Hip Bursitis (Trochanteric Bursitis): Treatment in Palm Beach
Trochanteric bursitis refers to inflammation of the bursa overlying the greater trochanter of the hip. While bursal inflammation can certainly contribute to lateral hip pain, it is now understood that gluteal tendinopathy is the primary pain driver in most cases of greater trochanteric pain syndrome.
At Palm Beach Regenerative, Dr. Ghattas uses diagnostic ultrasound to accurately identify whether the bursa, the gluteal tendons, or both are the primary contributors to your hip pain before determining the most targeted treatment approach. Schedule a visit to Palm Beach Regenerative today by filling out our online form.
What Is Hip Bursitis (Trochanteric Bursitis)?
The trochanteric bursa is a fluid-filled sac that cushions the greater trochanter from the iliotibial band and gluteal tendons. When inflamed, it causes lateral hip pain that can be difficult to distinguish clinically from gluteal tendinopathy. Accurate differentiation guides effective treatment.
Signs and Symptoms
- Pain on the outer hip, often described as a burning or aching sensation
- Pain worsening with lying on the affected side at night
- Discomfort with prolonged walking or stair climbing
- Tenderness with direct pressure over the greater trochanter
- Snapping sensation with hip movement in some cases (iliotibial band snapping)
Common Causes and Risk Factors
- Repetitive friction from the iliotibial band over the greater trochanter
- Hip abductor muscle weakness creating abnormal hip mechanics
- Prior hip surgery or direct trauma
- Leg length discrepancy
- Running with excessive hip adduction
How It Is Diagnosed
Diagnostic ultrasound differentiates bursal inflammation from gluteal tendon degeneration and tearing, and guides precise injection placement. MRI provides the most comprehensive assessment when both conditions are suspected.
Conventional Treatment Options
- Physical therapy for hip abductor strengthening and IT band stretching
- Activity modification
- Trochanteric bursa steroid injection
- Shock wave therapy
The Palm Beach Regenerative Approach
Using real-time ultrasound guidance, Dr. Ghattas delivers targeted orthobiologic injection to the precise location of pathology, whether that is the bursa, the gluteal tendon insertion, or both. This precision is what distinguishes the Palm Beach Regenerative approach from blind or landmark-based injection.
Addressing the correct anatomical target is the most important factor in achieving meaningful relief from lateral hip pain.
The BioMod Advantage: MLS Robotic Laser Therapy to the lateral hip region reduces bursal and tendon inflammation simultaneously. Xymogen anti-inflammatory protocols provide systemic support, reducing the inflammatory burden that drives bursitis recurrence.
Like all medical procedures, interventional orthobiologics have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.
Quick Appointments Available
Don't wait in pain. We can see you within 1-2 weeks. Get the orthopedic care you need, fast.
●PATIENT OUTCOMES
Real Patients. Real Results.
No medical procedure can guarantee an outcome. What you should expect is an honest discussion of the evidence, a careful assessment of candidacy, and a recommendation based on your condition.
"Honestly one of the best experiences, I’ve had a really stiff neck for a couple weeks I tried seeing a chiropractor for and it helped marginally but the real jump in relief was coming to see Dr. Ghattas! He has been incredible, wonderful staff, and minimally invasive technique for my pain relief which was super important to me! Thank you Dr. Ghattas recommending to anyone with pain!"Monica A
"Ghattas was instrumental in helping my torn rotator cuff. I did Barbotage for the stone, and then PRP. Great experience. Been about a month or 2 since and I feel great."Ahmet B
"I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them."Roger L
"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."Dr Jorge A
"Dr. Ghattas is very knowledgable and a sympathetic doctor. Hard to find in America. All questions answered, my procedure went very smoothly, very little pain. Follow up is excellent, I highly recommend his practice."Luciana D
“ I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them. ”Roger L
“Dr. Ghattas was terrific today. He spent a good amount of time examining me and explaining the regenerative process which I intend to have done next month. More to come after the procedure.”Louie R
“I found Dr Ghattas and his staff very welcoming and informative. The process was well explained and gave me encouragement about the potential for fully restoring my knee joint integrity.”Eric C
“I received two treatments from Dr. Ghattas With excellent results, he takes great care in his assessment and in his treatment you couldn’t be in better hands. I highly recommend his work.”Gisela S
“Apart from the exemplary personal service by the reception and the staff that makes us feel we're at home at the clinic, I have experienced remarkable healing in several episodes from shoulder issue to knee injuries and hip pain. The doctor is so thorough in the diagnosis phase that he administered exactly what was needed, no more no less! Thank you folks for a wonderful experience.”RG G
“Went to Dr. Ghattas for chronic knee and neck issue. I’ve already had multiple procedures done on my neck and multiple epidurals with minimal success. My knee I was told needed surgery to fix. I already had surgery in the past with minimal difference. I ended up getting stem cells in my knee and neck and could t be happier with the outcome. Anyone considering surgery I recommend checking out Regenex first. Next I’m doing the ganglion block and look forward to the results.”Logan H
“Dr. James Ghattas and his team are truly top-notch. His office is equipped with state-of-the-art technology and a staff that's exceptional in their fields. I've referred several clients to him, and they've all been incredibly satisfied. Dr. Ghattas is absolutely ahead of the curve, and I wholeheartedly endorse his work.”Ron H
“I am quite active and go to pilates 3-4 times per week. I was having left knee pain and which was treated with PRP. It took about 3 months for me to feel better but then the pain completely subsided. I now am able to exercise without the fear that I will tear a ligament and am pain free.”Ellipsis P
“Transparency, thoroughness, attention to detail, immediate, high quality, follow ups and follow through are just a few words that come to mind throughout my experiences with Palm Beach Regenerative Sport and Spine.”Milton L
