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Hip Bursitis (Trochanteric Bursitis)

Hip bursitis causes outer hip pain from inflammation of the bursa over the greater trochanter. Physiotherapy, strengthening, stretching, and activity modification help relieve pain and restore mobility.

Understanding Hip Bursitis

Trochanteric bursitis is inflammation of the bursa overlying the greater trochanter of the hip. The bursa is a fluid-filled sac that cushions the tendons and muscles as they move over the bone. When it becomes irritated or inflamed, it causes lateral hip pain that can be significant enough to disrupt sleep and daily activity.

Causes

  • Tight hip flexors and IT band creating friction over the bursa
  • Weak gluteal muscles altering hip mechanics
  • Repetitive activity — running, prolonged sitting then exercise
  • Over-pronation or flat feet increasing hip strain
  • Direct trauma to the outer hip

Symptoms

  • Aching, burning pain on the outer hip
  • Pain worse when lying on the affected side
  • Disturbed sleep due to hip pain
  • Discomfort climbing stairs or getting up from a chair
  • Tenderness when pressing directly over the greater trochanter

Diagnosis

Diagnosis is clinical, confirmed by palpation and movement testing. Ultrasound may be used to visualise bursal swelling and guide injection treatment.
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Treatment

Physiotherapy targets the underlying muscle imbalances that create bursal friction. This is more effective than injections alone for long-term relief.
  • Gluteal and hip strengthening exercises
  • IT band and hip flexor stretching
  • Load management and activity modification
  • Taping or bracing for temporary relief
  • Postural correction and sleeping position advice
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Rehabilitation & Exercise

Caution: Perform all exercises only as directed by your Healthweave clinician. Stop any exercise that increases your pain and inform your practitioner. Exercise programs are tailored to
individual needs and must not be self-prescribed.

Rehabilitation for hip bursitis focuses on correcting the muscle imbalances that cause bursal
irritation. Avoid compressive hip positions — such as crossing legs or lying directly on the
affected hip — during recovery.

  • Hip abductor and gluteal strengthening to restore lateral hip stability
  • IT band and hip flexor stretching to reduce tension over the bursa
  • Core and lumbopelvic stabilisation exercises
  • Activity modification and step-count management
  • Sleeping posture modification — use a pillow between the knees when side-lying

Specialist & Regenerative Medicine Options

For persistent or recurrent hip bursitis, our Prestidge sports physicians can offer targeted injectable treatments to reduce bursal inflammation and support long-term tissue health.
  • Corticosteroid Injections — Ultrasound-guided injection directly into the inflamed bursa provides effective short-term relief and allows rehabilitation to progress.
  • Platelet Rich Plasma (PRP) Therapy — For chronic bursitis, PRP may reduce ongoing inflammation and support healing of surrounding soft tissues.
  • Hyaluronic Acid — Where hip joint involvement contributes to symptoms, viscosupplementation can improve joint mechanics and reduce secondary bursal irritation.
Our sports and exercise physicians at Prestidge work alongside your treating clinician to determine the most appropriate option for your condition, goals, and stage of recovery. All injectable and prescription treatments are subject to individual clinical assessment. Visit healthweave.com.au or prestidge.com to learn more.

Important: All specialist consultations, prescription treatments, and injectable procedures are subject to individual clinical assessment by a registered medical practitioner. Suitability, benefits, and risks will be discussed at your consultation. No outcomes are guaranteed. Prescription medicines are only available following appropriate medical review in accordance with TGA and AHPRA requirements. Exercise programs should be performed only as directed by your Healthweave clinician. Exercise images © CPDO / Educom Pty. Ltd. — used under licence.

Prevention Tips

  • Maintain consistent hip and core strengthening
  • Take regular movement breaks from prolonged sitting
  • Warm up appropriately before exercise
  • Address running technique and footwear with a clinician
  • Seek early assessment — trochanteric bursitis responds best to early treatment
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