ICD-10: M70.61

Trochanteric bursitis, classified under ICD-10 code M70.61, is a common condition characterized by inflammation of the bursa located over the greater trochanter of the femur, which is the bony prominence on the outer side of the hip. This condition is often referred to as greater trochanteric pain syndrome and can significantly impact a patient's mobility and quality of life.

Clinical Description

Definition and Anatomy

Trochanteric bursitis occurs when the bursa, a small fluid-filled sac that reduces friction between tissues, becomes inflamed. The greater trochanteric bursa is situated between the greater trochanter and the overlying muscles and tendons, primarily the gluteus medius and minimus. Inflammation in this area can lead to pain and discomfort, particularly during activities that involve hip movement, such as walking, climbing stairs, or lying on the affected side[1][2].

Symptoms

Patients with trochanteric bursitis typically present with:
- Lateral hip pain: This pain is often described as sharp or aching and may radiate down the outer thigh.
- Tenderness: There is usually tenderness over the greater trochanter.
- Pain with movement: Activities such as walking, running, or climbing stairs can exacerbate the pain.
- Stiffness: Some patients may experience stiffness in the hip joint, particularly after prolonged periods of inactivity[3][4].

Causes and Risk Factors

Trochanteric bursitis can result from various factors, including:
- Overuse: Repetitive activities, especially those involving hip abduction or external rotation, can lead to inflammation.
- Injury: Direct trauma to the hip area can trigger bursitis.
- Underlying conditions: Conditions such as osteoarthritis, rheumatoid arthritis, or leg length discrepancies may predispose individuals to develop bursitis.
- Age and gender: It is more common in middle-aged women and individuals over 40 years of age[5][6].

Diagnosis

Diagnosis of trochanteric bursitis typically involves:
- Clinical evaluation: A thorough history and physical examination focusing on the hip region.
- Imaging studies: While not always necessary, ultrasound or MRI may be used to confirm inflammation of the bursa or to rule out other conditions such as fractures or tumors[7].

Treatment

Management of trochanteric bursitis often includes:
- Conservative measures: Rest, ice application, and nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly recommended.
- Physical therapy: Strengthening and stretching exercises can help alleviate symptoms and improve function.
- Corticosteroid injections: In cases where conservative treatment fails, corticosteroid injections into the bursa may provide relief.
- Surgery: Rarely, surgical intervention may be necessary for persistent cases that do not respond to other treatments[8][9].

Conclusion

Trochanteric bursitis (ICD-10 code M70.61) is a prevalent condition that can lead to significant discomfort and functional limitations. Understanding its clinical presentation, causes, and treatment options is essential for effective management. Early diagnosis and appropriate intervention can help alleviate symptoms and improve the quality of life for affected individuals. If you suspect you have this condition, consulting a healthcare professional for a comprehensive evaluation and tailored treatment plan is advisable.

Trochanteric bursitis, specifically coded as ICD-10 code M70.61, is a common condition characterized by inflammation of the bursa located over 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 or pressure on the hip, leading to pain and discomfort. Below is a detailed overview of the clinical presentation, signs, symptoms, and patient characteristics associated with trochanteric bursitis.

Clinical Presentation

Signs and Symptoms

Patients with trochanteric bursitis typically present with the following signs and symptoms:

• Localized Pain: The most prominent symptom is pain on the outer side of the hip, which may radiate down the thigh. The pain is often exacerbated by activities such as walking, climbing stairs, or lying on the affected side[1].
• Tenderness: There is usually tenderness upon palpation over the greater trochanter, which can be assessed during a physical examination[1].
• Swelling: In some cases, mild swelling may be observed in the area surrounding the bursa, although this is not always present[1].
• Limited Range of Motion: Patients may experience a reduced range of motion in the hip joint, particularly during abduction and external rotation[1].
• Pain with Specific Movements: Activities that involve hip flexion or extension may provoke pain, making it difficult for patients to perform daily activities comfortably[1].

Patient Characteristics

Trochanteric bursitis can affect individuals across various demographics, but certain characteristics are more commonly associated with the condition:

• Age: It is more prevalent in middle-aged and older adults, particularly those aged 40 and above[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, such as runners, cyclists, or those with physically demanding jobs, are at a higher risk of developing this condition[1].
• Body Mass Index (BMI): Higher BMI is associated with an increased risk of bursitis, likely due to additional stress on the hip joints[1].
• Comorbidities: Patients with conditions such as osteoarthritis, rheumatoid arthritis, or diabetes may have a higher incidence of bursitis due to altered biomechanics or inflammation[1].

Diagnosis

The diagnosis of trochanteric bursitis is primarily clinical, based on the history and physical examination. Imaging studies, such as ultrasound or MRI, may be utilized to confirm the diagnosis or rule out other conditions, such as hip fractures or tendon tears[1].

Conclusion

Trochanteric bursitis (ICD-10 code M70.61) is a condition characterized by pain and inflammation in the hip region, particularly affecting the greater trochanter. 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, with surgical options considered in persistent cases[1]. If you suspect you have symptoms of trochanteric bursitis, consulting a healthcare professional for a thorough evaluation is recommended.

Trochanteric bursitis, specifically coded as M70.61 in the ICD-10-CM system, is commonly referred to by several alternative names and related terms. Understanding these terms can be beneficial for healthcare professionals, coders, and patients alike. Below is a detailed overview of the alternative names and related terminology associated with this condition.

Alternative Names for Trochanteric Bursitis

1. Greater Trochanteric Pain Syndrome (GTPS): This term encompasses a broader range of symptoms and conditions related to pain in the greater trochanter area, including trochanteric bursitis[3].

2. Trochanteric Bursitis: While this is the primary term, it is often used interchangeably with the condition itself, emphasizing inflammation of the bursa located near the greater trochanter of the femur[6].

3. Lateral Hip Pain: This term is often used in clinical settings to describe the pain experienced on the outer side of the hip, which can be a symptom of trochanteric bursitis[3].

4. Hip Bursitis: A more general term that refers to inflammation of any bursa in the hip region, including the trochanteric bursa[6].

5. Gluteal Bursitis: This term may also be used, as the gluteal muscles are closely associated with the greater trochanter and can be involved in the pain and inflammation process[6].

Related Terms and Concepts

1. Enthesopathy: This term refers to disorders involving the entheses, the sites where tendons or ligaments attach to bone. While not specific to trochanteric bursitis, it can be relevant in discussions of related musculoskeletal pain[4].

2. Bursitis: A general term for inflammation of a bursa, which can occur in various locations throughout the body, including the hip. It is important to differentiate between types of bursitis for accurate diagnosis and treatment[6].

3. Hip Pain: A broad term that encompasses various conditions affecting the hip joint, including trochanteric bursitis, osteoarthritis, and other musculoskeletal disorders[3].

4. Coxalgia: An older term that refers to hip pain, which can include pain from various sources, including bursitis[3].

5. Iliotibial Band Syndrome: While distinct, this condition can sometimes be confused with trochanteric bursitis due to overlapping symptoms, particularly in athletes and active individuals[3].

Conclusion

Trochanteric bursitis, coded as M70.61, is associated with various alternative names and related terms that reflect its symptoms and anatomical considerations. Understanding these terms can aid in better communication among healthcare providers and enhance patient education. If you have further questions about this condition or its management, consulting a healthcare professional is advisable.

Trochanteric bursitis, particularly coded as M70.61 in the ICD-10-CM system, 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 involves several criteria and clinical evaluations. Below are the key components typically considered in the diagnostic process:

Clinical Presentation

1. Symptoms: Patients often report lateral hip pain, which may radiate down the thigh. Pain is usually exacerbated by activities such as walking, climbing stairs, or lying on the affected side. Patients may also experience tenderness over the greater trochanter[4].

2. Physical Examination: A thorough physical examination is crucial. The clinician will assess for:
   - Tenderness over the greater trochanter.
   - Pain during hip abduction or internal rotation.
   - Possible swelling or warmth in the area[4][5].

Diagnostic Imaging

1. Ultrasound: This imaging technique can help visualize the bursa and assess for inflammation or fluid accumulation. It is non-invasive and can provide real-time images of the hip joint and surrounding structures[4].

2. MRI: Magnetic Resonance Imaging may be utilized in more complex cases to rule out other conditions, such as tears in the hip labrum or other soft tissue injuries. MRI can provide detailed images of the bursa and surrounding tissues[4].

Exclusion of Other Conditions

1. Differential Diagnosis: It is essential to rule out other potential causes of hip pain, such as:
   - Osteoarthritis of the hip joint.
   - Tendonitis of the gluteus medius or minimus.
   - Hip fractures or other bursal conditions[5][6].

2. Patient History: A comprehensive medical history is taken to identify any previous injuries, repetitive activities, or underlying conditions that may contribute to bursitis, such as rheumatoid arthritis or diabetes[5].

ICD-10-CM Coding Guidelines

1. Specificity: The ICD-10-CM code M70.61 specifically denotes trochanteric bursitis of the right hip. Accurate coding requires confirmation that the condition is indeed affecting the right hip, as there are different codes for left hip and bilateral conditions[1][2].

2. Documentation: Proper documentation in the patient's medical record is essential for coding purposes. This includes details of the clinical findings, imaging results, and any treatments provided[7].

Conclusion

In summary, the diagnosis of trochanteric bursitis (ICD-10 code M70.61) involves a combination of clinical evaluation, imaging studies, and the exclusion of other potential causes of hip pain. Accurate diagnosis is critical for effective treatment and management of the condition, ensuring that patients receive appropriate care tailored to their specific needs. If you have further questions or need additional information, feel free to ask!

Trochanteric bursitis, classified under ICD-10 code M70.61, refers to inflammation of the bursa located near the greater trochanter of the femur, which can lead to pain and discomfort in the hip region. The management of this condition typically involves a combination of conservative and, in some cases, invasive treatment approaches. Below is a detailed overview of standard treatment strategies for trochanteric bursitis.

Conservative Treatment Approaches

1. Rest and Activity Modification

• Rest: Patients are often advised to rest the affected hip to reduce inflammation and pain. Avoiding activities that exacerbate symptoms, such as running or climbing stairs, is crucial.
• Activity Modification: Gradually returning to normal activities while avoiding high-impact exercises can help prevent recurrence.

2. Physical Therapy

• Stretching and Strengthening Exercises: A physical therapist may design a program that includes stretching exercises to improve flexibility and strengthening exercises to support the hip and surrounding muscles.
• Manual Therapy: Techniques such as massage or mobilization may be employed to alleviate pain and improve function.

3. Medications

• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter medications like ibuprofen or naproxen can help reduce pain and inflammation.
• Corticosteroids: In some cases, oral corticosteroids may be prescribed for short-term relief of severe inflammation.

4. Ice Therapy

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

Invasive Treatment Approaches

1. Corticosteroid Injections

• Ultrasound-Guided Injections: For patients who do not respond to conservative treatments, corticosteroid injections into the bursa can provide significant relief. This method is often guided by ultrasound to ensure accurate placement of the medication[2][5].

2. Surgical Intervention

• Bursectomy: In rare cases where conservative and injection therapies fail, surgical removal of the inflamed bursa may be considered. This is typically a last resort after all other options have been exhausted.

Additional Considerations

1. Patient Education

• Educating patients about the condition, its causes, and the importance of adherence to treatment plans is essential for effective management and prevention of recurrence.

2. Follow-Up Care

• Regular follow-up appointments may be necessary to monitor progress and adjust treatment plans as needed.

Conclusion

Trochanteric bursitis, represented by ICD-10 code M70.61, can significantly impact a patient's quality of life. Standard treatment approaches primarily focus on conservative management, including rest, physical therapy, and medications, with invasive options like corticosteroid injections and surgery reserved for more severe cases. Early intervention and adherence to treatment protocols are key to achieving optimal outcomes and preventing recurrence of symptoms. If symptoms persist despite these treatments, further evaluation by a healthcare professional is recommended to explore additional therapeutic options.