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What is trochanteritis - mucositis?


On the outside of the hip you can feel a larger bone tubercle called the trochanter major which is the femur's upper, outer bone protrusion. This is an area that a lot of muscle attaches to. The back where the buttocks muscles attach, the top with attachment of muscles from the upper part of the hip and the front where part of the front muscles attach. To cushion between different muscles and tendons, there are a number of mucous sacs (bursa) in the area. In trochanteritis - inflammation of the mucous membranes, an inflammation has occurred in the tendon or tendon attachment to the trochanter major, alternatively, an inflammation has occurred in one or more mucous sacs. You can also have a combination of these. This is usually located on the back or top of the trochanter major.

This is a relatively common diagnosis that often occurs with a change in movement pattern, such as increasing the amount / length of walking or running in a short time. If you sit and work one-sidedly with your feet, for example with pedals, this can be a reason for this diagnosis. Other causes can be low arches (pronation), misalignment of the knees, cases of trauma to the outside of the hip, hip osteoarthritis. If you have lameness for any reason, trochanteritis / mucositis can occur as a result.

Most commonly, this affects middle-aged people. More common among women than men.


Physiotherapy at Alta Vita Physiotherapy


Symptoms of trochanteric / mucositis outside hip


Pain when loading on the outside and / or back of the hip. Sometimes the pain can even pull down on the outside of the thighs.  You often get increased pain if you sit for a long time and then get up. That pain then usually decreases when you have been walking for a while. Longer walks, running, stair climbing, walking downhill, can trigger the pain of trochanteritis / mucositis. Lying on the affected side can hurt. Sometimes it can be pain even at rest.

Treatment of trochanteritis / mucositis


It is important for us physiotherapists to, if possible, identify what caused the problems. It is often a matter of initially resting from that activity. An examination is done to see if there are any anatomical malformations, muscle imbalances and to get an idea of how limiting the problems are for the function.  

Shock wave therapy  in combination with  rehabilitation training  is common in trochanteritis / mucositis. If the patient pronates, an opportunity is offered for anatomical insoles. Before returning to any running, it is a good idea to do a running analysis, or gait analysis if you normally walk a lot. If the pain is severe or if the symptoms do not go away after a treatment, we can do an examination with  ultrasound diagnostics . Here we can get clarity on whether it is an inflamed tendon or mucous membrane. If it is a mucositis, we take a stand together with the patient, if we are to put one  ultrasound-guided cortisone injection  in the mucosa to reduce inflammation and pain. In this way, it can make it easier to get started with rehab training, or alternatively to have better success with already ongoing rehab training. 


Prognosis in trochanteritis


The forecast is good. Especially if you can figure out what caused the inconvenience. Most of our patients recover from their ailments. However, the rehab time varies depending on how long the patient has gone with their problems before they come to us, how serious the problems are and if the patient follows our advice. In very rare and difficult-to-heal cases, we can refer the patient on to an orthopedist for a position on any surgery.

Differential diagnoses

Snapping hip , hip osteoarthritis, referred pain from seat / lumbar spine

Physiotherapy at Alta Vita Physiotherapy

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