Trochanteric Bursitis Surgery

Trochanteric Bursitis

Trochanteric Bursitis – Understanding Lateral Hip Pain

The most common cause of pain on the outer side of the hip is Trochanteric Bursitis. This condition involves inflammation of the trochanteric bursa, a small fluid-filled sac located at the top, outer side of the femur. Its role is to act as a shock absorber and lubricant, allowing smooth movement of surrounding muscles—particularly the Iliotibial Band (ITB).

Why Does It Occur?

The ITB is a strong band of tissue running from the pelvis to the tibia. Over time, or due to poor gait mechanics and deconditioning, the ITB can become tight. This tightness causes friction over the trochanteric prominence, leading to bursal inflammation.

Symptoms

Pain and tenderness on the outer hip

Difficulty walking up or down stairs

Inability to sleep on the affected side

Chronic discomfort that can significantly affect daily life

Trochanteric bursitis is more common in middle-aged women and can become debilitating if untreated.

First-Line Treatment

Non-operative management is the mainstay and includes:

Weight loss

ITB stretching

Core strengthening

Gait retraining

These can be supplemented with:

Anti-inflammatory medication

Steroid and local anesthetic injections into the bursa

With consistent treatment, 80% of patients improve, but full resolution may take 8–12 months.

When Surgery Is Considered

If symptoms persist despite comprehensive non-operative care, surgical intervention may be necessary:

ITB release and bursectomy to reduce friction and inflammation.

In some cases, the hip abductor tendons (gluteal tendons) may be degenerated or ruptured. These require repair, which involves:

Extended rehabilitation

Use of mobility aids during recovery

A/Prof Hazratwala performs these procedures regularly with predictable outcomes, including advanced techniques for tendon repair using LARS ligament grafts.

Bottom line: Surgery is reserved for patients who fail conservative treatment or have associated tendon tears. Understanding the commitment to rehabilitation is essential before proceeding.

Trochanteric Bursitis

Adult Total Knee Replacements

If knee pain from arthritis or injury makes everyday activities—like walking, climbing stairs, or even resting—difficult, and non-surgical treatments no longer help, total knee replacement may be the right option for you.

This procedure is designed to relieve pain and restore function, making it one of the most successful operations in modern medicine. However, it is a major surgery and should never be taken lightly. Every patient is different—while many recover well within months, full recovery can take up to 12 months, and complications, though rare, can be serious.

At the Queensland Lower Limb Clinic, A/Prof Kaushik Hazratwala offers robotic-assisted and computer-navigated knee replacement surgery, ensuring precision alignment and optimal outcomes tailored to your anatomy. These advanced techniques improve accuracy, enhance implant longevity, and support faster recovery.

A/Prof Hazratwala is an internationally recognized leader in knee surgery, with published research on surgical techniques and outcomes in peer-reviewed journals. His experience and commitment to innovation mean you are in expert hands.

For most patients with severe knee arthritis, knee replacement is a scientifically proven treatment that reliably reduces pain and restores mobility—helping you return to the activities you love.

Healthdirect on TKR

Research & Publications

Fiji Orthopaedic Services

Dr Hazratwala is currently providing tertiary level orthopaedic services in Fiji. He visits Fiji every three to four months for a week and performs operations at the Suva Private Hospital and is currently negotiating with the Ministry of Health in Fiji to obtain operating time at the CWM. He is performing Hip and Knee Replacements, ACL Reconstructions, Knee Arthroscopy and a variety of foot and ankle operations. Dr Hazratwala is a specialist in lower limb surgery and will only provide a basic upper limb service and will not be offering a spinal surgical service. Dr Hazratwala is also available via this website to offer advice on urgent fracture/trauma cases. Please note, this service is only for immediate treatment and not for chronic and degenerative conditions. Dr Hazratwala will not be able to attend to all enquiries of a non-urgent nature. For non-urgent/degenerative conditions, please make an appointment to see Dr Hazratwala at the Suva Private Hospital. For urgent/trauma advice, please use the Appointment Request Form and upload the x-rays and provide relevant history as to the mechanism of the injury and events and treatment received to date. For an appointment to see Dr Hazratwala, please make a booking through Dr Mahendra Hazratwala's surgery on 3302163.

APPOINTMENT REQUEST

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