Trochanteric bursitis has been used as a general term to describe pain around the greater trochanteric region of the hip. “Bursitis,” is still a popular diagnosis for lateral hip pain.

Doctors at the Center for Hip Surgery in the United Kingdom however speculated that that trochanteric bursitis may not be a real diagnosis and in their study, pain normally attributed to bursitis was coming from a weakening of the hip tendons.1

In agreement with this research, we will often see patients with a diagnosis of bursitis, and, as this study suggests they do not have it at all. What we find is pain being generated by problems of the hip, pelvic, and low back ligaments in addition to the tendons This is usually discovered following a physical examination.

PRP for hip bursitis

A report from the American Academy of Orthopaedic Surgeons says that Platelet-rich plasma hip injections (PRP) are significantly more effective and durable than cortisone injections for the treatment of severe chronic hip bursitis.

Then it would make sense that PRP would work better than cortisone for hip pain. In the study, “Platelet-Rich Plasma (PRP) More Effective than Cortisone for Severe Chronic Hip Bursitis,” 40 patients were selected for the study and randomly divided into two groups: one group was treated with a single injection of 40 milligrams (mg) of methylprednisolone, and the second group, a single injection of PRP.

Results were recorded to assesses a patient’s functionality before and after hip treatment; and to measure pain, stiffness and functional limitation.  According to the study authors, PRP injections are significantly more effective and durable than cortisone injections for the treatment of severe chronic hip bursitis.2

Because they healed the ligaments?

While cortisone inhibits inflammation, PRP stimulate proteins which encourage cellular growth and tissue regeneration. A recent study presented at the International Meeting on the use of Autologous Growth Factors in Orthopedics and Sports Medicine found patients receiving cortisone showed a 40% improvement compared to PRP, which demonstrated a 75% improvement at 12 months. The study concluded that PRP injections reduced pain and increased function significantly, exceeding the effect of corticosteroid injection.3

Below both the stem cell therapy and PRP injection hip treatments are demonstrated on patients.Bone Marrow Stem Cell Treatment

1. Board TN, Hughes SJ, Freemont AJ. Trochanteric bursitis: the last great misnomer. Hip Int. 2014 Dec 5;24(6):610-615. doi: 10.5301/hipint.5000154. Epub 2014 Aug 29.

2. http://www.aaos-annualmeeting-presskit.org/2014/news_briefs/downloads/PRP-HipBursitis.pdf

3. Nichols AW. Complications associated with the use of corticosteroids in the treatment of athletic injuries. Clin J Sport Med. 2005;15:E370.