Clinical inquiries. How should you treat trochanteric bursitis?

Conservative measures--followed by corticosteroid injection, if necessary--are best. Conservative therapy includes rest, nonsteroidal anti-inflammatory drugs (NSAIDs), and stretching exercises focused on the lower back and sacroiliac joints. Patients whose symptoms persist despite conservative thera...

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Bibliographic Details
Published inThe Journal of family practice Vol. 58; no. 9; pp. 494 - 500
Main Authors Rowand, Mark, Chambliss, M Lee, Mackler, Leslie
Format Journal Article
LanguageEnglish
Published United States 01.09.2009
Subjects
Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Bursitis - therapy
Glucocorticoids - administration & dosage
Hip Joint
Humans
Injections, Intra-Articular
Orthopedic Procedures - methods
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Summary:Conservative measures--followed by corticosteroid injection, if necessary--are best. Conservative therapy includes rest, nonsteroidal anti-inflammatory drugs (NSAIDs), and stretching exercises focused on the lower back and sacroiliac joints. Patients whose symptoms persist despite conservative therapy are likely to benefit from an injection of 24 mg betamethasone and 1% lidocaine (or equivalent) into the inflamed bursa. In rare cases of intractable symptoms, surgical procedures such as iliotibial band release, subgluteal bursectomy, and trochanteric reduction osteotomy are options.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:1533-7294