Greater trochanter pain
definition
Of the Greater trochanter denotes one Bony prominence on the upper part of the Thighbone (Femur). The protruding bone is close to the hip joint and plays a key role in its function. in the hip joint are the hip bones with the Femur connected by a ball joint. Any movements of the thigh also strain the thigh Greater trochanter. Various muscles of the hip joint attach to it, the functions of which are restricted when pain occurs.
causes
Hip pain can have a variety of causes. The causes can be chronic or acute and can be found in bones, muscles or soft tissue. Chronic, degenerative problems that involve pain in the area of the Greater trochanter cause, are often caused by an interaction between bones and muscles.
Legs of different lengths Spinal curvature and bone degeneration can lead to long-term postural problems as well Incorrect loads to lead. Pain quickly arises from continuous incorrect stress while running. In the long term, the muscles develop asymmetrically and also encourage incorrect posture. Such Bad posture can also occur self-inflicted through a wrong gait pattern, bad habits or wrong technique and wrong shoes when jogging.
There are also a number of them in the hip joint Muscle groups involved can also cause pain Greater trochanter be. They are particularly noticeable as pain after the muscles are subjected to exceptional stress. Long walks and hikes are enough to feel a stinging in the hip area for the following days. In sport or old age, muscle injuries are also conceivable, such as Ruptured muscle fibers or torn muscle bundles. They arise when the individual muscle is overstretched or overstrained.
Furthermore, others can Soft tissue be involved in the area of the hip joint. With blunt force on the outer hip, bruises and associated bruises can occur. They arise from damage to smaller blood vessels. A typical pain on Greater trochanter can be found in inflammation. The three bursae in the area are particularly prone to inflammation Greater trochanter (see also: Inflammation of the trochander major). Bursitis do not always occur with an apparent cause. However, they are often found in the hip area as part of long-term use or injury.
Other causes in the context of orthopedic issues or after hip operations are possible.
Symptoms
Typical symptom of diseases am Greater trochanter is the painwhich, however, occurs differently depending on the tissue affected. In the case of problems with the bone, the most noticeable pain over the bone can be identified, which can be felt when moving or applying pressure to the affected area.
The development of the pain can provide information about the underlying disease. If there is increased physical activity or a sports accident, a problem with the musculoskeletal system is to be assumed.
At Inflammation the pain feels sharp and can run through the entire leg. In the case of severe inflammation, the pain can be felt even at rest, some patients complain of nocturnal sleep disorders due to the pain. If the inflammation is pronounced, other signs of inflammation can be detected, for example one swelling the outer hip, one overheat the skin in that area, one Redness and a severely restricted function of hip movements.
Read more about this under: Inflammation of the hip.
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Pain when lying down
When lying down, the muscles of the hip and thigh are mostly relaxed. Of the Pain should be particularly low here. However, if the pain is unbearable even when lying down, it could be an advanced bursitis. Typically, in this condition you would also notice reddening and overheating of the thigh and pronounced pain when standing and walking.
Pain when jogging
The majority of all joggers struggle with hip pain over time. That is mainly on Incorrect loads in the sequence of movements traced back. This leads to irritation of the tendons and muscles and such incorrect loads can also lead to bursitis.
The most important step in the occurrence of chronic stress pain is this Immobilization the hip. If you continue to jog, the inflammation continues to worsen; a precise analysis of the cause, therapy for the inflammation and adequate rest for a certain period of time are imperative.
Pain in pregnancy
Pregnancy can In rare cases Pain on Greater trochanter cause. The additional stress caused by the child's weight affects the legs and hips like increased activity even during normal walking. Here, too, rest is very beneficial for healing.
A pain in the thigh can also go through Nerve irritation caused. A typical complication during pregnancy is the pinching of a superficial cutaneous nerve as it exits the hip. This leads to Tnumbness and other symptoms on the outside and front of the thigh.
therapy
Treatment depends on the cause. At Inflammation Medicines can support healing. In the best case scenario, the therapy stops Painkillers, Anti-inflammatories and physical therapy together. The inflammation-related pain syndrome am Greater trochanter must above all be conservative medicinal treated while the Bursitis often heals spontaneously on its own.
At Painkillers We recommend the non-steroidal anti-inflammatory drugs with few side effects, in short NSAIDs. These also have anti-inflammatory effects. The main representatives of this group of drugs are Ibuprofen and Diclofenac. Anti-inflammatories allow the inflammation to heal faster and are usually also taken in tablet form; more rarely, the agent has to be injected directly into the affected area. This is the main representative of anti-inflammatory drugs cortisone. The cause of the inflammation on Greater trochanter is not always evident. However, if it is bacterial, one must Antibiotic treatment done to prevent future inflammation. A physiotherapy can be used after the pain has subsided in order to train the mobility of the hip joint and counteract complications such as muscle wasting.
At mechanical causes, for example injuries to the bone, these sometimes have to be removed by surgical treatment. A surgery at the Greater trochanter is rarely required overall. If the conservative options have failed, surgical therapy may be necessary.
Exercises for therapy
Musculoskeletal problems in the hip joint area must first be immobilized and healed so that normal mobility can be restored through physiotherapy. For bursitis in the area of the Greater trochanter certain therapeutic exercises can also be performed at home. First of all, previous therapy should have largely reduced the pain so that movements in the hip can be carried out without complications.
The exercises aim at the so-called "Iliotibial band“That pulls the outside of the thigh to the knee, to stretch and strengthen. To do this, you can lie sideways on the floor, with the sick side up and then lift your stretched, sick leg. This position should be held for a few seconds. The whole thing can be repeated several times with short pauses. An effort can be felt quickly in the upper, outer thigh. The lifting of the legs can also be repeated lying on the stomach and back, whereby the hip muscles are strengthened all around.
To the Iliotibial band To stretch, lean sideways against a wall to maintain balance and cross your legs so that you feel the stretch in your outer thigh. Many other exercises can be performed with tools. In the best case, these are carried out under the guidance of an orthopedic surgeon or physiotherapist. In no case should the exercises be performed with pain.
forecast
The healing time is strong depending on the cause for the pain. The duration of bursitis also varies greatly with the degree of inflammation. A slight inflammation can show improvement after a few days, a stubborn inflammation can drag on for weeks and recur more frequently.
The prognosis is very good, seldom long-term damage or pain remains.
Patience in healing and adequate hip immobilization is beneficial and reduces the risk of recurrence.
