Houston Shockwave Therapy
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Greater Trochanteric Bursitis
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Shockwave Therapy for Greater Trochanteric Bursitis
The hip bursa is a fluid filled jelly-like sac that acts as a cushion between the hip bone and the soft tissue which helps reduce hip friction. When the greater trochanter bursa becomes inflamed, it is referred to as hip bursitis. There are two major bursas in the hip that can become irritated, the iliopsoas bursa and the greater trochanteric bursa. The trochanteric bursa is located on the side of the hip, superficial to the hip and deep to the iliotibial band (ITB).
Due to its superficial setting and the closeness to large ligaments, the trochanteric bursa can swell and become painful. When the patient first notices the pain, it is usually sharp and intense. At first the pain can be observed at the point of the hip and usually extends to the outside of the hip and upper leg area. Later the pain feels like more of an ache and spreads to a large area around the hip. Typically, the pain is worse when lying on the affected hip and when getting out of the car or up from a chair after sitting for a while. It may also get worse when walking, stair climbing, bicycling, or standing for extended periods of time. Discomfort typically aggravates with increased activity, or movements including stabilizing of the hips such as standing on one leg. Irritation often occurs with adduction of the thigh and eased with abduction as these tensions and eliminates tension on the superior ITB, specifically.
Inflammation to the bursa can be due to overuse such as running or exercise, tendinopathy of adjacent muscular structure, or injury from a fall, which compresses the bursa. Some cases of trochanteric bursitis happen without an obvious reason. Besides overuse and injury, the hip bursa can become inflammatory from bone spurs, prior surgery like prosthetic implants in the hip, and diseases such as gout, thyroid disease, and rheumatoid arthritis. Bursitis is more common in women and in the elderly.
Medical treatment to check for tenderness is a requirement for the diagnosis of trochanteric bursitis. It is important to have an Xray to rule out a hip fracture. Advanced imaging (MRI) is seldom required for the medical diagnosis of trochanteric bursitis however is often used to rule out an occult crack of the femoral neck. Ultrasound can be utilized for medical diagnosis as it would certainly show boosted fluid signal with the trochanteric bursa.
People with hip bursitis can often experience relief with traditional physical therapy like stretches to increase hip strength and flexibility. Treatments such as rolling therapy, massage, heat, ice, and ultrasound. The Shockwave medical laser treatment is highly effective, and Houston Sports Medicine is fortunate to have a medical wave at our office in the Woodlands.
How shockwave therapy treatment can help:
New blood vessels develop, improving blood supply and oxygenation of the treated area. Reversal of persistent inflammation happens as pole cell activity rises. Pole cells play an important function in injury recovery and protection versus virus. Accelerates the generation of collagen, which assists tendon fibers to be denser and stiffer, producing a stronger structure. Calcium build-up breaks down– granular portions of the buildup are eliminated by the body’s lymphatic system in areas where micro-tears and various other trauma to ligaments exist. Material P levels are decreased and discomfort is reduced when a natural chemical passes on pain messages to the central nerve system and inhibits the development of inflammatory edema.
Give us a call today and get on your path to recovery with Houston Shockwave Therapy located in The Woodlands, TX.