Lateral hip pain caused by Greater Trochanteric Bursitis

Posted on January 18th, 2012

Greater Trochanteric Bursitis is a frequent cause of lateral hip pain, affecting more females than males, usually in the 4th and 5th decade of life. If this pathology has not occurred through an external trauma, then it is often an overuse syndrome.

 A bursa is a fluid filled sac which prevents the friction of a tendon/muscle over bony structures. The trochanteric bursa is located on the outer aspect of the hip.

The bony prominence pictured is the attachment of several buttock muscles, which are responsible for moving and stabilising the hip during walking, running, climbing and jumping. Tightness and overuse of these muscles may cause a rub/friction across the greater trochanteric bursa resulting in inflammation of this stucture.

Clinical presentation

Pain is often an intermittent, deep aching around the greater trochanter and may radiate to the distal thigh, groin and buttock area. Due to the insertion of muscles at the greater trochanter activities like stair climbing, running or even lying on the effected side may provoke symptoms.

Management during the acute phase includes icing and avoiding aggravating activities. Once acute symptoms have settled, treatment continues with gentle stretching of the lateral thigh muscles as well as strengthening of the pelvic stabilising muscles which is mainly the gluteus medius. A home exercise program should be performed on a daily basis as instructed by your Physiotherapist.


Hydrotherapy

Posted on January 12th, 2012

For the past 2 years PhysioCare Townsville has offered the adjunct of Hydrotherapy to those seeking rehabilitation from various injuries. Although its benefits appear to be quite well known within the community it is worth outlining how a simple thing like water can assist in your recovery as well as what to expect when attending one of our classes.

Buoyancy is one of the most important factors associated with hydrotherapy. This means that the deeper you go into the water the more your body weight is taken away from your trunk and limbs and the less the pressure of gravity is exerted on your body.  This is extremely useful for those whose ability to bear their own weight is hampered by pain, for example significant lower back pain. Put simply, if pain is preventing you from retraining walking on land there is a much higher likelihood of being able to achieve this in water.

Added benefits of Hydrotherapy include the pressure that water exerts through your joints, this can be used as a means of pushing swelling out of limbs or providing a feeling of increased support to joints. Because Hydrotherapy is often performed in a heated pool this also provides increased muscular relaxation and pain relief.  

At present our clinic runs a weekly hydrotherapy session in the undercover heated section of the Long Tan Pool in Heatley. The session is performed as a group class with one of our friendly Physiotherapists in the pool with you, each class lasts for 40mins-1hr and incorporates a warm up and warm down + stretches.

For more information about this service or if you would like to participate, please do not hesitate to call!


Happy New Year From the PhysioCare Team!

Posted on January 3rd, 2012

After a refreshing break over Christmas/New Years, PhysioCare Townsville reopened the doors today. We look forward to an exciting and busy year ahead, as we welcome on board two new physiotherapists- Justin Leschke  and Lauren Stock. Justin joined us in mid November 2011 on a part-time basis, and Lauren will begin full-time work on the 9th of January. We are all very excited to have two new physiotherapists join our team, which allows us to continue to offer extended opening hours to our patients.

In other news, while you may see some new faces around the clinic, some of the familar faces will be missing… Amelia and John will be globe trotting in January and February. Amelia is taking 3 weeks leave to explore Japan on her first overseas trip and will be back for business on the 6th of February. Meanwhile John will be travelling to Vietnam and Laos for the first three weeks of February and will be back on the 2oth.