regions of poor blood flow. By delivering a super-charged shot of your own blood to the degenerate tendon, healing may be stimulated (anabolic not catabolic). At the same time, the platelets release transmitters that can improve pain in the region as well.

Once more the logic is reasonable but robust science does not exist to support or refute the efficacy of PRP injections. Certainly 2 studies have demonstrated benefit (Fitzpatrick et al 2018, Lee et al 2016) with the use of PRP. The clinical improvements also seem larger than with the use of cortisone. The experimental nature and cost of PRP injections means they tend to only be offered when a patient is not improving despite good quality physiotherapy and a cortisone injection.

Trochanteric Bursitis Surgery

Surgery is rarely required but options are available for patients that have persistent symptoms despite high quality non-operative care. The options include;

  • Bursectomy (removal of the bursa) +/- ITB release
  • Repair of tendon tears
  • Artificial tendon surgery (LARS ligament)

Unfortunately, most research on surgical outcomes is of low quality. Studies do claim benefit but there are significant limitations in the research. In our experience, most surgeons are wary of performing surgery for trochanteric bursitis as the success rates can be variable.

Trochanteric Bursitis / GTPS Summary

GTPS is a common condition that responds in most cases to an exercise program that is specific to the individual. The program should address the gluteal tendons as well as any associated pelvic issues such as sacroiliac joint dysfunction. Injections are not needed in all cases but frequently patients will need injection therapy as an adjunct to their rehabilitation program if their pain is not improving quickly. The commonest injection options are cortisone and PRP. In a handful of cases, pain may not improve and surgery may be attempted although success rates can be variable.

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Written by Tim Schneider and Dr Ross Cairns


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  1. John says:

    Great article – i have been diagnosed with gt by 2 different physios- ( circa 2 months)
    In both hips !!
    They both gave same advice exercise – clamshells ,bridges, squats , leg slides , etc.
    I have built up glutes and is giving only slight releif.
    I am on holiday in thailand and have so far had 2 x 90 min sports massages.
    The first one seemed to find a lot of pain (excruciating lol,) in left glute but none in the right .
    The pain in right hip seemed to subside the next day .
    The day after the pocket rocket thai masseur said she would concentrate on left hip/side
    This is a comprehensive deep massage so not for the faint hearted ( which i am. Lol)!
    From feet along legs seems to be following tendons muscles nerves – up through hamstrings across bursa and into the glutes – thats was where the mind blowing pain was on the first day –
    Whilst still painful only 50% of the first session.
    So here i am in between session 2&3. No pain in right hip and 75% relief in the left hip.
    I will update following final session tomorrow- fingers crossedx

    • John says:

      Ok so update following final massage, The pocket rocket set abouther work legs glutes hamstrings etc – Then moved to back for the first time – excruciating pain in 3 places probably sciatic nerve .? Really not comfortable with that amount of pain so finished sesion early.
      Back home now been doing squats bridges etc etc. – Pain seems to have moved from glutes to bony front side which i presume is the bursa. Things are still improving no more waddle however i do still have a limp on the left/front side .
      Any ideas to finish the job please

  2. Amy Pulliam says:

    Thanks so much for this article. Have you come across any instances of development post total hip replacement surgery? I’m 5 months post op and in constant pain. MRI showed 8 cm fluid at the trochanter. I can’t lift or cross my leg at all. Definitely limp and is painful on the entire side of my leg as well as groin pain. I’ve had a ton of testing and no answers. I understand you can’t probably comment on my case specifically but wondered if you had seen this develop after surgery? Thanks so much.

    • admin says:

      Hi Amy. Sorry to hear that you’re experiencing some difficulty. I certainly have seen this develop post-op. It is quite common to develop iliopsoas realted issues too post-op and that should be considered for you. Imaging results are often normal but it does not mean there are no problems. I recommend seeing a Sports Medicine Physician wherever you are.

  3. Ruth says:

    Good article that describes my condition of Trochanteric Bursitis and Gluteal Tendinopathy. I had bursectomy and tendon repair 5 yrs ago only to find the pain returned after 4 years. I then learnt that the bursae grows back! So I had another bursectomy and lengthening of the tendon 5 weeks ago. Seems to be improving and am hoping I get longer than 4 years relief. I believe it was caused by my love of long distance walking and especially up hills that contributed to the condition. I am really looking forward to returning to walking for exercise and sanity.

  4. John Cunningham says:

    Thank you so much for this very helpful article. I have been suffering from this pain for way too long. it started on the right Gluteus Maximus and was diagnosed as Ischial Bursitis, only hurting when I sat on hard surfaces.I have been diagnosed with sacroiliac spondylosis and have two cages in the lower spine, double knee replacements, and the right hip. Any and all of which cause me to walk funny. The Suffering from trochanteric bursitis on the left hip began a little over two months ago.

  5. Janet says:

    Diagnosed today after suddenly being unable to walk. Very helpful explanations thank you.
    Great ideas about how I can minimise future risk.
    I wish I had read this a year ago. I might have avoided a whole lot of pain and inconvenience.
    Starting tomorrow, do not cross legs at desk. To be fair, my mother did warn me about this 60 years ago.
    Get up from desk more often.
    Do not wear worn out shoes when carrying backpack.
    Review orthotics. Etc.

    This needs a bit more publicity, if you ask me!
    Thanks again. Best wishes.

  6. Lisa Coulton says:

    Excellent informative article, have been suffering GTPS for several years and am in severe pain & finding decent sleep impossible. Wish you were in Melbourne but will do more research & try again with a new professional & hopefully get some relief. Thanks for the great advice

    • admin says:

      Hi Lisa,
      Thanks for the positive feedback. There are some excellent Sports Medicine Physicians in Melbourne that can help you. A/Prof Jane Fitzpatrick has a special interest in GTPS and should be able to assist you. Best of luck.

  7. Asuncion Silva says:

    very informative article as I am having doubts as to what treatment is the best for my trochanteric bursitis
    pain, I am having physiotherapy treatment and acupuncture with occasional relief. A specialist suggested
    ablation procedure but my GP is inclined for me to have cortisone injections. I am 81 and along the years have a lot of cortisone injections and i know they don’t last long. I think that I don’t have much choice.
    feeling anxious and stress.

    • admin says:

      Thanks for the positive feedback Michael. If you go to the blog home page or any of the posts within the blog, you will find a box to sign up for any future posts to be sent directly to you.

  8. Helen Pearce says:

    Really interesting article …I am a runner (58 year old female, type 1 diabetic) who has previously had problems with Achilles’ tendon problems, but resolved after a 6 month loading programme.
    I have recently returned from a back packing holiday where I was carrying 15kg in a rucksack daily for 20 days, with a tight hip belt so the weight was on the hips not in the shoulders. Upon returning from this trip I have been unable to run due to hip pain. I assumed this was a trochanteric bursitis as the symptoms matched those associated with this condition. However after reading this article, I wonder if the problem is more of a tendonopathy, due to the compression of the rucksack belt.

    • admin says:

      Hi Helen,
      Sorry to hear you’ve developed new pain in the hip region. Carrying heavy weight, up and downhill on uneven terrain could all contribute to gluteal tendinopathy. There is often trochanteric bursitis as well but treating any tendinopathy will be crucial to recovery if it is the cause of your discomfort. Best of luck.

  9. Jennifer Lonton says:

    A very informative and timely article. Have had one course of oral prednisone which helped immediately but the pain has returned. Was about to ask the GP for a cortisone injection but will see the physio first for an exercise program. Quite possibly my posture and arthritis are to blame. Many thanks

  10. emma says:

    Thank you – very informative article. I have been diagnosed with Gluteal tendinosis.  Trochanteric bursitis – mild.  Tensor fascia lata tendinosis. Upon reading this article, I am going to go back to the physio and try exercises with them before +/- cortisone injection.

  11. Jane says:

    What about stem cell injections that have been approved by medicare?

    After reading this and trying all of these treatments, the outcome looks dire and not much can be done. They can do hip replacements, knees etc, but nothing for this condition. Very sad


  12. Rebecca says:

    Finally an article that links all my issues together and gives excellent advice. Thankyou
    I am 58yo and have got a history of spondylosis, but also TB bursitis and degenerational issues in hips. I dont have access to a regular physio presently, I am seing a visiting surgeon in November so….can you give a link to an online site that particularly gives info of what excercises to avoid for chronic TB and what are generic ‘safe’ ones we can be getting on with. I find everytime I go to various physios they give different advice and it often exacerbates the problem.

    • admin says:

      Hi Rebecca. Unfortunately the condition is too complex especially when combined with other issues to provide generic advice. I understand that some exercises can exacerbate your problem. You will need to see an experienced physio to help you rehabilitate. I highly recommend the physios at Newcastle Sports Medicine but I am not sure where you are located. They can provide services via Telehealth now as well. Best of luck

  13. Paul Green says:

    Hi, a great article. After a full hip replacement I have been left with gluteal tendinopathy.
    The hip replacement is sound however my recovery has been slow and this led to a review and the GT diagnosis
    Is this a common or known problem following hip replacement?

    • admin says:

      Hi Paul. I don’t know the actual incidence but I see hip and gluteal tendon issues occur together frequently. I believe this is from pain related muscel wasting of the gluteus maximus. This results in secondary overload of the gluteus medius and minimus resulting in lateral hip pain. Having good strength pre-op and performing good quality rehab post-op are the best forms of prevention in my opinion.

  14. Craig Nielsen says:

    Thank you that was very interesting, I was diagnosed with both Trochanteric Bursitis and Gluteal Tendinopathy almost 12 months ago. Had lots of Physio but now the pain is out of control I’m having trouble walking properly. I’m actually seeing a surgeon tomorrow so hopefully he’ll have a suggestion.

    • Christine says:

      Did you have surgery and if so, did you get any relief?
      My daughter is in the same situation and has trouble even walking at this point.

    • Heather says:

      Hey there. How did you go?
      In 2019 I was diagnosed with tendon tears and Troch. bursitis too
      I have had no relief from any kind of treatment. Injections, physio etc
      The pain is getting worse. Another ultra sound soon. I just am at wits end to stop this pain. My calve now swells as well

  15. Andrew Mackay says:

    Thank you very much. Most informative and I am sure is going to be central to finally diagnosing whether my wife is suffering from gluteal tendonitis or trochanteric bursitis – or perhaps even both if that’s a possibility – and thereafter to treating her condition(s).

  16. Jacqueline says:

    After suffering for a year with this condition finally a article that explains it. I’m interested in knowing what type of exercise program would be most beneficial.

    • admin says:

      HI Jacqueline. Thank you for the positive feedback. The exercise program needs to be determined for each individual as everyone has slightly different needs. If you are near us, book in to see Dr Cairns or the physiotherapists at Newcastle Sports Medicine. If you aren’t nearby, try searching for APA titled Sports Physiotherapists near you that may be able to help. Best of luck

  17. Debra Quitter says:

    Thank you. Your article is informative and has provided incite to me for a recently diagnosed problem. Do you think SoLo injections are beneficial in cases such as these? The pain from this is significant and life altering.

    • admin says:

      Thank you for your feedback Debra. I have not come across SoLo injections I’m afraid so I can’t really comment. As the article highlights though, rarely are injections the solution by themselves. Best of luck.

  18. Michal says:

    Hi there.
    Very informative text! Thanks.
    I will try to get your attention guys and ask whether you have seen cases if GTPS caused by car sport seats? Alkost exatly year ago I got myself a new car with sport seats. Nothing crazy like bucket seats, but the seats had somewhat aggresive side bolsters. I felt some discomfort while driving, to the point where i had the seat modified to make the side bolsters less aggresive. By then it was too late, it seems, as I could not get rid of the pain while driving
    It got so bad that i sold the car. After selling the car I would still feel the pain upon compression on my right hip (e.g. on a train with non-flat seats). After ca. 2 months i got a new car (different brand, broader seats) and within a week the pain came back. Importantly, it took about a week, including long droves for the issue to come back.
    The typical presentation is:
    1. Driving after about 5 min i feel clear pressure under right greater trochanter (gl. mnimus or obturator tendon(s))
    2. The pressure turns into dull pain. I can’t drive more than 30 min
    3. Next day other glute muscles start hurting to the point where it hurts sitting on any surface

    Ultrasound looks a bit funny (perhaps calcific) but both left and right side show simar image. However, only right side hurts.
    I got a series of shockwave therapy done. However, it seems to help only for a few hours. My plan now is to completely stop driving for a few months and doing exercises.
    Do you guys think that the compressive load which is transversal to the tendon’s length (such as in a car seat) can cause GTPS? Do my symptoms loon like what you’d call GTPS? Also, dod you guys have some cases cause by car seats?

    • admin says:

      Hi Michal,

      Difficult to be specific here but your problem sounds more due to compression and friction than overload. This is a variant of GTPS. Pain with driving is certainly very common as is friction causing lateral hip pain. When friction is the primary cause, it may be that the bursa contributes to your pain more than the tendons and you may be a good candidate for trialling anti-inflammatory medication (if safe for you to use) or a cortisone injection.

  19. Julianne Jameson says:

    I found this very informative. I had a bursectomy and ITB release last July after trying cortisone injections 3 times with no effect. The surgery gave me instant relief but only for about 3 months. A recent MRI and Ultra Sound shows the Bursa has partly grown back and the smaller tendon is 80% torn the larger is 50% torn. I am about to have a higher strength cortisone through a new specialist and am also doing physio, to see if there is any relief. If not after 3 months its back to surgery.

  20. Eron says:

    Very informative. Thanks. I have had RSI in shoulders at back since 1984. Now realise its probably bursitis. Also greater trochanteric pain, bursitis and tendinopathy in both hips for past 12 years. Ultrasound evidence last year & 2015. No help until now due to being told I have Fibromyalgia Syndrome. I wonder why I have this problem with tendons etc.? I’m not an athlete but keep active & am not overweight. I have HLAB27 but thankfully no sacrilitis.

    • admin says:

      Thanks for your feedback Eron. There could be a number of reasons for your issues. But if you have a positive HLA B27 you may need to be checked for seronegative spondyloarthropathies. These can be associated with problems where tendons join bones (enthesis). Best of luck.

    • Kaska says:

      Hi , what you have is so similar like me. First diagnosed with Fribromyalgia 21 years ago , now have busitis in both hips , pain in shoulders , neck, hands etc…
      I think Fibro pain is conected with Tendiopathy , tendons and ligaments are streched because our muscles are very tight.
      If you get any good treatment I would love to hear about it 😀

  21. Anitr5a THomas says:

    An excellent and comprehensive article. Gave me some useful clues as to my own battle with probably this disorder.

    • admin says:

      Thank you for the feedback. IT is a very tricky condition to overcome. Best of luck with your ‘battle’ and let us know if we can help you along the way.

  22. Lynette Wells says:

    Brilliant! Best article I have read explaining my problem, thank you. Have had 3 cortisone injections with no result or relief whatsoever. Next step according to Orthopaedic Surgeon is the PRP injection, just awaiting his call back and referral now so fingers crossed this will work!

  23. Davina says:

    I had a bursectomy and itb release 15 years ago
    Never gave me any relief still suffer with the condition ,about to have another cortisone injection via ultra sound for some pain relief .
    Very interesting article Thank you

  24. Leticia Worley says:

    Thank you! I found it most interesting and usefu, as am ultrasound has just revealed what my physiotherapist thought, that I had tronchateric bursitis. But also gluteal tendinitis was found, as well as some deterioration in the hip due to osteoarthritis – which I suppose was expected at my age, as I seem to have inherited this through my mother. I am a retired tertiary teacher, who lost her husband to a brain tumour just before the internet was widely available, so I have since made use of this to search eveything that I need or want to know more about. I want to remain active and able to look after myself, walk and play with my grandchildren – and most importantly, I am hoping to avoid having to have a hip replacement!

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