Pain on the outside of the hip often arises from the gluteal tendons and nearby bursae. This is called greater trochanteric pain syndrome. The common term bursitis does not always capture all the structures involved.
After a fall with inability to bear weight, or with fever or rapidly increasing pain, the hip should be assessed promptly.
Causes and risk factors
Unfamiliar walking or running loads, pressure while lying down and reduced hip muscle load tolerance may contribute. Changes in walking and problems with the back or knee also influence loading.
Typical symptoms
Tenderness over the outer bony prominence, pain when lying on that side, climbing stairs or walking for longer periods are typical. Pain may extend down the outside of the thigh.
Diagnosis
Examination assesses tenderness, hip strength, walking and joint movement. The back and other causes are considered too. Imaging is particularly useful with an atypical course, injury or suspected significant tendon damage.
Non-surgical treatment
Targeted, gradually increased strengthening and reducing irritating pressure are central. A pillow between the knees when lying on the opposite side may help. An injection may relieve pain temporarily but does not replace rebuilding load tolerance.
Surgical options
Surgery is rarely needed. Proven significant tendon damage or persistent major loss of function despite treatment may warrant specialist assessment. The decision depends on the precise findings.
Aftercare and rehabilitation
Rebuilding capacity may take several months. Walking distances, stairs and training are increased gradually. Temporary setbacks usually call for adjusted intensity rather than prolonged complete rest. Progress is judged by functions relevant to everyday life.
Common questions
Is this hip osteoarthritis?
Not necessarily. Tenderness on the outside often arises outside the joint; examination helps distinguish the causes.
How can I lie comfortably at night?
Lying on the opposite side with a pillow between the knees is often more comfortable. Direct pressure on the painful side should initially be reduced.
Arrange a consultation
We discuss which treatment is suitable for your findings and which procedures are available within our outpatient service during a personal consultation. Outpatient operations take place at an external surgical centre.
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Further reading
Selected external resources about this condition. Some linked publications are in German.
Medical background
Sources & further information
These professional and patient resources provide further information about this condition. The text on this page is independently written.
NHS inform: Greater trochanteric pain syndromeAAOS: Hip bursitis