The hip joint is tightly surrounded by muscles and tendons that move it. To prevent friction of soft articular tissues among themselves and against the bone surface, each tendon is protected by a small bag (bursa), which plays the role of a shock absorber and lubricating mechanism: the cells of the inner synovial membrane of each bag secrete a special fluid - synovium, containing collagen and protein.
Usually, the synovial fluid is secreted exactly as much as needed, but when the bursa becomes inflamed, the synovial fluid becomes so abundant that it leads to swelling, pain and limited mobility in the joint. This phenomenon is bursitis of the hip joint.
The disease is caused by:
There are many tendon bursae in the hip joint.
Basically, hip bursitis develops in three bursae:
It is necessary to distinguish bursitis of the hip joint from synovitis - inflammation of the synovial membrane surrounding the joint itself - the articulation of the head of the femur with the acetabulum.
Trochanteric bursitis occurs most often, and mainly in female athletes, due to the anatomically wider pelvis, which increases friction of the tendons in the area of attachment.
Long distance running contributes to the disease.
Due to the connection of this bursa with the articular cavity, iliopectineal bursitis in its symptoms resembles synovitis of the hip joint, which is the main symptom of coxitis (arthritis of the hip joint).
Due to the fact that the hip joint bursae are not located superficially, but are covered with muscles and adipose tissue, swelling with hip joint bursitis does not have such a clear clinical picture as the same pathology in other joints.
An examination by an orthopedist has the main diagnostic value:
One of the tests is Ober's test:
If adduction does not occur completely, this indicates tension in the fascia lata of the femur and its continuation, the iliotibial tract (ITT), which starts from the ilium and ends at the tibial condyle. Tension of the PBT is a sure symptom of trochanteric bursitis.
Instrument diagnostics are also used:
On x-rays, areas of tendon ossification near the greater trochanter and osteophytes at the sites of their attachment are sometimes clearly visible.
Treatment is mainly conservative, subject to rest and removal of the stress that led to inflammation of the bursae. Most often, temporary pain relief and exercise therapy are enough:
In physiotherapy for hip bursitis, extracorporeal shock wave therapy is mainly used.
Treatment with a magnetic field, laser therapy, electrophoresis, applications and other methods is most often useless, or plays the role of a placebo.
Since physical therapy is carried out mainly during the recovery period, it often coincides with remission, in which the pain subsides for a period on its own.
Surgical treatment for bursitis of the hip joint is used very rarely: the basis for surgical intervention here are much more serious reasons:
For bursitis, both arthroscopy and wide access operations are practiced.
During arthroscopy, the affected bursa is removed using two small incisions: an arthroscope with a microscopic camera is placed in one, and a surgical instrument is inserted into the other.
The main purpose of most operations is to loosen the tension of the PBT:
The prognosis for bursitis is favorable if you do not neglect the disease and prevent it from becoming chronic.
Possible complications:
To prevent hip bursitis, you must:
Video: Treatment of bursitis with folk remedies.
Hip bursitis is an inflammatory process of the synovial bursa, the function of which is to reduce friction between tendons, muscles and bones.
The symptoms of this disease are widely known, so when they first appear, you should immediately begin treatment, including folk remedies.
The hip joint contains three synovial bursae. Symptoms of the inflammatory process can appear in each of them.
The most common type of bursitis is trochanteric bursitis. According to medical statistics, women, especially athletes, are more often susceptible to this disease.
This is explained by the anatomical feature of the structure of the female skeleton. Due to a woman’s wider pelvis, the surface of muscle friction on the greater trochanter increases.
Hip bursitis and its symptoms can occur against the background of concomitant diseases, such as:
Bursitis of the hip joint is characterized by the following symptoms:
All these symptoms lead to human discomfort not only during movement, but also at rest.
If you start treating hip bursitis at an early stage, you can completely eliminate the inflammatory process and restore the structure of the joint.
Hip bursitis can be determined by several diagnostic methods. At the beginning, the doctor conducts examinations with information from the patient about the nature of the pain, its frequency and intensity.
During the examination, the doctor palpates the area of inflammation and performs Ober's test, which involves trying to move the hip to the side. Additionally, the doctor may prescribe an x-ray or tomography of the joint.
Hip bursitis is subject to both drug and non-drug treatment. In severe cases, the doctor may recommend surgery to solve the problem.
If the disease is detected in the early stages and in the absence of complications, treatment of bursitis begins with conservative methods, which include:
Medical treatment of hip bursitis involves the use of non-steroidal drugs to reduce pain and inflammation. For severe pain in the joints, to reduce it, injections of drugs containing hormones or anesthetics directly into the synovial cavity are used.
In some cases, if there is no effect of drug therapy, doctors may recommend surgery to remove the bursa. However, such cases are extremely rare.
Some patients prefer to use folk remedies to treat bursitis. This treatment has the expected effect at the initial stage of the disease.
Regular use of traditional medicine helps not only to reduce the symptoms of the disease, but also to completely restore the structure of the joint tissue. However, before using these remedies, you should consult your doctor.
Among the folk remedies, the most widely used are:
Trochanteric bursitis and its other types are easier to prevent than to cure. It is enough to use simple methods to prevent inflammation of the bursa and avoid expensive treatment.
Bursitis is a serious condition that, if not properly treated, can almost completely limit the patient's movement and cause a lot of discomfort.
Therefore, when the first symptoms of inflammation of the bursa in the hip joint appear, you must immediately consult a doctor, undergo appropriate diagnostics and begin treatment in the early stages of the disease.
The trochanteric bursa of the gluteus maximus muscle - its location falls on the base of the large joint of the femur under the large muscle of the sciatic zone.
The disease trochanteric bursitis is an inflammation in the mucous membrane (synovial) of the joint. In medicine, this disease refers to orthopedic diseases, the development of which leads to the accumulation of inflammatory fluid in the joint cavities.
The causes and factors for the occurrence of this disease can be injury or physical overload of the tendons. But the factors that give impetus to the formation of bursitis are:
A characteristic symptom when diagnosing the disease is pain in the hip joint; it can increase gradually or be sharp and burning, usually immediately after the injury. When walking, the pain is sharp, but literally after a few steps it becomes less acute, then dulls and may disappear altogether.
Pain also occurs when sitting in one position for a long time or when climbing stairs. The pain is relieved when the hip joint is at rest, but it gets worse at night, especially if you lie on the painful side.
Treatment of trochanteric bursitis of the hip joint is based primarily on maintaining maximum rest and taking anti-inflammatory drugs.
The entire painful area is infiltrated, if possible, as close to the bone as possible with hydrocortisone 80-125 mg or betamethasone 8 mg with 6-10 ml of 0.5% novocaine. The results after them are complete and long lasting. It is also possible to prescribe drugs such as piroxicam, celecoxib, naproxen, ibuprofen and others that relieve inflammation and pain.
Patients are advised to sleep with a small pillow under the buttock on the painful side and perform physical exercises that are aimed at stretching the muscles of the gluteal area (raising the knees to the chest); after the inflammatory process stops, therapeutic exercises are prescribed.
In the complex treatment of trochanteric bursitis of the hip joint, physiotherapeutic procedures are recommended - electrophoresis and ultrasound on the joint area. During this period of illness, the patient is prescribed a walking aid, a cane or crutches.
In folk medicine, trochanteric bursitis is treated with compresses from:
One tablespoon of chopped shoots is poured into a glass of boiling water. Boil for 5-7 minutes. The broth is infused under the lid for an hour and filtered. After moistening a gauze bandage in this decoction, apply it to the area where the pain is localized, wrapped in polyethylene and wrapped in something warm. This compress must be repeated at least 20 times. The gauze must be washed after use or taken a new one each time.
Heat and apply to the affected area for at least two weeks.
The leaves are frozen, and after beating them off, they are applied to the inflamed joint, wrapped in something warm. This procedure must be done for seven days until the pain subsides.
In combination with compresses, you need to drink anti-inflammatory decoctions from:
For swelling in the joint area, it is necessary to use a herb of the following herbs: linden flowers, calendula, plantain and burdock leaves.
There is another effective method of treatment - prepare a mixture of equal proportions of honey, onion pulp and soap. Melt the honey and soap in a water bath, then spread it in an even layer on a cotton cloth and spread the onion pulp on top, apply it all to the sore area, wrap it in polyethylene and a warm scarf or scarf. Leave this compress overnight. This compress must be applied for 14 days.
Treatment of bursitis with traditional medicine must be coordinated with a doctor in order to avoid any complications.
Trochanteric bursitis of the hip joint can be treated very successfully these days, of course, provided that you consult a specialist in a timely manner. Self-medication with analgesics, ointments and other remedies at home may not always bring positive results, therefore, as soon as the symptoms of this disease become noticeable, you should immediately consult a doctor.
Prevention of bursitis is maintaining an optimal weight, if you have legs of different lengths, it is recommended to purchase corrective shoes, maintain the strength and flexibility of the thigh muscles and avoid all physical activities that can again cause inflammation.
Bursitis is an inflammation of the joint lining. It acts as a shock absorber during movements and reduces friction during movements in the joint. The femur has a protrusion called the greater trochanter. Muscles are attached to it, without which active movements in the thigh are impossible. The bursa covers the greater trochanter, its inflammation leads to restrictions in movements in the hip joint and the appearance of sharp, unpleasant symptoms.
Trochanteric bursitis of the hip joint develops as a result of irritation of the joint capsule, subsequent inflammation. Inflammation of the tendons of the gluteus medius and minimus muscles develops in the places of their attachment to the greater trochanter. At the same time, the nearby mucous bursa (trochanteric bursa) becomes inflamed. This inflammation is a common cause of hip pain.
Trochanteric bursitis of the hip joint often complicates the course of osteoarthritis. More often affects women after forty years. Elderly people (over 60 years of age) are at risk of developing the disease. The disease manifests itself with pain that radiates along the outer surface of the thigh.
Pain occurs in the greater trochanter area. If it is not removed, it will bother you during physical activity and during the rest period. This greatly worsens the patient's quality of life.
Women in middle and old age are more often predisposed to the disease. Predisposing factors of the disease:
Trochanteric bursitis occurs due to increased friction between the trochanteric bursa and the greater trochanter. This friction of the bag increases because the joint does not produce enough intra-articular fluid. The joint degrades, its cartilage tissue changes.
The main symptom of bursitis is pain. Spreads along the outer surface of the femur. Sometimes it is very burning. The patient cannot lie on the injured side. The pain worsens at night, and the patient’s healthy, normal sleep is disrupted. Painful symptoms intensify when climbing stairs or rotating the hip.
A swelling is palpable in the area of the trochanter of the femoral bursa. When pressing on it, the pain intensifies. The rotation of the joint is not impaired. Trochanteric bursitis is characterized by the fact that when lying down on the affected leg, the pain intensifies. This deprives a person of proper sleep. Soreness can radiate downward, localizing on the lateral surface of the joint.
The appearance of pain when walking due to irritation of the joint capsule is typical. In the first minutes of walking the pain is stronger, then it subsides. If you cross your legs while sitting, the pain intensifies. The appearance of vegetative-vascular disorders is possible.
External examination of trochanteric bursitis of the hip joint shows unchanged contours. This is explained by the fact that the trochanteric bursa is securely covered by the gluteal muscles and is located deep in the subcutaneous adipose tissue.
The acute form of trochanteric bursitis of the hip joint is manifested by the fact that a person begins to be bothered by an attack of severe, rapidly growing pain. Localization - in the area of the greater trochanter of the joint. Active movements in the joint are painful and noticeably limited. Symptoms intensify when the hip is abducted. Passive movements in the hip joint are painless, free, and do not cause discomfort.
When palpating the joint capsule, a painful, dense formation is detected in the area of the greater trochanter. It leads to additional limitation of active movements. The patient's body temperature is often low-grade. The inflammatory process in the body leads to an increase in the erythrocyte sedimentation rate.
Acute symptoms of trochanteric bursitis subside within a few days, rarely weeks. In some patients, trochanteric bursitis takes on a protracted course - the disease becomes chronic.
Chronic trochanteric bursitis is often a complication of an acute process. The main reason for its appearance is improper treatment of acute bursitis and late consultation with a doctor.
Features of the chronic form of the disease are less pronounced symptoms of the disease. The pain is not severe or absent. X-rays and ultrasound show areas of change in the area of the greater trochanter of the hip joint. Chronic bursitis occurs in a less severe form - this does not mean that it does not need to be treated. A constant chronic process in the joint capsule affects the health of the diseased joint.
If trochanteric bursitis is not treated, the patient is at risk of disability, and movements in the joint will gradually worsen.
Trochanteric bursitis has characteristic features:
The diagnosis is based on instrumental techniques:
Diagnostic methods make it possible to resolve the issue of treating bursitis.
Treatment for bursitis should begin as early as possible. The effectiveness will be greater, the risk of complications will decrease. Conservative treatment of the disease is most accessible. It is recommended to limit active movements in the affected leg. Rest is necessary for a speedy recovery. Avoid excessive activity.
Doctors recommend physical therapy as a means of rehabilitation. Stretching exercises and strengthening of the muscles of the thighs and buttocks are prescribed. Muscle training ensures excellent joint condition and counteracts inflammation.
Non-steroidal anti-inflammatory drugs relieve inflammation. Voltaren, Diclofenac, Ibuprofen are often used. They relieve inflammation and swelling. The use of NSAIDs has advantages - they quickly relieve unpleasant symptoms and help improve active movements.
Physiotherapy is an important link in the treatment of trochanteric bursitis of the hip joint. Typically used, depending on the case, heat, cold, UHF. Reduces swelling and inflammation during bursitis, promotes a speedy recovery.
Immediately after a joint injury, cold is necessary. During chronic inflammation of the hip joint, cold will be harmful; the patient needs exposure to heat. The use of physiotherapeutic procedures is permissible after consultation with a doctor.
If there is inflammatory fluid in the joint mucosa, its removal is indicated. This is done using a puncture. It is not dangerous for the joint. The extracted liquid is used for laboratory testing for diagnostic purposes. Intra-articular injections are indicated. The injections include anti-inflammatory and analgesic drugs. The effect is long lasting. After injections, patients are advised to sleep on a pillow under their buttocks. In rare cases, the injection is repeated.
In case of exacerbation of the disease, treatment measures are reduced to the following measures:
After reducing the intensity of the inflammatory process, the patient is prescribed treatment:
Surgical treatment is used if conservative treatment does not produce results. During the operation, the doctor makes an incision in the trochanteric bursa. She is removed and the greater trochanter is examined. Irregularities on it are removed, the surface is smoothed. The skin is sutured. The wound is covered with a sterile bandage.
Rehabilitation measures are aimed at quickly restoring the functionality of the affected joint. In the first days of the postoperative period, exercise therapy is aimed at relieving swelling and pain. Then special exercises are prescribed to develop the muscles. The duration of exercise therapy in the postoperative period is up to four months. The duration of treatment is determined by the doctor.
Prevention of trochanteric bursitis is aimed at intensifying physical exercise, combating bad habits, and diet. It is important that the person does not stand for a long time. Elderly people are advised to undergo physiotherapeutic procedures and relax at a resort.
Hip bursitis is an orthopedic disease characterized by an inflammatory process in the synovial periarticular bursa. Injuries and infectious diseases can trigger the development of the disease. Treatment of the pathology is determined by the symptoms of the disease.
The hip joint experiences most of the load falling on the lower limbs. Soreness, burning and swelling are the most common symptoms of hip bursitis. The inflammatory process develops in the synovial membrane located around the articular joint .
Sudden pain in the hip joint may be a sign of a serious joint-ligamentous disease
The periarticular membrane is a cavity filled with joint fluid. This layer serves as a shock absorber when the limbs move.
The reasons for the development of the inflammatory process in the hip joint bursa may be:
As a result of the action of these factors, ischial, iliopectineal or trochanteric bursitis of the hip joint may develop..
There are three types of bursitis depending on the area of the joint affected
Note: the specific diagnosis depends on which area was affected by the pathological process.
The hallmark of this disease is pain on the outside of the thigh. Hip bursitis initially manifests itself as intense pain. However, as the pathology develops, the pain becomes dull .
Symptoms of hip bursitis are as follows:
Note: Acetabular bursitis of the hip is characterized by a burning sensation in the affected area. A person experiences a burning painful sensation if he lies down on the side of the diseased joint or climbs the stairs.
Climbing stairs can be a real challenge for someone with hip bursitis.
As the disease progresses, sleep disturbances may appear due to discomfort in the joint area during rest.
Ischial bursitis of the hip joint is characterized by:
When the iliopectineal bursa is affected, the pain is localized in the groin area.
Note: the transition of the disease from an acute to a chronic form can be judged by the appearance of swelling of the affected area. The intensity of pain decreases. The hip joint retains its functions.
With purulent bursitis of the femoral joint, the clinical picture is as follows::
An increase in the volume of the affected area due to tissue swelling compresses the nerve processes, causing severe pain
Symptoms of bursitis of the greater trochanter of the femur are much more common than signs of damage to the other two areas . This is due to the fact that the acute form of the disease is common among athletes and people who actively run and often climb stairs.
Note: if one or more symptoms of hip bursitis are detected, you should consult a rheumatologist or orthopedic traumatologist.
Patients who experience pain in this area first of all ask the question of how and how to treat hip bursitis.
Initially, conservative methods are used, which include drug treatment of hip bursitis:
A special orthosis allows you to immobilize the joint for some time, reducing the effect of irritating factors and reducing pain.
Note: during an exacerbation, the use of crutches or a cane is recommended (to partially relieve the load on the affected joint). Sometimes it is necessary to limit motor activity by fixing the lower limb.
After the exacerbation is relieved, it is recommended to treat hip bursitis with drugs that promote tissue regeneration. In this case, chondroprotectors and balanced vitamin-mineral complexes are prescribed.
In case of a purulent form of the disease, the patient takes a full course of antibiotics.
In severe cases, surgical intervention is indicated to remove the affected synovial bursa. The operation is performed arthroscopically.
To do this, 2 minimal incisions measuring 0.5-1 cm are made in the thigh area. They are intended for introducing an instrument and an arthroscope, with the help of which the surgeon manipulates the instruments. Next, the synovial bursa is excised and removed. The operation is performed under local anesthesia.
Arthroscopic removal of the synovial bursa eliminates painful symptoms while preserving the functions of this area of the articular-ligamentous apparatus
Note: this method of surgical intervention allows for less traumatic but effective treatment of bursitis of the trochanteric bursa of the hip joint.
Trochanteritis of the hip joint is an inflammatory process that develops in the area of attachment of the gluteal muscles to the synovial bursa of the greater trochanter of the femur. The pathological process can develop only on one side, or affect both hip joints at the same time. In medical practice, this disease is characterized by the term “trochanteric bursitis.”
The pathology requires timely treatment, since the progression of the inflammatory process can lead to disruption of the functionality of the joint and seriously complicate the patient’s life. But since the manifestations of the disease are in many ways similar to the symptoms of coxarthrosis or osteoarthritis, difficulties often arise in making a diagnosis and the wrong treatment is prescribed, which turns out to be ineffective. How to recognize the disease, what happens during the development of trochanteritis and why does it occur? You will find answers to these questions in our article.
The trochanter (the area where the tendons connect to the femur) plays an important role in the mobility of the lower extremities. It is in this area that the muscular tendons of the pelvis and thigh are attached to the femur. The attachment point is the greater trochanter (bone protrusion) of the femur. Between the tendon fibers and the head of the trochanter there is a synovial bursa - a fluid layer that eliminates friction of the articular joints and ensures their free sliding. With the development of trochanteritis, the trochanter (periosteum and bone tissue of the greater trochanter), synovial bursa, ligaments and tendons attached to the bone are involved in the inflammatory process.
Most often, women are affected by the disease during menopause, which is associated with changes in hormonal levels and a decrease in the production of female sex hormones. However, trochanteric bursitis can also affect representatives of other sexes and other age groups, developing under the influence of a number of unfavorable factors.
The list of factors that provoke the development of trochanteric bursitis includes:
Trochanteric bursitis rarely develops under the influence of a single provoking factor. The mechanism of the disease is most often triggered by a combination of several causes (for example, the risk of the disease is high in elderly, obese women suffering from arthrosis or arthritis).
Taking into account the cause of occurrence, trochanteritis of the hip joints is divided into three types:
The main symptom of trochanteritis, common to all forms of the disease, is pain and increased sensitivity in the lateral thigh area. In the early stages of the development of the disease, shooting pain occurs sporadically during physical activity (during running, long walking, intense training). At rest, the discomfort disappears, so the patient may not attach much importance to this symptom for a long time.
As the pathology progresses, the condition worsens, and pain persists constantly, regardless of physical activity. When palpating the thigh in the area of the greater trochanter, pronounced pain occurs. In the last stages of the disease, the pain does not go away even at rest and intensifies if the patient lies on the affected side.
The pain is localized in the hip joint, along the outer side of the thigh, can radiate to the groin, spreads from the “breeches” area to the knee and down the ankle, but does not in any way affect the mobility of the joint. In the acute period of aseptic trochanteritis, the patient’s position is complicated by a slight increase in temperature and weakness.
In the tuberculous form of trochanteritis, the pain syndrome increases slowly and is localized in the gluteal tendons. It is expressed in painful sensations when moving the leg to the side; a slight swelling and redness appears in the area of the hip joint. Points form on the surface of the thigh, which are painful when palpated. Sometimes there may be no pain. Other clinical manifestations are usually mild, so the patient may not attach importance to some discomfort for a long time.
The infectious form of trochanteric bursitis occurs with a sharp increase in temperature, fever, weakness, profuse sweat, headache and other signs of intoxication of the body. Pain in the joint is pronounced and greatly complicates the patient’s life. Staphylococcal infection can lead to the formation of purulent abscesses and destruction of the bone tissue of the greater trochanter.
Making the correct diagnosis of trochanteric bursitis is not easy. The symptoms of the disease are similar to many joint pathologies, so it is important to differentiate it from coxarthrosis, arthrosis, dysplasia, arthritis and other ailments.
One of the specific signs of trochanteritis is the absence of pain when performing certain movements. During the examination, the doctor will ask you to make circular movements with your relaxed leg. With trochanteric bursitis, such actions will not cause difficulties, whereas with coxarthrosis, it is impossible to make circular movements due to acute pain.
Other distinctive signs of trochanteritis include maintaining mobility in the leg even with severe pain and the presence of painful points on the thigh, determined by palpation.
A number of laboratory and instrumental research methods will help clarify the preliminary diagnosis:
Specific (tuberculous) trochanteritis is the easiest to diagnose, since foci of tuberculosis are clearly visible on an x-ray. In other cases, it is more difficult to make a correct diagnosis, since radiography does not reveal pronounced deformities of the joint. Modern high-tech diagnostic methods come to the rescue - ultrasound, MRI or CT of the hip joint, with which you can identify any pathological changes in bone, cartilage and soft structures.
After receiving the results and identifying the main cause of the disease, other specialists are involved in the treatment process - traumatologist, orthopedist, rheumatologist, infectious disease specialist. If the pathology is based on hormonal imbalance associated with the onset of menopause or metabolic disorders, you will need to consult an endocrinologist and gynecologist.
The treatment regimen is selected by a specialist taking into account the form of the disease. But in any case, the patient is recommended to take a gentle regimen and limit physical activity for a period of 3 weeks to several months, depending on the severity of the inflammatory process. Complex therapy of the disease includes drug treatment, physiotherapeutic sessions, and physical therapy. In particularly difficult cases, it is necessary to resort to surgical intervention.
For aseptic trochanteritis, treatment is aimed at eliminating the source of inflammation and restoring joint function. The basis of therapy is the following medications:
When treating infectious trochanteritis, antibacterial or antiviral therapy is used, depending on the type of pathogen. To stop the inflammatory process, it is necessary to take antibiotics in large doses. If necessary, injection therapy is prescribed. In difficult cases, with the development of purulent complications, they resort to puncture of the joint and pumping out pus or surgery to remove the affected areas of the femur.
Tuberculous trochanteritis is treated with antituberculosis drugs. The patient is under the supervision of a phthisiatrician all this time. In difficult cases, with extensive joint damage, surgical intervention is required to remove the tuberculosis focus.
Drug treatment is supplemented with physiotherapeutic procedures, the effect of which is aimed at reducing pain and inflammation in the affected joint. In the chronic form of trochanteric bursitis with constant pain, the greatest effectiveness is provided by the use of extracorporeal shock wave therapy. Shock waves directed to the trigger zones of the affected joint activate the circulatory and lymphatic systems, reduce swelling, reduce the severity of inflammatory reactions and pain.
Among other physiotherapeutic techniques, the most commonly used are:
An alternative to exercise therapy can be a special healing technique called post-isometric relaxation. Its essence lies in passive stretching of muscles and ligaments while maintaining a certain body position. This approach allows you to relieve stress from the hip joint and surrounding structures. The muscle stretching program is designed for 10 sessions, which are carried out every other day. The duration of one lesson is 20-30 minutes.
Surgery is used only in particularly severe cases. When performing a bursectomy, the affected joint capsule is excised and removed. If the trochanter of the femur is destroyed, surgery is necessary to remove the affected bone structures. For purulent trochanteritis, they resort to puncture of the joint, pumping out the purulent contents and then washing the cavity with antiseptic solutions.
Treatment of trochanteritis of the hip joint with folk remedies is allowed with the permission of the attending physician as an auxiliary measure that complements the main course of conservative therapy.
Finely chop fresh cabbage leaves to release the juice. Add natural honey, heated in a water bath until liquid, to this mass and stir thoroughly. Apply the base for the compress to the painful area, cover the top with plastic wrap, secure with a bandage and insulate with a shawl or scarf. You can leave the compress on overnight. It is recommended to repeat the procedure 2-3 times a week.
Collect young spruce buds, chop finely and place in a 0.5 liter glass jar in layers, alternating with granulated sugar. Fill the jar to the top, cover the neck with a gauze napkin and place in a warm place, away from sunlight for 2 weeks. After this period, drain the resulting infusion. Use it to rub the affected joint and take 15 ml in the morning and evening.
Chop the wormwood leaves and combine with melted pork fat, stir the mixture, simmer over low heat in a water bath until thickened and leave to infuse for 24 hours. The prepared ointment must be rubbed into the affected areas daily, before bed.
The prognosis for trochanteritis of the hip joint depends on the causes of the inflammatory process and the correctly selected treatment package. With timely diagnosis, the prognosis is favorable. Aseptic and infectious forms of trochanteric bursitis can be managed within a few weeks.
Treatment of tuberculous trochanteritis can take a long time, since the disease often develops asymptomatically and characteristic signs appear already in the later stages of the pathological process. Advanced cases may require surgical treatment and a long rehabilitation period, which does not exclude the development of complications.
I am actively involved in sports, play football, basketball, and don’t mind taking part in various extreme events. The load on the joints was considerable, and I often received injuries. As a result, trochanteric bursitis developed. This is a disease in which pain in the hip joint does not go away, day or night. A course of treatment with anti-inflammatory drugs helped relieve the pain. Now I go to shock wave therapy sessions.
After suffering from a sore throat, pain appeared in the hip joint. At first I thought that I needed to be patient and everything would pass, but soon the temperature rose sharply, it was impossible to touch my thigh, the skin turned red and swollen. A diagnosis of infectious trochanteritis was made and a course of strong antibiotics was prescribed in high doses. It’s good that there were no purulent complications, since I saw a doctor on time. Now I am undergoing a course of rehabilitation procedures - physiotherapy, exercise therapy.