ICD-10: M70.62

Trochanteric bursitis, specifically coded as M70.62 in the ICD-10-CM classification, refers to inflammation of the bursa located over the greater trochanter of the femur in the left hip. This condition is often associated with pain and discomfort in the lateral aspect of the hip, which can significantly impact mobility and quality of life.

Clinical Description

Definition

Trochanteric bursitis, also known as greater trochanteric pain syndrome, is characterized by inflammation of the bursa, a small fluid-filled sac that acts as a cushion between bones and soft tissues. The bursa in the hip region helps reduce friction between the greater trochanter of the femur and the surrounding muscles and tendons, particularly the gluteus medius and iliotibial band[4][8].

Symptoms

Patients with M70.62 typically present with:
- Lateral hip pain: This pain is often 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, 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[4][5].

Causes

Trochanteric bursitis can arise 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 cause bursitis.
- Biomechanical issues: Poor posture, leg length discrepancies, or gait abnormalities may contribute to the development of this condition.
- Underlying conditions: Conditions such as osteoarthritis or rheumatoid arthritis can predispose individuals to bursitis[6][8].

Diagnosis

Diagnosis of trochanteric bursitis typically involves:
- Clinical evaluation: A thorough history and physical examination to assess pain location, range of motion, and tenderness.
- Imaging studies: While not always necessary, ultrasound or MRI may be used to visualize the bursa and rule out other conditions such as tears in the hip tendons or fractures[5][6].

Treatment

Management of M70.62 generally includes:
- Conservative measures: Rest, ice application, and nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly recommended to reduce pain and inflammation.
- Physical therapy: Strengthening and stretching exercises can help improve hip function and alleviate symptoms.
- Corticosteroid injections: In some cases, injections into the bursa may provide significant relief.
- Surgery: Rarely, surgical intervention may be necessary if conservative treatments fail[4][8].

Conclusion

Trochanteric bursitis of the left hip, coded as M70.62, is a common condition that can lead to significant discomfort and functional limitations. Understanding its clinical presentation, causes, and treatment options is essential for effective management and recovery. If symptoms persist or worsen, it is advisable to seek further evaluation from a healthcare professional to explore additional treatment avenues.

Trochanteric bursitis, specifically coded as M70.62 in the ICD-10-CM classification, is a common condition that affects the hip region, particularly the greater trochanter area. This condition is often referred to as Greater Trochanteric Pain Syndrome and is characterized by inflammation of the bursa located over the greater trochanter of the femur. Below is a detailed overview of the clinical presentation, signs, symptoms, and patient characteristics associated with this condition.

Clinical Presentation

Trochanteric bursitis typically presents with localized pain and discomfort in the lateral aspect of the hip. Patients may report a gradual onset of symptoms, which can be exacerbated by certain activities or positions.

Signs and Symptoms

1. Pain Location:
   - The primary symptom is pain on the outer side of the hip, which may radiate down the thigh or into the buttock area. Patients often describe the pain as sharp, aching, or throbbing.

2. Pain Aggravation:
   - Pain is usually worsened by activities such as walking, climbing stairs, or lying on the affected side. Patients may also experience increased discomfort during prolonged sitting or standing.

3. Tenderness:
   - Physical examination typically reveals tenderness over the greater trochanter. Palpation of the area may elicit pain, and there may be swelling or warmth in some cases.

4. Range of Motion:
   - Patients may exhibit a limited range of motion in the hip joint, particularly during abduction and external rotation. This limitation can be due to pain rather than mechanical restriction.

5. Functional Impairment:
   - Many patients report difficulty with daily activities, such as walking, running, or participating in sports, due to pain and discomfort.

Patient Characteristics

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

1. Age:
   - It is more commonly seen in middle-aged and older adults, particularly those aged 40 and above.

2. Gender:
   - Women are more frequently affected than men, possibly due to anatomical differences and hormonal factors.

3. Activity Level:
   - Individuals who engage in repetitive activities or high-impact sports may be at higher risk. This includes runners, cyclists, and those involved in manual labor.

4. Body Mass Index (BMI):
   - Obesity can increase the risk of developing trochanteric bursitis due to increased mechanical stress on the hip joint.

5. Previous Injuries:
   - A history of hip injuries or surgeries may predispose individuals to bursitis, as can conditions such as osteoarthritis or rheumatoid arthritis.

6. Postural Factors:
   - Poor posture or biomechanical issues, such as leg length discrepancies or hip joint abnormalities, can contribute to the development of this condition.

Conclusion

Trochanteric bursitis (ICD-10 code M70.62) is characterized by pain and tenderness in the lateral hip region, often exacerbated by movement and certain positions. Understanding the clinical presentation, signs, symptoms, and patient characteristics is crucial for accurate diagnosis and effective management. Early intervention, including physical therapy and lifestyle modifications, can significantly improve outcomes for affected individuals. If symptoms persist, further evaluation may be necessary to rule out other underlying conditions.

Trochanteric bursitis, specifically coded as M70.62 in the ICD-10-CM system, is often referred to by several alternative names and related terms that reflect its clinical presentation and anatomical location. Understanding these terms can enhance communication among healthcare professionals and improve patient education. Below are some of the alternative names and related terms associated with this condition.

Alternative Names

1. Greater Trochanteric Pain Syndrome: This term encompasses a broader range of symptoms and conditions associated with pain around the greater trochanter of the femur, including trochanteric bursitis[3].

2. Trochanteric Bursitis: While this is the primary term, it is often used interchangeably with the specific designation of the left hip, as in "left trochanteric bursitis" or simply "trochanteric bursitis" when the side is not specified[1][6].

3. Hip Bursitis: This term can refer to inflammation of any of the bursae around the hip joint, but it is commonly associated with trochanteric bursitis due to its prevalence[7].

4. Lateral Hip Pain: This term describes the symptomatology associated with the condition, focusing on the pain experienced on the lateral aspect of the hip[4].

Related Terms

1. Enthesopathy: This term refers to disorders involving the entheses, the sites where tendons or ligaments attach to bone. Trochanteric bursitis can be considered a type of enthesopathy due to its location and the involvement of the gluteal tendons[5].

2. Bursitis: A general term for inflammation of a bursa, which can occur in various locations throughout the body, including the hip. While it is not specific to the trochanteric bursa, it is relevant in the context of hip pain[9].

3. Hip Pain: A broad term that encompasses various conditions affecting the hip joint, including trochanteric bursitis, osteoarthritis, and other musculoskeletal disorders[8].

4. Gluteal Tendinopathy: This term refers to degeneration or injury of the gluteal tendons, which can occur alongside or as a result of trochanteric bursitis, contributing to the overall pain syndrome[4].

Conclusion

Understanding the alternative names and related terms for ICD-10 code M70.62 is essential for accurate diagnosis, treatment, and communication in clinical settings. These terms not only help in identifying the specific condition but also in recognizing the broader context of hip-related pain syndromes. If you have further questions or need more detailed information about treatment options or management strategies for trochanteric bursitis, feel free to ask!

Trochanteric bursitis, specifically coded as M70.62 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[5][6].

2. Physical Examination: A thorough physical examination is crucial. Healthcare providers typically assess for tenderness over the greater trochanter, range of motion limitations, and any signs of swelling or warmth in the hip area[5][6].

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 structures[5][6].

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[5][6].

Exclusion of Other Conditions

1. Differential Diagnosis: It is essential to rule out other potential causes of hip pain, such as osteoarthritis, tendinitis, or fractures. This may involve additional imaging studies or diagnostic tests[5][6].

2. History and Physical Findings: A comprehensive patient history, including previous injuries, activity levels, and any underlying health conditions, is vital in distinguishing trochanteric bursitis from other hip-related issues[5][6].

ICD-10-CM Coding Guidelines

1. Specificity: The ICD-10-CM code M70.62 specifically denotes trochanteric bursitis of the left hip. Accurate coding requires confirmation that the condition is indeed affecting the left side, as the code differs for the right hip (M70.61) and for bilateral involvement (M70.63)[2][3][10].

2. Documentation: Proper documentation in the patient's medical record is essential for coding purposes. This includes detailed notes on the patient's symptoms, examination findings, and any imaging results that support the diagnosis of trochanteric bursitis[2][3][10].

Conclusion

In summary, the diagnosis of trochanteric bursitis (ICD-10 code M70.62) involves a combination of clinical evaluation, imaging studies, and the exclusion of other potential causes of hip pain. Accurate diagnosis is crucial 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, particularly when classified under ICD-10 code M70.62, refers to inflammation of the bursa located near the greater trochanter of the femur in the left hip. This condition often results in pain and discomfort, particularly during activities that involve hip movement. Understanding the standard treatment approaches for this condition is essential for effective management and recovery.

Overview of Trochanteric Bursitis

Trochanteric bursitis is commonly associated with overuse, injury, or repetitive activities that strain the hip area. It can also occur due to conditions such as arthritis or leg length discrepancies. Symptoms typically include localized pain on the outer side of the hip, which may radiate down the thigh, and tenderness when pressure is applied to the area.

Standard Treatment Approaches

1. Conservative Management

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

• Rest and Activity Modification: Reducing activities that exacerbate the pain is crucial. Patients are often advised to avoid prolonged standing, walking, or climbing stairs until symptoms improve[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[1].

• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter medications such as ibuprofen or naproxen can be used to manage pain and inflammation. These should be taken as directed and under the guidance of a healthcare provider[1].

2. Physical Therapy

Physical therapy plays a significant role in the rehabilitation of trochanteric bursitis:

• 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. This can help alleviate pressure on the bursa and prevent future episodes[1].

• Manual Therapy: Techniques such as massage or mobilization may be employed to relieve tension in the hip area and improve range of motion[1].

3. Injections

If conservative treatments fail to provide relief, corticosteroid injections may be considered:

• Corticosteroid Injections: Injecting corticosteroids directly into the bursa can significantly reduce inflammation and pain. This procedure is typically performed under ultrasound guidance to ensure accuracy[1][2].

4. Surgical Intervention

In rare cases where conservative management and injections do not yield satisfactory results, surgical options may be explored:

• Bursectomy: This procedure involves the surgical removal of the inflamed bursa. It is generally considered only after all other treatment options have been exhausted[1].

Conclusion

Trochanteric bursitis of the left hip, classified under ICD-10 code M70.62, is primarily treated through conservative measures, including rest, ice therapy, NSAIDs, and physical therapy. For persistent cases, corticosteroid injections may provide relief, while surgical options are reserved for severe, unresponsive cases. Early intervention and adherence to treatment protocols are essential for optimal recovery and to prevent recurrence of symptoms. If symptoms persist or worsen, it is advisable to consult a healthcare professional for further evaluation and management.