The trochanteric bursa lies between the iliotibial band and the greater trochanter, reducing friction as the IT band moves over the bony prominence during hip movements.
Trochanteric bursitis is a misnomer — the primary pathology is usually gluteus medius tendinopathy. The bursa becomes secondarily inflamed. Lateral hip pain worsening with lying on the side and walking is the classic presentation.
Lateral hip pain from gluteus medius tendinopathy with secondary trochanteric bursitis, worsening with side-lying and single-leg activities — managed with load modification and gluteal strengthening.
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