medicine practitioners and therefore potentially be at a higher risk of bursitis due to an increased risk of high impact trauma.
If one assumes that Williams and Cohen (2009) were correct in saying that only 8% of those with greater trochanteric pain have trochanteric bursitis, and that the studies listed above included the other greater trochanteric pain syndromes, it could be assume that the incidence of trochanteric bursitis as a lone condition may be 0.114-0.448 per 1000 people. However, this is not a strong source of evidence and more research needs to be done to determine the true incidence of trochanteric bursitis
Recognised management of the acute injury (includes surgical interventions where applicable)
Aprato et al. (2014) gives …show more content…
This program consisted of icing the affected area for 20 minutes and then removing the ice for 20 minutes while repeating this for 48-72 hours. It also included avoiding strenuous exercise and stair climbing as well as adding 200mg of Celebrex (a nonsteroidal anti-inflammatory drug) each day with food. The patient was given injections of local anaesthetics and corticosteroids and was instructed to begin an exercise program for 2-3 times a week for a period of 5 weeks. After 5 weeks, the patient came back for a check-up to determine progress and it was concluded that the rehabilitation program had a significantly positive result. After this check-up, the patients exercise program was reduced to two sessions a week and was also given an exercise program to perform at home. The patient was then made aware of the importance of stretching every day and avoiding movements that required them to constantly bend or twist. Mulford (2007) states that education is a vital aspect of the rehabilitation program and that it can take several months of exercising and anti-inflammatory treatments to reduce the pain caused by trochanteric bursitis. Lustenberger et al. (2011) found that patients who did a six week home exercise program which contained stretches for piriformis and the iliotibial band, strengthening exercises for the glueteals, assisted squats, and straight leg raises. After this, …show more content…
Lievense et al. (2005) looked into how greater trochanteric pain can influence a person’s life, specifically how it affects people in the workplace. It was observed that 34% of people affected with trochanteric pain were ‘very much troubled’ while completing activities at or for work and approximately 25% of people who suffered from trochanteric pain had used sick leave when their symptoms had flared up. It was also noted that 40% of people had trouble sleeping due to the pain. There were 60% of people with this condition who played sport, of these, 54% detailed their pain as ‘greatly impaired’ when referring to their participation during training and matches. Lievense et al. (2005) also used a Visual Analogue Scale (VAS) of 0-100 to measure the mean pain while they were symptomatic and asymptomatic. It was found that rehabilitation improved pain from a VAS rating of 46.0 to 4.4. Lustenberger et al. (2011) found that using a combination or individual conservative interventions such as exercise programs, weight loss, activity modifications, nonsteroidal anti-inflammatory medications and corticosteroid injections could cure more than 90% of those afflicted with trochanteric bursitis. Unfortunately Lustenberger et al. (2011) found that the amount of studies which focused on the efficacy of conservative and surgical intervention were quite
If one assumes that Williams and Cohen (2009) were correct in saying that only 8% of those with greater trochanteric pain have trochanteric bursitis, and that the studies listed above included the other greater trochanteric pain syndromes, it could be assume that the incidence of trochanteric bursitis as a lone condition may be 0.114-0.448 per 1000 people. However, this is not a strong source of evidence and more research needs to be done to determine the true incidence of trochanteric bursitis
Recognised management of the acute injury (includes surgical interventions where applicable)
Aprato et al. (2014) gives …show more content…
This program consisted of icing the affected area for 20 minutes and then removing the ice for 20 minutes while repeating this for 48-72 hours. It also included avoiding strenuous exercise and stair climbing as well as adding 200mg of Celebrex (a nonsteroidal anti-inflammatory drug) each day with food. The patient was given injections of local anaesthetics and corticosteroids and was instructed to begin an exercise program for 2-3 times a week for a period of 5 weeks. After 5 weeks, the patient came back for a check-up to determine progress and it was concluded that the rehabilitation program had a significantly positive result. After this check-up, the patients exercise program was reduced to two sessions a week and was also given an exercise program to perform at home. The patient was then made aware of the importance of stretching every day and avoiding movements that required them to constantly bend or twist. Mulford (2007) states that education is a vital aspect of the rehabilitation program and that it can take several months of exercising and anti-inflammatory treatments to reduce the pain caused by trochanteric bursitis. Lustenberger et al. (2011) found that patients who did a six week home exercise program which contained stretches for piriformis and the iliotibial band, strengthening exercises for the glueteals, assisted squats, and straight leg raises. After this, …show more content…
Lievense et al. (2005) looked into how greater trochanteric pain can influence a person’s life, specifically how it affects people in the workplace. It was observed that 34% of people affected with trochanteric pain were ‘very much troubled’ while completing activities at or for work and approximately 25% of people who suffered from trochanteric pain had used sick leave when their symptoms had flared up. It was also noted that 40% of people had trouble sleeping due to the pain. There were 60% of people with this condition who played sport, of these, 54% detailed their pain as ‘greatly impaired’ when referring to their participation during training and matches. Lievense et al. (2005) also used a Visual Analogue Scale (VAS) of 0-100 to measure the mean pain while they were symptomatic and asymptomatic. It was found that rehabilitation improved pain from a VAS rating of 46.0 to 4.4. Lustenberger et al. (2011) found that using a combination or individual conservative interventions such as exercise programs, weight loss, activity modifications, nonsteroidal anti-inflammatory medications and corticosteroid injections could cure more than 90% of those afflicted with trochanteric bursitis. Unfortunately Lustenberger et al. (2011) found that the amount of studies which focused on the efficacy of conservative and surgical intervention were quite