Name of the Condition

• Trochanteric bursitis is also known as greater trochanteric pain syndrome or hip bursitis.

Summary

Trochanteric bursitis is a condition characterized by inflammation of the bursa located near the greater trochanter of the hip. The bursa is a small, fluid-filled sac that serves as a cushion between bones and soft tissues, helping facilitate smooth movement. When inflamed, it can cause significant pain and discomfort.

Causes

• Repetitive stress or overuse, such as running or cycling.
• Injury to the hip, like falling directly onto the hip.
• Hip surgery or prosthetic implants.
• Poor posture or abnormal gait.

Risk Factors

• Age: More common in middle-aged individuals and older adults.
• Gender: Women are more likely to develop this condition.
• Obesity: Extra weight places additional stress on the hip joint.
• Prior hip injuries or surgeries.

Symptoms

• Pain and tenderness on the outer side of the hip.
• Swelling and warmth over the hip.
• Pain that worsens with physical activities like climbing stairs or lying on the affected side.

Diagnosis

• Physical examination to assess pain and range of motion.
• Imaging tests such as X-rays or MRI to rule out other conditions.

Treatment Options

• Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) to reduce swelling and pain.
• Physical Therapy: Exercises to improve flexibility and strength.
• Injections: Corticosteroid injections to provide relief.
• Surgery: Rarely needed, but options include bursectomy if the condition is chronic and unresponsive to other treatments.

Prognosis and Follow-Up

• The outlook is generally good with appropriate treatment, and many patients experience significant relief.
• Regular follow-ups may be necessary to monitor progress and adjust treatment as needed.

Complications

• Chronic pain and mobility issues if untreated.
• Increased risk of falls due to decreased stability.

Lifestyle & Prevention

• Regular exercises that focus on strengthening hip muscles.
• Maintaining a healthy weight to reduce stress on the hip.
• Wearing appropriate footwear to avoid additional stress on the hips.

When to Seek Professional Help

• Severe pain interfering with daily activities.
• Inability to bear weight on the affected leg.
• Symptoms persist despite home care.

Additional Resources

• American Academy of Orthopaedic Surgeons (AAOS)
• Arthritis Foundation

Tips for Medical Coders

• Ensure correct laterality by specifying the right hip.
• Double-check the diagnosis documentation to verify the correct ICD-10 code M70.61.
• Avoid common mistakes such as confusing with similar conditions like hip arthritis or another bursitis location.