1. MichelleGrant
Nichole Frederickson

2. Trochanteric Bursitis
is defined as painful
inflammation of the
bursa located just
superficial to the
greater trochanter
of the femur.

3.  StandingAsymmetrically for long periods of
time with the effected hip elevated and
adducted, while dropping the pelvis on the
opposite side.
 Excessive walking or running
 Falls or repetitive trauma by impact
 Climbing stairs
 Leg length discrepancy or hip surgery
complications

4.  Increased repetitive
friction against the bursa
causes irritation and
inflammation which in
turn causes pain.
 Pain symptoms occur
when the involved
muscle contracts, when
it is stretched, or when
the provoking activity is
repeated.

5.  Pain is experienced
over the lateral hip
and down the
lateral thigh to the
knee
 Faulty posture
 Painful gait
 Decreased muscle
flexibility

6.  Decreased muscular endurance
 Weak gluteus medius and
minimus
 Shortened lateral rotators
 Dominance of the hamstrings

7.  Pattern 4E- Impaired joint mobility, motor
function, muscle performance and range of
motion, associated with localized
inflammation

8.  Inflammation Control
 Cold packs or ice massage
 Hydrotherapy
 Laser
 Ultrasound
 Electronic Stimulation
 Compression or taping
 Continuous Passive Motion

9.  Restricted activity to avoid pain
 Use anAssistive Device to decrease weight
bearing
 Massage
 ManualTraction
 Joint Mobilization

10.  Stretch any muscles that
are restricting motion in
clinic and home exercise
 Train the involved
muscles to contract and
control alignment of the
femur
 Strengthening the
weakened muscles
 Control and strengthen
the trunk

11.  Perform each exercise 1 to 3 minutes before
progression
 Perform exercises that do not worsen symptoms
 Modify intensity
 Position
 Time performed
 Weight-bearing exercises or partial weight-
bearing exercise
 Biking
 Weight shifting exercises on parallel bars

12.  Progress close chain exercises to functional
activities
 Increase eccentric resistance and demand for
controlled speed to return-to-work activities
 Progress to patterns of movement consistent
with the desired day-to-day activities
 Practice timing and sequencing of events

13.  APTA.Guide to PhysicalTherapist Practice. 2nd
ed.Alexandria,VA:APTA;2001.
 Kisner C, Colby LA.Therapeutic Exercise: Foundations and
Techniques. 5th ed.Phillidelphia, PA:F.A. Davis
Company;2007.
 Foye PM, StitikTP.Trochanteric
Bursitis.http://emedicine.medscape.com/article/309286-
overview.Updated Oct 1, 2009.Accessed Nov 20, 2010.