Trochanteric bursitis causes pain on the side of the hip, but it can also refer pain down the side of the leg or into the back. It’s a bit of a tricky condition to diagnose, as there are several other injuries that can cause very similar pain. In this video, Maryke explains what a bursa is, why the ones on the side of the hip may become painful, and what treatments can help you to recover.

🌟Need more help with your injury? You’re welcome to consult one of the team at SIP online via video call for an assessment of your injury and a tailored treatment plan: https://www.sports-injury-physio.com/

Chapters:
00:00:00 Introduction
00:01:20 What is a bursa?
00:03:36 Why does a hip bursa get injured?
00:09:08 Diagnosis of hip bursitis
00:12:13 Treatment for hip bursitis
00:22:47 How we can help

👉You may also find this video useful: Hip Bursitis – Why Stretching Is Not A Good Idea: https://youtu.be/thrI0HZcmpw

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➡️ Rehab exercise library – Wibbi: https://geni.us/5QVD1 (Free trial plus discount via this link)
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References:
Barratt, P. A., et al. (2017). “Conservative treatments for greater trochanteric pain syndrome: a systematic review.” British Journal of Sports Medicine 51(2): 97-104.
Rothschild B. Elusive trochanteric bursitis relief. Clinical Rheumatology 2019:1-1.
Williams BS, Cohen SP. Greater trochanteric pain syndrome: a review of anatomy, diagnosis and treatment. Anesthesia & Analgesia 2009;108(5):1662-70.

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If you’re experiencing pain over the outside of your hip, commonly caused by trochanteric bursitis or gluteal tendinopathy, finding a pain free sleeping position can be hard. In this video, Alison explains why sleeping on either side can be painful and also shares some tips about what her patients have found useful.

💤 Try out this ergonomic side sleeping knee pillow, available on Amazon: https://geni.us/MbkQiZ

🌟Need more help with your injury? You’re welcome to consult one of the team at SIP online via video call for an assessment of your injury and a tailored treatment plan: https://www.sports-injury-physio.com/

Lateral Hip Pain Series:
👉Episode 1: Anatomy: https://youtu.be/njKjK7epupc
👉Episode 2: Symptoms: https://youtu.be/YoyRrEPY7zE
👉Episode 3: Tips For Sitting: https://youtu.be/iBl-9utwIHU
👉Episode 4: Tips for Sleeping: This video
👉Episode 5: Stretches: https://youtu.be/1Vzxa5LZHYc
👉Episode 6: The Menopause effect – https://youtu.be/UCPHp6WN-bM
👉Episode 7: Exercises That Can Help – https://youtu.be/1ulLRu_PIq4

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🖥️Some of the software we use to run our online physiotherapy practice:
➡️ Website hosting and management – Wix: https://geni.us/uyiB
➡️ Taking online payments – Square: https://geni.us/nZUbyi
➡️ Appointment scheduling – Acuity: https://geni.us/ayXb91
➡️ Consultations – Zoom One (Pro): https://geni.us/eEeC
➡️ Patient notes – Cliniko: https://geni.us/L5Q3H
➡️ Rehab exercise library – Physiotec: https://geni.us/JIODEpQ
➡️ Patient satisfaction survey – Typeform: https://geni.us/1Pn4F5p
➡️ Bookkeeping – FreeAgent: https://geni.us/TZfc7b
➡️ In-house task planner – Notion: https://geni.us/yArdF6

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If your hip hurts while you’re trying to sleep on your side, physical therapist Christine Koth explains what could be causing hip pain at night and how to adjust your position to get some sleep.

If you have outer hip pain, such as hip bursitis, you may feel pain either on the hip you’re laying on, or the hip you’re not laying on.

If you have pain in the hip you’re laying on, pain caused by direct pressure on the joint, then pay attention to your mattress surface. You may find relief by adding a memory foam pad or mattress topper to your mattress to help distribute your weight more evenly and provide extra cushion for that hip joint.

If you have pain on the hip you’re not laying on, try sleeping with a pillow between your knees and ankles. It may take some time to find a position that works with your pillow, and you may even have to try out pillows of different densities. The goal is to have your legs rest parallel to each other, so your knee is not lower than your hip. This can be accomplished by using a fat pillow, resting lengthwise from knees to ankles.

Sleeping with a pillow between your knees and ankles is a good way to relieve SI joint pain while sleeping on your side, as it reduces the strain on muscles attaching to the top of the thigh bone (greater trochanter). This strain on the hip is directly related to tight hip flexors (specifically a tight iliacus muscle), which causes an anterior pelvic rotation, and pulls on the lower back and hip joint.

Whatever the pillow position you choose, the main purpose of sleeping with the pillow is to alleviate the pull on your hip’s soft tissues and keep your pelvis in a natural alignment.

When you allow your leg to rest naturally while lying down, there is a slight dip that enables your legs to connect and rest. When this happens, your leg’s natural pull adds more pressure to the muscles around your hip joint, which can then cause hip pain when sleeping.
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Created by a physical therapist, the Hip Hook is the world’s first tool designed for psoas release AND iliacus release. Just a few minutes a day with the Hip Hook can provide long-term pain relief to the lower back, hips, tailbone, knees, and feet. Tightness in the iliacus and psoas is directly connected to many different kinds of pain throughout the body because its tightness rotates the pelvis and twists the body out of alignment.

Hip Hook – https://www.alethahealth.com/the-hip-…​
Tight Hip Twisted Core Book – https://www.alethahealth.com/tight-hi…​
Aletha Health – https://www.alethahealth.com/
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This video is © Copyright The Audio Visual Suite, University Hospitals of Derby and Burton NHS Foundation Trust 2019.
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