ICD-10: M70.60

Trochanteric bursitis, also known as Greater Trochanteric Pain Syndrome, 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 in pain on the outer side of the hip and can significantly impact mobility and quality of life.

Clinical Description

Symptoms

Patients with trochanteric bursitis typically experience:
- Localized Pain: Pain is usually felt on the outer side of the hip and may radiate down the thigh.
- Tenderness: The area over the greater trochanter may be tender to touch.
- Pain with Movement: Activities such as walking, climbing stairs, or lying on the affected side can exacerbate the pain.
- Stiffness: Some individuals may experience stiffness in the hip joint.

Causes

Trochanteric bursitis can arise from various factors, including:
- Overuse: Repetitive activities, especially those involving hip movement, can lead to inflammation.
- Injury: Direct trauma to the hip area can trigger bursitis.
- Biomechanical Issues: Poor posture, leg length discrepancies, or hip joint abnormalities may contribute to the condition.
- Underlying Conditions: Conditions such as arthritis or tendinitis can also lead to bursitis.

Diagnosis

Diagnosis is primarily clinical, based on the patient's history and physical examination. Imaging studies, such as X-rays or MRI, may be utilized to rule out other conditions or to assess the extent of inflammation.

ICD-10 Code M70.60

The ICD-10-CM code M70.60 specifically refers to "Trochanteric bursitis, unspecified hip." This code is used when the healthcare provider documents the condition without specifying which hip is affected.

Coding Guidelines

• Use of Code: This code is applicable when the diagnosis of trochanteric bursitis is confirmed but lacks specificity regarding the affected side (right or left).
• Related Codes: If the specific hip is known, codes M70.61 (right hip) or M70.62 (left hip) should be used instead.

Clinical Implications

Accurate coding is essential for proper billing and insurance reimbursement. The unspecified nature of M70.60 may lead to further inquiries from insurers, as specificity is often required for claims processing.

Treatment Options

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

Conclusion

Trochanteric bursitis is a prevalent condition that can lead to significant discomfort and functional limitations. The ICD-10 code M70.60 is utilized for cases where the specific hip affected is not identified. Proper diagnosis and treatment are crucial for effective management and recovery, allowing patients to return to their normal activities with reduced pain.

Trochanteric bursitis, classified under ICD-10 code M70.60, 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 can lead to significant discomfort and functional limitations for affected individuals. Below is a detailed overview of the clinical presentation, signs, symptoms, and patient characteristics associated with trochanteric bursitis.

Clinical Presentation

Trochanteric bursitis typically presents with localized pain and tenderness over the lateral aspect of the hip. Patients often report pain that may radiate down the outer thigh and can be exacerbated by certain activities or positions.

Signs and Symptoms

1. Pain:
   - The primary symptom is pain over the outer hip, which may be sharp or aching in nature. Patients often describe the pain as worsening with activities such as walking, climbing stairs, or lying on the affected side[1].
   - Pain may also be aggravated by prolonged sitting or standing, particularly in positions that place stress on the hip joint[1].

2. Tenderness:
   - On physical examination, there is typically tenderness over the greater trochanter. This tenderness can be elicited by palpation of the area[1].

3. Limited Range of Motion:
   - Patients may experience a reduced range of motion in the hip joint, particularly in movements that involve abduction or external rotation[1].

4. Swelling:
   - In some cases, there may be mild swelling or warmth over the affected area, although this is less common[1].

5. Functional Impairment:
   - Patients often report difficulty with daily activities, such as walking, running, or participating in sports, due to pain and discomfort[1].

Patient Characteristics

Trochanteric bursitis can affect individuals of various ages, but certain characteristics may predispose individuals to this condition:

• Age:

• It is more commonly seen in middle-aged and older adults, particularly those over 40 years of age[1].

• Gender:

• Women are more frequently affected than men, possibly due to anatomical differences and hormonal factors[1].

• Activity Level:

• Individuals who engage in repetitive activities that stress the hip, such as runners, cyclists, or those involved in manual labor, may be at higher risk[1].

• Body Mass Index (BMI):

• Higher BMI can contribute to increased stress on the hip joint, potentially leading to bursitis[1].

• Pre-existing Conditions:

• Patients with a history of hip osteoarthritis, rheumatoid arthritis, or previous hip injuries may be more susceptible to developing trochanteric bursitis[1].

• Posture and Gait:

• Abnormalities in posture or gait, such as leg length discrepancies or hip muscle weakness, can also increase the risk of developing this condition[1].

Conclusion

Trochanteric bursitis (ICD-10 code M70.60) is a condition characterized by pain and tenderness over the lateral hip, often affecting middle-aged women and individuals with certain risk factors. Understanding the clinical presentation, signs, symptoms, and patient characteristics is crucial for accurate diagnosis and effective management. Treatment typically involves conservative measures such as rest, physical therapy, and anti-inflammatory medications, although more invasive options may be considered in persistent cases[1].

For further management, healthcare providers may consider a comprehensive assessment of the patient's activity level, body mechanics, and any underlying conditions that may contribute to the development of bursitis.

Trochanteric bursitis, classified under the ICD-10 code M70.60, is commonly referred to by several alternative names and related terms. Understanding these terms can be beneficial for healthcare professionals, patients, and those involved in medical billing and coding. Below are some of the alternative names and related terms associated with this condition.

Alternative Names

1. Greater Trochanteric Pain Syndrome: This term is often used interchangeably with trochanteric bursitis and encompasses a broader range of symptoms related to pain in the greater trochanter area of the hip[7].

2. Trochanteric Bursitis: While this is the primary name, it is sometimes simply referred to as "bursitis of the hip," emphasizing the inflammation of the bursa located near the greater trochanter[6].

3. Hip Bursitis: A more general term that can refer to inflammation of any bursa in the hip region, but often includes trochanteric bursitis specifically[7].

4. Lateral Hip Pain: This term describes the symptomatology associated with trochanteric bursitis, focusing on the pain experienced on the outer side of the hip[7].

Related Terms

1. ICD-10 Code M70.6: This is the specific code for trochanteric bursitis, which is essential for medical billing and coding purposes[5].

2. Soft Tissue Disorders: Trochanteric bursitis falls under the broader category of soft tissue disorders, which includes various conditions affecting muscles, tendons, and bursae[2].

3. Hip Pain: A general term that can encompass various conditions affecting the hip, including trochanteric bursitis, osteoarthritis, and other musculoskeletal issues[7].

4. Bursitis: A general term for inflammation of a bursa, which can occur in various locations throughout the body, including the hip, shoulder, and knee[6].

5. M70-M79: This is the ICD-10 code block that includes other soft tissue disorders, providing a broader context for understanding where trochanteric bursitis fits within the classification system[2][9].

Conclusion

Trochanteric bursitis, or M70.60, is recognized by various names and related terms that reflect its symptoms and classification. Understanding these alternative names can aid in effective communication among healthcare providers and enhance patient education. For accurate diagnosis and treatment, it is crucial to recognize the specific terminology associated with this condition.

Trochanteric bursitis, classified under ICD-10 code M70.60, refers to inflammation of the bursa located near the greater trochanter of the femur, which can cause pain and discomfort in the hip region. This condition is often associated with overuse, injury, or underlying conditions such as arthritis. Here’s a detailed overview of standard treatment approaches for trochanteric bursitis.

Initial Assessment and Diagnosis

Before initiating treatment, a thorough assessment is essential. This typically includes:

• Medical History: Understanding the patient's symptoms, duration, and any previous injuries.
• Physical Examination: Assessing the range of motion, tenderness, and swelling around the hip.
• Imaging Studies: In some cases, ultrasound or MRI may be used to confirm the diagnosis and rule out other conditions.

Conservative Treatment Approaches

Most cases of trochanteric bursitis can be managed effectively with conservative treatment options:

1. Rest and Activity Modification

• Rest: Avoiding activities that exacerbate the pain, such as running or climbing stairs, is crucial for recovery.
• Activity Modification: Gradually returning to activities while avoiding high-impact movements can help prevent recurrence.

2. Physical Therapy

• Stretching and Strengthening Exercises: A physical therapist can design a program to improve flexibility and strengthen the hip and surrounding muscles, which can alleviate pressure on the bursa.
• Manual Therapy: Techniques such as massage or joint mobilization may be beneficial.

3. Medications

• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter medications like ibuprofen or naproxen can help reduce pain and inflammation.
• Corticosteroid Injections: In cases where pain persists despite conservative measures, a corticosteroid injection into the bursa may provide significant relief.

4. Ice Therapy

• Cold Packs: Applying ice to the affected area for 15-20 minutes several times a day can help reduce swelling and pain.

Advanced Treatment Options

If conservative treatments fail to provide relief, more invasive options may be considered:

1. Surgical Intervention

• Bursectomy: In rare cases, surgical removal of the inflamed bursa may be necessary if symptoms persist despite extensive conservative treatment.

2. Ultrasound-Guided Procedures

• Injection Therapy: Using ultrasound guidance for injections can improve accuracy and effectiveness in delivering medications directly to the inflamed area.

Preventive Measures

To prevent recurrence of trochanteric bursitis, consider the following strategies:

• Proper Footwear: Wearing supportive shoes can help reduce stress on the hips.
• Gradual Increase in Activity: Slowly increasing the intensity and duration of physical activities can help prevent overuse injuries.
• Weight Management: Maintaining a healthy weight can reduce stress on the hip joints.

Conclusion

Trochanteric bursitis, while often painful, can typically be managed effectively through conservative treatment approaches, including rest, physical therapy, and medications. In cases where these methods are insufficient, more advanced interventions may be necessary. Patients are encouraged to consult healthcare professionals for personalized treatment plans tailored to their specific needs and conditions. Regular follow-ups and adherence to preventive measures can significantly enhance recovery and reduce the risk of recurrence.

Trochanteric bursitis, classified under ICD-10 code M70.60, 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. The diagnosis of trochanteric bursitis typically involves a combination of clinical evaluation, patient history, and sometimes imaging studies. Below are the key criteria used for diagnosing this condition:

Clinical Evaluation

1. Patient History

• Symptoms: Patients often report lateral hip pain, which may radiate down the thigh. Pain is typically exacerbated by activities such as walking, climbing stairs, or lying on the affected side.
• Duration: The duration of symptoms is assessed, with chronic cases often lasting for several weeks or months.
• Previous Injuries: A history of trauma or repetitive activities that may contribute to bursitis is considered.

2. Physical Examination

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

Imaging Studies

3. Ultrasound or MRI

• Imaging: While not always necessary, ultrasound or MRI can be used to visualize inflammation of the bursa and rule out other conditions such as tears in the hip labrum or tendons. These imaging modalities can show fluid accumulation in the bursa, which supports the diagnosis of bursitis.

Differential Diagnosis

4. Exclusion of Other Conditions

• It is crucial to differentiate trochanteric bursitis from other potential causes of hip pain, such as:
  • Hip osteoarthritis
  • Tendinopathy of the gluteus medius or minimus
  • Lumbar radiculopathy
  • Fractures or other structural abnormalities

Conclusion

The diagnosis of trochanteric bursitis (ICD-10 code M70.60) relies on a thorough clinical assessment, including patient history, physical examination, and, when necessary, imaging studies to confirm the presence of inflammation and exclude other conditions. Proper diagnosis is essential for effective management and treatment of the condition, which may include physical therapy, corticosteroid injections, or surgical intervention in persistent cases[1][2][3].