Hip/Trochanteric Bursitis? (Watch This!)

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Check out our more recent video on the topic: • Gluteal Tendinopathy /...
Your hip pain is probably NOT due to bursitis. Watch the video to learn why!
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Intro (0:00)
Anatomy (0:27)
Diagnosis (1:11)
Activity Modifications (4:51)
Exercise Progressions (6:32)
Summary (9:10)
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Disclaimer: The information presented is not intended as medical advice or to be a substitute for medical counseling but intended for entertainment purposes only. If you are experiencing pain, please seek the appropriate healthcare professional.

[@E3Rehab]

Thank you for watching! Check out the blog to learn more! e3rehab.com/blog/lateralhippain

[@jankes6918]

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[@jankes6918]

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[@jojopate1]

Best description and succinct video I’ve seen yet! So many videos lump all of this together and confuse you with mixed information and recommendations but this one is clear and informative. Thank you!

[@exannuc]

The evidence base you use and clinical implications you draw are impeccable and will definitely help me study through my last musc. clinical placement! Great work!

[@E3Rehab]

Thank you! Best of luck!

[@johnshelton7525]

EXTREMELY well done. One of the very best presentations on the web.

[@BurpeesBulgolgi]

thank you for your video! love how you went through research findings and then going into each movements at different levels. You were very detailed and the young lady doing each movement helped me to do them right. Thank you for breaking the time down on the comments also so I can go directly into the movements when I'm doing the exercises.

[@stefaniecurtis815]

I love how you referenced studies and showed the actual muscles! I’ve had 2 MRIs show bursitis AND tendinopathy (plus a labral tear). I’m managing the tear ok but my lateral pain has been so hard to treat. I’m thinking I’ve been too focused on addressing the bursitis and not the tendinopathy. Thank you so much for this video!

[@morrisonsusan]

loved your siting of the research studies!

[@anjacareytraining2787]

Thank you for this very accurate explaining video!

[@jlay9876]

one of the best channels on yt and still unknown. Keep up the good work.

[@E3Rehab]

Thank you very much!

[@johnschlesinger2009]

This is really informative and helpful - thanks.

[@ST-rj8iu]

Outstanding breakdown!

[@rwr313]

Very glad I came across this video! Excellent!

[@kabeerdiddan8601]

This was incredibly helpful. Thank you

[@danielazapata8628]

This was incredible! Great job :)

[@E3Rehab]

Thank you!

[@red03golf]

Good information and well presented. Thank you.

[@williamrunner6718]

Best video on this yet! Very informative!

[@E3Rehab]

Glad it was helpful!

[@xiannow23]

What a great channel, y’all produce some really great educational content. Thank you!!

[@E3Rehab]

Thank you!

[@joellanderson5137]

Thanks, gonna try these out. Hip is killin me after a few weeks of heavy running.

[@vivianeraw8448]

Hey Joell How r u now !! did u recover from bursitis?

[@luigigraziano4761]

Clear and evidence based. Well done!

[@E3Rehab]

Thank you!

[@jacquelinelombard5029]

Well finally an educated overview of potential causes and studies around hip pain ie “Bursitis” Fortunately for me I am already following a similar senior hip strengthening program similar to your low intensity set of exercises Thank you for this presentation 👍

[@mollygordon7099]

Amazing information! I will be trying this and hoping this helps!

[@carolwilliams1197]

Thank you for this presentation and demonstration of exercises, I have been doing a different set of isometric exercises, but just recent;y mobility pain and distress he’s reappeared. I shall begin with some of your easier exercises

[@inspiritusgardenartdesign9534]

Really really helpful!! Thank you 🙏

[@ladytt9478]

Great advice this described my pain exactly, now I can converse with my doctor for best course of action

[@jamescraven1781]

Wow! Very helpful. Thank you!

[@izatrini439]

Out of all the videos I watched this was the most helpful. I was just diagnosed with this condition. My doctor wants to do a hip X ray and go to physical therapy. Guess what all of that cost money I don't have so I am going to follow these steps to help myself. Thank you! 😊

[@kathleenvanhoof8056]

great video of both science and practical exercises !

[@mpwise1]

Thank you so much. Proof of research and results are valuable in any condition, as far as I am concerned. I am sooo exited to start a new therapy. My professional medical and physical therapies have not relieved my pain. 😮🎉😊

[@lyndamedley543]

I totally agree with you . These exercises are great. I do dome different yhings like bike ride, walk, yoga, pilates, light weights bench. I also have bands and agree side steps. Wonderful video.

[@shawntannenbaum9647]

Amazing video!

[@glennlozuke268]

Fantastic video. Better advice than what my PT gave me. I'm currently doing full body weights squats 2x a week with other calisthenics. Although I'm not experiencing pain or discomfort while doing this exercise, I am occasionally experiencing a sharp twinge in my left hip just by standing a certain way. Walking is fine. I'll give these exercises a try...thx

[@juanluisordaz2358]

Great test you share articules Support your presentation 😊

[@TheManuella3]

🥇Thank you so much for this info. 🥇

[@shippley]

thank you thank you thank you!!! I know what to do now for my hip discomfort.

[@Inna.Eroshina]

Thanks a lot! 👍

[@michelleburstrom2548]

Fantastic video. Makes a lot of sence.

[@tsirtosky1439]

A TRUE MAN OF SCIENCE,thank you!!

[@andreymelnikov13]

Great video!!!

[@zandralee103]

Great information/video! Thanks.

[@E3Rehab]

No problem!

[@hansvankampen64]

Yes, this video helped me to remember why my paint increased. I stoppend ice speed skating due to Corona and some of your excercises are similair.

[@hawklerfalco9067]

I do need to do these exercises.Thank you

[@kato7870]

Awesome! Thank you!

[@SiSi-oi6mb]

Thank you so much. I have a bursitis since one year. Cortison didn’t help me. Will do these exercises regularly and see if they help.

[@alexandriagriffin4448]

Thank you so much going yo try these exercises

[@SennyMarshall]

Awesome 👏 😊 great vid.

[@asgharalihassim]

Great explanation

[@bunaashok9435]

Thank you so much for your explanation . For 4 months I have been searching for a proper diagnoses , listening to you makes me feels I fit into this slot . Will definitely try your exercises. Do I need to do an MRI ? Please advise

[@Pinesol605]

Hi Dr. Marc, My hip pain started after I wore a walking boot for 10 days for a foot injury. This was back in June the pain would wake me up at night. I find that stretching and massaging the glutes, TFL, quads and hip flexors make IT worse. Now It shoots into my lower back and adductors. :(

[@tsirtosky1439]

i’ve noticed that when the pain gets really bad walking with a wider stance alleviates a lot of pain, and makes me concentrate on strengthening supportive muscles

[@cupcakexrider]

Thanks so much for the information, I have hip dysplasia in both hips but always had pin in my right hip since I was 13 or 14. Im going to try these exercises

[@dinam211]

I also have hip dysplasia in both hips with a pin in my right hip. How are you managing pain? Do you experience pain in one hip more so than the other?

[@cupcakexrider]

@@dinam211 Yes I still experience more pain in my right hip. I do a lot of stretching and icing my hip when the pain is a lot. I've gone to a physical therapist and he helps out and he pulled my leg while I was laying down and that REALLY did help a lot. I've also gotten a cortisone injection in my hip twice and that helped a lot I haven't done it in a while since I read that it can cause the hip cartridge to deteriorate faster.

[@ericdavidson2246]

Thank you for putting this together. Bi-lateral hip pain is greatly affecting my powerlifting this year and sleep. Already started implementing the isometric exercises today.

[@E3Rehab]

Hope it helps!

[@PinataOblongata]

How did it work out? Same boat.

[@noway5266]

Yeah. Same . Need an update

[@vivianeraw8448]

How r u now r u healed?

[@vivianeraw8448]

@@noway5266 how r u doing!? Any progress , i Hope u healed

[@debbiecraig6140]

Thank you!

[@zstork]

Very good video.

[@matheusdantasrossetto8413]

Excellent video, as always!! Do you guys think that we could have the same idea/approach for a diagnostics of "Shoulder Bursitis"? Find some confortable mobility drills and improve loading in the area, both isometrics or isotonic exercises?

[@E3Rehab]

Absolutely!

[@lorrainebryan3847]

Great vide, I'm doing these exercises through my physio and they do help if done regularly it's a very slow process, if I have a can't be bothered day then I do notice that I'm stiff sore, I have it in both sides and find sleep pain hardest to deal with but thanks again

[@nikollezeinikolle6519]

Amazing!!!

[@fipzee]

I started off with groin/adductor pain and that has subsided and now feels like glute medius side of hip pain. Have you heard of that happening before? Hoping this info will help! Thanks for putting this video together :)

[@gesilva4539]

Thanks!!! 👏👏👏

[@ramiropiceno7414]

very informative video. I have Lateral hip pain that started about a year ago and it fares up after mountain bike rides. Not sure if it is due to the fact that I have always consider myself having weak glutes but never done anything to strengthen them. I love mountain biking but lately I dread bike rides because I know I'll have lateral hip pain for several days afterwards. Do you think having weak or unbalance glutes can cause the lateral pain I am experiencing?

[@baharbahary8268]

Thank you.

[@3four4door59]

Very well done video

[@E3Rehab]

Thank you very much!

[@3four4door59]

@@E3Rehab no thank you E3 this vid possibly came in before I did any more damage rolling the hell out of everything. Its clear my issues stem from weekness around these areas as I been laid off work for Abit now and haven't been as active as I should be. This video re ignited the flame to fix myself and be prepared for 2021. 😊

[@kennyjohnson1428]

Great video

[@E3Rehab]

Thanks!

[@prasoonsoni2029]

Awesome 👍

[@johnkrazzki6492]

I have hip pain on my right side and also SC joint blockades on the same side. The glute med/min are extremely tight on my right side, too. So is the QL muscle. MRT didn't show significant disc issues. And objective weakness doesn't seem to be my problem. I try to focus on loosening up the SC joint and the muscles themselves (with a ball) before I engage in specific strength training (abduction, bridges, single leg exercises). Is this correct? Do you have any further tips for unilateral trochanteric pain? Should I focus more on the painful side or would this just irritate the glute muscles further? I mean training a tight muscle seems a bit odd...Thanks!

[@addictcyclist]

Fantastic! Dealing with this right now and this confirmed a lot about diagnosis and how to address. 🤙🏻

[@mikethegamer2835]

May you please do a video on heel bursitis

[@dgale1023]

By watching this my greater trochanter on left is my main problem. It is weak and painful to walk and makes me unsteady, to the point where I grab a door jamb on side to ease down steps. Is there an exercise for this? Thank you

[@livenhfree]

Good stuff. Except... I have it on both sides. :-} Anyway, I've been doing some research, and also finding that muscle release therapy with a tennis ball is recommended for the muscles around the trochanter, as well as the IT band. I'm guessing this would be good to add to the exercises you describe here?

[@consuelomondaca9359]

very good.

[@user-ce1ho4qy3q]

Thank you I will be doing this. At 77 I still want to walk n run up the stairs like I did last year. I had total Rt knee replacement last year followed by heart surgery which knock me down, 3 months of physical therapy but still not the same. Can’t walk more then 1:2 mile I get tired n weak

[@user-ce1ho4qy3q]

I’m disappointed with my self. I like the Nu Step but can’t do. As much as I did before. I loose my balance.

[@fabriziopiva6]

Is it possible that this condition causes knee pain, in particular a bit below the knee, to the outside? I have been diagnosed with Iliotibial band syndrome and myofascial release is recommended to release the IT band with a lacrosse ball on the sides of the IT band (lateral quad and hamstrings + TFL and glute medius). The problem is, when I reach that lateral hip area, I have a lot of pain when rolling the lateral quad & hamstring, below the TFL. I also have pain in the lateral hip when walking or doing single leg romanian deadlift (when about to reach the final "L" position).

[@debbiec6216]

I have question. I feel I have Trendelenburg Gait ( walk like an penguin ) and both of my knees aren't in the best health ( total knee replacements ) , do you think the knees are the cause , How I walk ? My Right Hip is Weak . Thank you . Thank you again for explain all this , I am learning as I go alone . IN my life there's so much going on , it becomes overwhelming , I am researching it ALL !!!

[@energymasterjo]

I was just diagnosed today😢

[@mrskncts]

Wow! So it's not inflammation. Thank you for so convincingly debunking that myth. Does exercise really rebuild the tendon tissues? How long should you train at the different stages before proceeding to the next level? How can you calm down overactive pain receptors that fire at the slightest stimulus?

[@E3Rehab]

Exercise might not change how they look on an image, but that isn't necessary for a successful outcome. Exercise is just a way to build up their capacity to handle load. The time at each stage partially depends on your tolerance. If you're able to use more resistance, hold longer, etc. with the same symptoms or less, then it might be worthwhile to increase the difficulty. On the flip side, if you're consistently doing too much and flaring up, it might be worthwhile to decrease the difficulty. Since pain is multifactorial, it's hard to say what might help calm your symptoms down. It can be helpful to modify aggravating activities as needed as mentioned in the video, but you can also do things that make you generally feel better (whatever that might be). The goal with the exercises will also be so that you can do more over time without being as symptomatic. Expectations and understanding the condition can be helpful for many individuals as well by knowing that some pain is likely to be expected and not necessarily damaging or bad throughout the rehab process.

[@mrskncts]

@@E3Rehab Thank you so much for the reply!

[@AA-Ashley]

@@mrskncts I agree with your comment, this video is amazing. NSAIDS were not helping me and it makes sense if it's not a inflammation issue.

[@HATAIIIKA]

@@AA-Ashley Same here, even got a prednisone shot without any relief

[@genkishooto]

It is inflammation, but not trochanteric bursitis, which has been over-diagnosed.

[@missStellaV]

But how soon after the first occurrence of pain should we start the exercises?

[@hideaskelton14]

I have bursitis in my right hip & have been getting injections in it the injections are getting to where they are not helping i am right back in pain i a couple of days are weeks i am tired of injections & pt he said if this injection does not help then he will do an mri if he finds anything he said he would send me to hospital for injections & if that does not help then send me to a specialist to possibly have a joint replacement is joint replacement a total hip replacement?? I would rather go that route cause i am tired of injections but i don't know why he would have to send me to a specialist when he is an orthopedic dr.why is that??

[@monawoka97]

Man this was so helpful. I have this exact pain on my right side and it's been so annoying because it limits me to 5 mile hikes or less. I realized I do all the above (sit with my right leg folder under me, sleep on my right side, and load my right leg while standing) all causing stress to that tendon. Gonna try to stop doing those things as well as some of the strengthening work to see how it goes.

[@skygazer6898]

So, I have just been diagnosed with Greater trochanteric bursitis that is causing me severe pain but you are saying that is not what I am suffering from? I take strong painkillers, use ice and have been given exercises I need to do.

[@georgewashington7687]

Does Vitamin D deficiency cause greater trochanter pain? Or iliotibial band pain.

[@colinhenry2487]

I HAVE ARTHRITIS IN BOTH MY HIP JOINTS, BALL & SOCKET JOINTS. WHEN I DO THESE EXERCISES MY HIPS ACHE FOR DAYS. ANY SUGGESTIONS. THANKS.

[@nathaliedegey1366]

J ai le même problème depuis 4 ans... Tendinopathie du moyen fessier et bursite trochanterienne J ai fait beaucoup de kiné + des infiltrations. J ai toujours très mal. Je ne sais plus quoi faire.

[@colinhenry2487]

I have arthritis in both my hip joints(ball & socket) do you know if these exercises will alleviate the ongong discomfort when walking outdoors?

[@E3Rehab]

These exercises may be beneficial for other conditions, but this video was not designed to address hip osteoarthritis.

[@DanielGarib]

I have a problem with my hip, I have been diagnosed with bursitis, and I feel that my middle gluteal muscle is weak. I should start with isometric (sidelying hip abduction) or I can use both isometric and lateral walking on the day of leg training?

[@vivianeraw8448]

Hey how r u Hope u recovered I recently got it from doing hip abduction did it thé wrong way i put the weight on hip Bone 😥😢 M so concerned that its not curable

[@tennybear6782]

4:47 so pain while palpation can help rule in bursitis?

[@lovelightshining4444]

Doctor, I have level 10 pain in my right forward hip joint. Can't sleep on my right side without ice pack for over a year now! I received an x ray and it showed a mild spur, and some mild arthritis. It feel WAY more painful than that. I take tramadol for a spinal chord tear and it doesn't touch the pain at all. Any clue what this could be? Thank you for your time. Holiday blessings.

[@hunkallgood73]

Same for me but it's in my left hip. Have you been able to get any help since you left this comment?

[@donnadoyle1541]

What is grade 2strain/partial tear of left VASTUS LATERALIS MUSCLE just inferior to the left greater TROCHANTER Impression from MRI

[@marinag.6023]

i deal with the pain since 2019 and when i sleep on the affected side it huts quite a bit and i feel soreness the other day, so that means i should sleep on the othe side?

[@vicclwharton]

I have gluteal tendinopathy in both hips and it is awful, had pain for 18 years 😢

[@gerrie6498]

Did you try all said in the video. ? Feeling sorry for you. Feels like no Dr can help us

[@angelbennett6617]

I've had two major falls in the last five years. The first resulting in bursitis of the greater trochanter of my left hip. The second I messed up my SI joint on my left side. So now my hip is constantly inflamed and my SI joint hurts and affects my sciatic nerve. I'm only 43. I've been through physical therapy. I went to a chiropractor for a while. Currently I'm dealing with it by taking celebrex. I'm pretty much in constant pain and am no stranger to loss of sleep. I sleep with a pillow between my knees. Waking frequently from either my hip or sciatic nerve burning down. I'm just miserable constantly and at a loss on my options. My Dr said he doesn't like to prescribe the celebrex long term. I've been on it about 5 months now and it does allow me some alleviation of pain for some quality of life. I'm terrified of when he won't prescribe it anymore because I get to where I can hardly move and in severe pain. I want the problem fixed. I'm too young to hurt like this for the rest of my life. Please, is there a stretch or exercise that channels BOTH problems. I just want to be and feel normal again and do things I enjoy like dancing. 😢 Thank you....

[@angelbennett6617]

@@jojosez8945 No, unfortunately not. Now I also have Plantar Fasciitis on that same side. So every step feels like a huge hot rod in my heel. I just don't know what to do or what the answer is. It can't be a good thing for our body to always be inflamed on one side. (Immune response wise) Idk, I'm thinking I may try Yoga next. I'm just getting over Covid. I had to go get my first treatment of Monoclonal Antibody Infusion. So I will let you know if yoga works. I'm so sorry. I know what kind of pain you are in and how it affects your life. If you figure something out let me know too. Maybe we can help one another. 🙂

[@angelbennett6617]

@@jojosez8945 Thank you, I will definitely check into that. I hope you get some good news back. The one thing that has always bothered me is these things that we have cannot be fixed and we just have to learn to live with it. I think that really makes it worse physically and mentally. I'm going to read up about what you were talking about now. I appreciate you thinking of me. Let me know how it goes.

[@pammckay6805]

I.feel.your.pain. Having.the.same.problems. Is..your.pain.from.a.injury. Acupuncture.seem.to.lossen My.back.up.and.l.felt.more.relaxed And.taking.amiltriplene.for.sleep.and Nerve.pain.

[@stevoCdownunder]

What do recommend for a calcification of my right glute max tendon

[@iboking8924]

hi during how much month better hip glute?

[@olsonkelly5459]

If it's not inflammation that causes the pain then what causes it? How can a weak tendon cause pain? Is tendinopathy like a pulled muscle?

[@shariessagesoulandspirit9098]

Ummmmm. I’m on year 9. Been doing physical therapy, ice, heat, swimming , cortisone shots…. Still in pain especially when walking. It is very dabilitating.

[@Carpediem617]

Hi. I didnt understand the parameters? You mean to do each exercise 3 - 5 times, holding it for 10 - 60 sec?

[@E3Rehab]

Yes, that is an option.

[@LizaLavolta]

Can this condition contribute to lateral pelvic tilt? I ask because- I have that with lateral pain and have been already doing a lot of these exercises with great results. Unfortunately the PTS I have been to have assigned other exercises and not been able to aptly identify the issue so I am on my own to resolve.

[@jillblackburn5207]

Yes. A chiropractor can straighten this out. Mine was so bad that one leg was an inch shorter than the other. I had to go several times because when I walked it would pull it out to a tilt again. Use a hip and thigh brace to keep it in place and within a month or so it will realized it belongs there. Hoping for the best for you.

[@marksmall8692]

When the pain gets too much when standing, I find kneeling over my bed for a minute or two helps for me. Not sure if anyone else has found that

[@cocodee000]

Hii, what if my affected areas, are both hips :(? Thank you

[@missyychia]

Please do a video on Piriformis syndrome!

[@E3Rehab]

we're working on one!

[@missyychia]

@@E3Rehab superstars! ⭐️ thank you!

[@tigray1]

Is biking safe ? Please and thank you for answering my question.

[@user-un8mr5do2w]

Hey there have you solved the problem?

[@brendanriley2908]

hi, you say resisted hip abduction can help "roll in" this condition. Quick language point (I'm in UK, some American English terms we don't use here) does "roll in" mean exacerbate/make worse, or (help to) control.... ie is it a good or bad? My physiotherapist got me to do resisted hip abductions with the band, and it made it a lot worse, or maybe because I overdid it.

[@E3Rehab]

Rule in - if you have pain with hip abduction, then it might be more likely that you have the diagnosis discussed. Hip abduction strengthening is used to help treat gluteal tendinopathy but yes, it can make thing worse. Gotta find the right dosage.

[@brendanriley2908]

@@E3Rehab thank you for the prompt reply excellent video, I'll watch this every day and work in the advice on activity and exercise, there's a lot of really great and well researched information. much appreciated