Skip to main content

Hip Bursitis (Trochanteric)

Inflammation on the outside of the hip

Trochanteric hip bursitis is inflammation of the fluid-filled sac on the outside of the hip, producing pain over the bony prominence that worsens with walking or lying on the side. Same-day or next-week evaluations across eight LA-area offices.

Los Angeles orthopedic specialist evaluating a patient for hip bursitis. LAOSS board-certified care across eight LA offices

See a specialist this week

Board-certified surgeons and podiatrists across eight Los Angeles area neighborhoods.

Book a visitOr call (323) 264-7600

Common hip concerns we treat

  • Pain that limits walking, lifting, or sleep
  • Stiffness, swelling, or reduced range of motion
  • Sports injuries: acute or overuse
  • Arthritis or post-traumatic joint changes
  • Conditions other doctors couldn't resolve

What sets LAOSS apart

  • Same- or next-day appointments at eight Los Angeles-area offices
  • On-site imaging; PT coordinated with your in-network provider
  • Conservative-first care, surgery only when needed
  • Board-certified specialists, not generalists

Key takeaways

  • Hip bursitis is one of many hip conditions our specialists evaluate every day.
  • Most patients improve with conservative care: image-guided injections, bracing, and PT with your in-network provider.
  • When a procedure is the right call, we explain every option, recovery timeline, and return-to-activity milestone.
  • On-site imaging at most offices and same-day appointments across eight Los Angeles-area locations.

What is hip bursitis?

Trochanteric hip bursitis is inflammation of the fluid-filled sac on the outside of the hip, producing pain over the bony prominence that worsens with walking or lying on the side. Symptoms can develop gradually or after a specific injury, so early evaluation matters when function starts to decline.

Most patients with trochanteric hip bursitis improve with conservative care: targeted physical therapy, image-guided injections, bracing or supportive footwear when relevant, and activity modification. When conservative care isn't enough or imaging shows structural injury that won't heal on its own, our specialists offer the next-step procedures discussed below.

Below, we walk through the anatomy involved, the symptoms and causes we most often see, how we diagnose trochanteric hip bursitis, and the full range of treatment options, from the simplest to the most involved.

Watch: Bursitis of the Hip (Trochanteric Bursitis)

This is an irritation or swelling of the trochanteric bursa. This small, fluid-filled sac is found on the outer side of the femur. It acts as a cushion for the iliotibial band, a thick tendon in your leg.

Animations licensed from ViewMedica · Swarm Interactive
Anatomical illustration of the hip joint showing the femoral head, acetabulum, and labrum
Anatomy of the hip: femoral head, acetabulum, labrum, and surrounding ligaments.

Inside the hip.

The hip is a ball-and-socket joint built for both stability and a wide range of motion. The ball (femoral head) sits inside the socket (acetabulum) and is cushioned by smooth cartilage. The labrum, a rim of cartilage around the socket, adds depth and a seal. Most hip pain comes from wear of that cartilage, labral injury, or bony impingement between the ball and socket.

Symptoms and causes of hip bursitis

Common symptoms

  • Sharp or aching pain over the outside of the hip
  • Pain lying on the affected side
  • Tenderness pressing on the bony hip prominence
  • Pain walking up stairs or after sitting

Common causes

  • Overuse from walking or running
  • Tight IT band or hip abductor weakness
  • Direct trauma (fall onto the hip)
  • Leg-length discrepancy or gait abnormality

How we diagnose hip bursitis

You want answers, fast, and we're built to give them. Most patients leave their first LAOSS visit with a clear diagnosis and a written plan, not another referral chain.

Here's what your initial visit for hip bursitis typically looks like:

  • Detailed history: when it started, what makes it better or worse, what you've already tried
  • Focused exam of the hip: range of motion, stability, strength, specific provocation tests
  • On-site imaging at most offices: X-ray for bone, ultrasound or MRI when soft-tissue detail is needed
  • A written plan with options ranging from conservative care to surgical procedures, in plain English

Schedule your evaluation at the LAOSS office nearest you.

How we treat hip bursitis at LAOSS

Once we've confirmed the diagnosis, the next step is matching the right treatment to your situation. We start with the least-invasive option that fits, and escalate only when it doesn't.

Conservative care
Step 1

Conservative care first

Non-surgical options designed to relieve pain, restore movement, and avoid the OR when possible.

  • Activity changes and avoiding lying on the sore side
  • Ice and anti-inflammatory medication
  • Physical therapy to strengthen the hip muscles and stretch the IT band
  • Image-guided steroid injection into the bursa
  • Correcting contributors such as a leg-length difference or gait problem
Surgical care
When needed

Surgical options when needed

Surgery for hip bursitis is uncommon and is considered only when months of conservative care have not helped.

  • Bursectomy: removal of the inflamed bursa, often through a scope
  • IT band release or lengthening when a tight band keeps rubbing
  • Repair of a torn gluteal tendon when imaging shows one
  • Physical therapy after surgery to rebuild hip strength

Why experience matters.

Why experience matters

Hip care is highly technique-dependent. Volume, training, and judgment together determine the outcome you actually feel six months later.

  • Precise diagnosis from imaging and exam
  • Conservative-first care that avoids unnecessary surgery
  • Surgical technique refined over thousands of cases
  • On-site imaging + coordinated PT through your in-network provider

The LAOSS approach

Our hip specialists move stepwise: start with the least-invasive option that fits your situation, escalate only when it doesn't.

  • Same-day imaging at most offices
  • PT coordinated in your insurance network
  • Board-certified surgeons performing the procedures themselves
  • Direct access to your specialist between visits

Am I a candidate?

If most of these match your situation, an evaluation with a hip specialist is the next step.

You may be

You may be a candidate if

These signs typically point toward an in-person evaluation with a hip specialist.

  • Pain or stiffness in the hip that lasts more than a few days
  • Swelling, instability, or noticeable change in function
  • Symptoms that limit walking, lifting, sleep, or work
  • Previous treatment that didn't fully resolve the problem
  • Imaging or exam findings that suggest an underlying issue
Evaluation

What evaluation includes

Your first visit is built to give you an answer the same day, not just another referral.

  • Detailed history: onset, mechanism, what makes it better or worse
  • Hands-on exam focused on the affected joint or region
  • On-site imaging at most offices (X-ray, ultrasound)
  • Clear plan with options ranging from conservative to surgical
  • Same-day or next-day scheduling for any follow-up tests

ImportantSeek urgent evaluation for sudden severe pain, numbness, progressive weakness, or any sign of infection (fever, increasing redness or swelling).

Your hip recovery roadmap.

Recovery is rarely a straight line, but a clear plan with measurable milestones makes the path predictable.

  1. Days 0 to 14

    Right after care

    In the first two weeks we focus on protecting the hip, calming inflammation, and restoring basic motion.

    • Activity modification with clear do/don't guidance
    • Ice and pain control as needed
    • Gentle range-of-motion within safe limits
    • Follow-up scheduled to track healing
  2. Weeks 2 to 8

    Rehabilitation

    Targeted physical therapy rebuilds strength, mobility, and confidence in the hip.

    • Progressive strengthening and neuromuscular work
    • Manual therapy and soft-tissue treatment
    • Sport- or job-specific movement re-training
    • Coordinated PT through your in-network provider
  3. Months 2+

    Long-term care

    Once function is restored, the focus shifts to keeping you there, and catching any recurrence early.

    • Return-to-activity plan with measured benchmarks
    • Home program tailored to your sport or job
    • Maintenance visits or imaging if symptoms change
    • Direct line back to your specialist if needed
Risks & considerations

What to weigh before you decide.

We talk through the risks and benefits with every patient. Informed consent is a conversation, not a form.

General

General considerations

Every orthopedic intervention carries a small set of standard risks. We screen, prepare, and monitor for these on every patient.

  • Infection (rare with modern technique and prophylaxis)
  • Bleeding or bruising at the treatment site
  • Reaction to anesthesia or medications
  • Need for additional procedures in some cases
Specific

Hip considerations

Some risks are tied to the structures we're treating in the hip. We discuss these in detail at your visit so you can weigh them against the benefits.

  • Temporary stiffness or weakness during recovery
  • Incomplete pain relief in a small percentage of cases
  • Nerve or vessel irritation near the treatment area
  • Need for follow-up therapy to fully restore function

Meet our hip doctors in the Greater Los Angeles area

At LAOSS, our hip specialists are board-certified and treat these problems every day. From minimally invasive arthroscopic techniques to joint replacement and arthritis management, our physicians bring decades of experience to every case. We have cared for Los Angeles patients since 2007, with one goal for each: less pain, better movement, and a return to the activities you love.

Meet your hip specialists.

View all providers
Compare up to 34 providers
  • Accepting new patients

    Kevin Pelton, MD

    Orthopedic Surgeon · Founder

    • East Los Angeles
    • Encino
    • Valencia
  • Accepting new patients

    Erik Dworsky, MD

    Hip & Knee Surgeon

    Speaks English and Spanish

    Habla español

    • Santa Fe Springs
  • Accepting new patients

    David Barba, MD

    Hip & Knee Surgeon

    Speaks English and Spanish

    Habla español

    • Wilshire
    • East Los Angeles
  • Accepting new patients

    Jayson Lian, MD

    Sports Medicine Surgeon

    • Encino
    • Valencia
    • Tarzana

Care for hip bursitis starts here

Don't let hip bursitis be something you just power through. With same- or next-day appointments at multiple Los Angeles locations, you'll never wait weeks or months for answers. The same team handles your diagnosis, treatment, and recovery. Whether you need physical therapy, injections, or surgery, we plan it with you and coordinate each step.

Call or schedule online today to see a hip specialist in Los Angeles.

Find care by body area.

Jump to a nearby condition page and compare treatment paths across the body.

Common hip bursitis questions

  • We start with a focused orthopedic exam and detailed history. X-rays are usually done in-office; MRI or ultrasound is ordered when soft-tissue detail is needed. Most patients leave the first visit with a clear diagnosis and a written plan.

Don't wait on pain.

Book a visit with a hip specialist at any of our eight Los Angeles-area offices.

Booking now
21 specialists · 8 offices
Greater Los Angeles
On-site X-raySame visit
Most insurers acceptedIn-network
Triage chat · AI assisted

Los Angeles Orthopedic Surgery Specialists

You are chatting with an AI assistant, not a doctor or nurse. Messages are processed by Microsoft Azure and sent to our care team by email, so share only what you are comfortable sharing. To talk with a person, call (323) 264-7600. Privacy policy

Assistant: Hi, I'm an AI assistant for Los Angeles Orthopedic Surgery Specialists. I'm not a doctor and can't give medical advice. If this is an emergency, call 911 or go to the nearest ER. Anything you share will go to a LAOSS team member who'll reach out to schedule your visit. What's bothering you today?
The assistant is answering. You can keep typing.

Book a visit

Pick a time online, or leave your details and a team member will call you within 1 business day.

Pick a time online

Opens Zocdoc in a new tab

A phone number or an email is enough.

Or call (323) 264-7600