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Trochanteric Bursitis Treatment

Can trochanteric bursitis be treated without surgery?

Initial treatment for trochanteric bursitis does not involve surgery. Many individuals find relief with lifestyle modifications, which include:

  • Activity modification to avoid activities that worsen symptoms.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, naproxen and celecoxib, which help reduce hip pain and hip inflammation.
  • Using a cane or crutches to help with walking.
  • Weight loss.
  • Physical therapy to increase hip strength and flexibility. This can include stretching the hip joint, rolling therapy, and/or learning to use ice or heat to relieve pain.
  • Injection to the greater trochanteric bursa may help with pain relief temporarily (months) or permanently. This involves injecting corticosteroid (a type of medication that helps reduce hip inflammation) to the lateral hip and affected bursa.

Most patients can recover from trochanteric bursitis without surgery; however, when conservative treatments do not relieve the symptoms, hip surgery to remove the bursa is a reasonable option. Surgery consists of an outpatient procedure with patients going home the same day of the surgery. The procedure can be performed either arthroscopically or with an open incision. A greater trochanteric bursectomy does not affect the hip joint, and the hip can function normally without this bursa.

The recovery time after trochanteric bursitis surgery can vary depending on several factors, including the extent of the surgery, individual patient characteristics, and the level of activity that the patient wishes to resume. If the surgery does not involve work on the gluteal tendons or hip labrum, then patients are able to put weight on the operative leg immediately following surgery as their pain allows. In general, most patients can recover full, unrestricted activity within 2-4 months following greater trochanteric bursectomy and the help of a good physical therapy program.


It’s critical to understand every person heals differently and exact timelines can vary from patient to patient, with some individuals experiencing a faster or slower recovery. Your surgeon and physical therapist will work with you to create an individualized approach to best determine the pace for a successful recovery after surgery. Patients should follow adhere to the post operative instructions, engage in prescribed rehabilitation exercises, and communicate any concerns or setbacks during the recovery journey to achieve the best possible outcome after a trochanteric bursectomy.

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