ICD-10: M70.6

Trochanteric bursitis, classified under ICD-10 code M70.6, is a common condition characterized by inflammation of the bursa located near the greater trochanter of the femur, which is the bony prominence on the outer side of the hip. This condition often results from repetitive motion, overuse, or direct trauma to the hip area, leading to pain and discomfort.

Clinical Description

Definition and Anatomy

Trochanteric bursitis involves the inflammation of the trochanteric bursa, a small fluid-filled sac that acts as a cushion between the bones and soft tissues, reducing friction during movement. The greater trochanter is a key site for muscle attachment, including the gluteus medius and minimus, which are crucial for hip stability and movement.

Symptoms

Patients with trochanteric bursitis typically present with:
- Lateral Hip Pain: Pain is often localized to the outer hip and may radiate down the thigh.
- Tenderness: The area over the greater trochanter is usually tender to touch.
- Pain with Movement: Activities such as walking, climbing stairs, or lying on the affected side can exacerbate the pain.
- Stiffness: Some patients may experience stiffness in the hip joint, particularly after periods of inactivity.

Risk Factors

Several factors can increase the likelihood of developing trochanteric bursitis, including:
- Age: Older adults are more susceptible due to degenerative changes in the hip.
- Overuse: Activities that involve repetitive hip movements, such as running or cycling, can lead to inflammation.
- Obesity: Excess weight can place additional stress on the hip joints.
- Previous Injuries: A history of hip injuries or surgeries may predispose individuals to bursitis.

Diagnosis

Diagnosis of trochanteric bursitis is primarily clinical, based on the patient's history and physical examination. Healthcare providers may perform specific tests to assess pain and tenderness over the greater trochanter. Imaging studies, such as X-rays or MRI, may be utilized to rule out other conditions, such as fractures or arthritis, but are not typically necessary for diagnosis.

Treatment

Management of trochanteric bursitis often includes:
- Rest and Activity Modification: Reducing activities that exacerbate symptoms is crucial.
- Physical Therapy: Strengthening and stretching exercises can help improve hip function and reduce pain.
- Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed to alleviate pain and inflammation.
- Corticosteroid Injections: In some cases, injections into the bursa may provide significant relief.
- Surgery: Rarely, surgical intervention may be considered if conservative treatments fail.

Conclusion

Trochanteric bursitis, denoted by ICD-10 code M70.6, is a prevalent condition that can significantly impact mobility and quality of life. Early diagnosis and appropriate management are essential to alleviate symptoms and restore function. Understanding the clinical presentation, risk factors, and treatment options is vital for healthcare providers in effectively addressing this condition.

Trochanteric bursitis, also known as Greater Trochanteric Pain Syndrome, is a common condition characterized by inflammation of the bursa located over the greater trochanter of the femur. This condition is often associated with pain on the outer side of the hip and can significantly impact a patient's mobility and quality of life. Below is a detailed overview of the clinical presentation, signs, symptoms, and patient characteristics associated with ICD-10 code M70.6 for trochanteric bursitis.

Clinical Presentation

Pain Characteristics

• Location: The primary symptom is pain on the lateral aspect of the hip, specifically over the greater trochanter. Patients may describe the pain as sharp, aching, or throbbing.
• Radiation: Pain may radiate down the outer thigh or into the buttock, but it typically does not extend below the knee.
• Aggravating Factors: Activities such as walking, climbing stairs, or lying on the affected side can exacerbate the pain. Patients often report increased discomfort with prolonged sitting or standing.

Functional Limitations

• Patients may experience difficulty with activities of daily living, including walking, dressing, and climbing stairs due to pain and discomfort.
• There may be a noticeable limp or altered gait as patients attempt to compensate for the pain.

Signs and Symptoms

Physical Examination Findings

• Tenderness: Palpation over the greater trochanter typically reveals tenderness and may elicit pain.
• Swelling: In some cases, there may be mild swelling or warmth over the affected area, although this is not always present.
• Range of Motion: Passive and active range of motion of the hip may be limited due to pain, particularly with abduction and external rotation.
• Special Tests: Positive results on specific tests, such as the Trendelenburg test, may indicate weakness in the hip abductors, which can be associated with trochanteric bursitis.

Associated Symptoms

• Patients may report stiffness in the hip, particularly after periods of inactivity.
• Some individuals may experience referred pain in the lower back or knee, although this is less common.

Patient Characteristics

Demographics

• Age: Trochanteric bursitis is more prevalent in middle-aged and older adults, particularly those aged 40-60 years.
• Gender: Women are more frequently affected than men, possibly due to anatomical and hormonal differences.

Risk Factors

• Activity Level: Individuals who engage in repetitive activities that involve hip abduction or external rotation, such as runners or cyclists, are at higher risk.
• Obesity: Increased body weight can contribute to hip joint stress and inflammation of the bursa.
• Previous Injuries: A history of hip or lower extremity injuries may predispose individuals to develop bursitis.
• Underlying Conditions: Conditions such as osteoarthritis, rheumatoid arthritis, or other inflammatory diseases can increase the likelihood of developing trochanteric bursitis.

Comorbidities

• Patients with conditions such as diabetes, hypertension, or metabolic syndrome may experience a higher incidence of musculoskeletal disorders, including bursitis.

Conclusion

Trochanteric bursitis (ICD-10 code M70.6) presents with characteristic lateral hip pain, tenderness over the greater trochanter, and functional limitations that can significantly affect a patient's daily activities. Understanding the clinical presentation, signs, symptoms, and patient characteristics is crucial for accurate diagnosis and effective management of this condition. Early intervention, including physical therapy and lifestyle modifications, can help alleviate symptoms and improve patient outcomes.

Trochanteric bursitis, classified under ICD-10 code M70.6, is a condition characterized by inflammation of the bursa located near the greater trochanter of the femur, which can lead to hip pain and discomfort. Understanding alternative names and related terms for this condition can enhance communication among healthcare professionals and improve patient education. Below are some of the commonly used alternative names and related terms associated with trochanteric bursitis.

Alternative Names for Trochanteric Bursitis

1. Greater Trochanteric Bursitis: This term emphasizes the specific location of the bursa involved, which is situated at the greater trochanter of the femur.

2. Hip Bursitis: A more general term that can refer to inflammation of any bursa in the hip region, but is often used interchangeably with trochanteric bursitis.

3. Lateral Hip Pain: While not a direct synonym, this term describes the symptomatology associated with trochanteric bursitis, as patients often report pain on the outer side of the hip.

4. Trochanteric Pain Syndrome: This term encompasses a broader range of symptoms and conditions related to pain in the trochanteric region, including but not limited to bursitis.

5. Gluteal Bursitis: This term may be used to describe inflammation of the bursa associated with the gluteal muscles, which can overlap with symptoms of trochanteric bursitis.

Related Terms

1. Bursitis: A general term for inflammation of a bursa, which can occur in various locations throughout the body, including the hip.

2. Hip Pain: A broad term that can refer to any pain in the hip area, including that caused by trochanteric bursitis.

3. Tendinopathy: Often associated with trochanteric bursitis, this term refers to the degeneration of tendons, particularly those of the gluteal muscles, which can contribute to the condition.

4. Iliotibial Band Syndrome: This condition can coexist with trochanteric bursitis, as the iliotibial band runs along the outer thigh and can cause lateral hip pain.

5. Hip Impingement: While distinct from bursitis, this condition can present with similar symptoms and may be considered in differential diagnoses.

Conclusion

Trochanteric bursitis, or M70.6 in the ICD-10 classification, is known by several alternative names and related terms that reflect its symptoms, anatomical location, and associated conditions. Understanding these terms can facilitate better communication in clinical settings and enhance patient understanding of their diagnosis. If you have further questions about this condition or need additional information, feel free to ask!

Trochanteric bursitis, classified under ICD-10-CM code M70.6, is a condition characterized by inflammation of the bursa located near the greater trochanter of the femur, which can lead to pain and discomfort in the hip region. The diagnosis of trochanteric bursitis typically involves a combination of clinical evaluation, patient history, and imaging studies. Below are the key criteria used for diagnosing this condition:

Clinical Evaluation

1. Patient History

• Symptom Description: Patients often report lateral hip pain, which may radiate down the thigh. The pain is usually exacerbated by activities such as walking, climbing stairs, or lying on the affected side.
• Duration of Symptoms: Chronic cases may present with persistent pain lasting several weeks or months, while acute cases may arise from a specific injury or overuse.

2. Physical Examination

• Tenderness: Palpation of the greater trochanter typically reveals tenderness, which is a hallmark sign of trochanteric bursitis.
• Range of Motion: The clinician may assess the range of motion in the hip joint. Pain during specific movements, particularly abduction and external rotation, can indicate bursitis.
• Functional Tests: Tests such as the Trendelenburg test may be performed to evaluate hip stability and pain response during weight-bearing activities.

Imaging Studies

3. Ultrasound

• Bursa Assessment: Ultrasound can be used to visualize the bursa and assess for signs of inflammation, such as fluid accumulation or thickening of the bursal wall.

4. MRI

• Detailed Imaging: Magnetic Resonance Imaging (MRI) may be utilized in complex cases to rule out other conditions, such as gluteal tendinopathy or hip joint pathology, and to confirm the presence of bursitis.

Differential Diagnosis

5. Exclusion of Other Conditions

• It is crucial to differentiate trochanteric bursitis from other potential causes of hip pain, such as:
  • Gluteal tendinopathy (ICD-10 code N84)
  • Osteoarthritis of the hip
  • Hip fractures or labral tears
• A thorough clinical assessment and imaging studies help in ruling out these conditions.

Conclusion

The diagnosis of trochanteric bursitis (ICD-10 code M70.6) relies on a comprehensive approach that includes patient history, physical examination, and imaging studies. By systematically evaluating these criteria, healthcare providers can accurately diagnose and manage this common condition, ensuring appropriate treatment and rehabilitation strategies are implemented to alleviate symptoms and restore function.

Trochanteric bursitis, classified under ICD-10 code M70.6, is a common condition characterized by inflammation of the bursa located near the greater trochanter of the femur, leading to pain and discomfort in the hip region. This condition often arises from repetitive activities, direct trauma, or underlying conditions such as arthritis. Understanding the standard treatment approaches for trochanteric bursitis is essential for effective management and recovery.

Standard Treatment Approaches

1. Conservative Management

Rest and Activity Modification

• Rest: Patients are advised to avoid activities that exacerbate the pain, allowing the inflamed bursa to heal. This may include reducing high-impact activities such as running or jumping.
• Activity Modification: Engaging in low-impact exercises, such as swimming or cycling, can help maintain fitness without aggravating the condition[1].

Ice Therapy

• Applying ice packs to the affected area for 15-20 minutes several times a day can help reduce inflammation and alleviate pain. This is particularly effective in the initial stages of treatment[1].

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

• Over-the-counter NSAIDs, such as ibuprofen or naproxen, can be used to manage pain and reduce inflammation. These medications should be taken as directed and are often effective in providing symptomatic relief[1][2].

2. Physical Therapy

Stretching and Strengthening Exercises

• A physical therapist may design a tailored exercise program focusing on stretching the hip muscles and strengthening the surrounding musculature. This can help improve flexibility and support the hip joint, reducing the risk of recurrence[2].

Manual Therapy

• Techniques such as massage or mobilization may be employed to relieve tension in the hip area and improve range of motion. This hands-on approach can be beneficial in conjunction with exercise therapy[2].

3. Injections

Corticosteroid Injections

• If conservative treatments fail to provide relief, corticosteroid injections into the bursa may be considered. These injections can significantly reduce inflammation and pain, providing temporary relief that can facilitate rehabilitation efforts[3].

Ultrasound-Guided Injections

• Ultrasound guidance can enhance the accuracy of the injection, ensuring that the medication is delivered directly to the inflamed bursa, which may improve outcomes[3].

4. Surgical Intervention

• In rare cases where conservative management and injections do not yield satisfactory results, surgical options may be explored. This could involve bursectomy, where the inflamed bursa is surgically removed. However, this is typically considered a last resort after all other treatments have been exhausted[2].

Conclusion

Trochanteric bursitis can significantly impact a patient's quality of life, but with appropriate treatment strategies, most individuals can achieve relief and return to their normal activities. The standard treatment approaches primarily focus on conservative management, including rest, ice therapy, NSAIDs, and physical therapy, with injections and surgery reserved for more severe cases. Early intervention and adherence to a structured rehabilitation program are crucial for optimal recovery and prevention of recurrence. If symptoms persist, it is advisable to consult a healthcare professional for further evaluation and tailored treatment options.