Trochanteritis – rarely diagnosed and even more rarely successfully treated disease

event 28.05.2019.

By visiting a variety of specialists looking to resolve their pain in the lumbar spine, gluteus muscles, and hip and thigh areas, patients often remain without accurate diagnosis and therefore satisfactory treatment.

By diagnosing common and frequent diseases, doctors often forget about a rare disease of trochanteritis (trochanteric bursitis). Symptoms of the disease often overlap with spine-related lower-back pain and hip arthrosis. Disease can occur independently or as one of several different diseases in this area.

The large trochanter is an outer part of the hip that is trapped by strong muscles. Bursa is a mucus bag that is located between the trochanter and the longitudinal structure – so-called fascia, that connects the pelvis and hip. In case of excessive pressure and friction between these two structures, painful inflammation occurs. Disease is diagnosed by a clinical examination and is confirmed by ultrasonography (ultrasound) and X-Ray scans. Ultrasound can allow a doctor to see a cluster of fluids inside the bursa and changes in the musculature if the inflammation is already lasting for longer period of time. Calcifications seen by ultrasound or on X-Ray scans indicate longer duration of this diseases.

Symptoms are more common in women because of more widespread pelvis and in males that are running on uneven ground. Treatment may be initiated by administering various injections, for example, prolonged-release drugs that reduce inflammation, platelet rich plasma (PRP) and stretching exercises.

In case of partial success or failure of the above mentioned conservative treatments, we can recommend you a minimally-invasive surgery utilizing the camera through 2-3 small holes. During the surgery, a window is created (fenestration of the ligament) with the preservation of the post-trace glands. In this way, the function of the fascia is preserved. In a more rare situations, in the longer-lasting cases where muscle attachment is torn, the same technique makes it possible to re-attach the muscle attachment into original place. Symptoms disappear very quickly.

The time spent in the hospital is just one day. In our hospital we have great experience both in diagnosing and in successfully treating this disease.