Painful side of thigh and buttocks: trochanteric inflammation

After a day of work, you want to relax in your lazy chair at home. However, you notice that your buttocks hurt on one side and that means that you start to relate. It will cause you to start walking in a staggering manner and will eventually require the use of a walking stick. After a few days, the lower back will also hurt in response. What is trochanteric inflammation and how does it cause a painful thigh and/or buttocks?

Trochanteric inflammation

  • Where is it?
  • Mutual movement of muscles
  • Characteristics of trochanteric inflammation: trochanteritis
  • What can be done about it?


Where is it?

An important part of the skeleton are the hips, which form the connection between the femurs, sacrum and the spine. To ensure a good connection between the legs and the hip, a series of muscles run from the hip to a protrusion on the side of the thigh. At the top of the leg, every person has a fairly large protruding thigh bone, with which muscle forces can be transferred (palpable as a hard part at the top of the side of the leg). Three different gluteal muscles are connected to it:

  • the large gluteal muscles provide a backward pulling movement. This muscle forms the majority of the muscle on which we normally sit;
  • the gluteal muscles, which connect the thigh to the hips. It ensures that the hip joints remain neatly connected, while the gluteal muscle pulls on the leg during walking;
  • the small gluteal muscles, which can be used to make circular movements.


Mutual movement of muscles

Of the previous muscles, the gluteal muscle is of course the most important for mobility. However, the different muscles must work together to have good motor skills. Tendons and muscles must move effortlessly past each other by using, among other things, fluid-filled sacs and mutual mucus. It forms the shock absorber to make internal movements possible. On the one hand, the tendons of the buttocks are attached to the trochanter and on the other hand, the tendons of the thigh muscles. It provides an important intersection of moving parts so we can move forward. For it to function properly, one must be free of bursitis.

Characteristics of trochanteric inflammation: trochanteritis

An inflamed trochanter will often be noticeable as a painful side of the thigh, making walking difficult. The older person then prefers to use a cane or to walk while hanging to one side. Sleeping on the side will also be painful. However, the inflammation does not necessarily have to hurt on the side of the leg. The connecting muscles to the buttocks can be affected. The inflammation radiates painfully into the muscles, affecting the buttocks. Cramped gluteal muscles can also damage the lower back muscles. It can be recognized by painful sitting on the buttocks, which may lead to a preference for sitting on one side.

What can be done about it?

Having trochanteritis can have far-reaching consequences. If it is caused by a leg length difference, insoles can offer a solution. Furthermore, the leg should be relieved in combination with rest. In addition, physio can be used in combination with corticosteroids to suppress inflammation. The latter helps the majority of people, but can sometimes cause additional adverse effects. Always let the treating doctor inform you about the best method of treatment.

read more

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  • Hamstring injury: severe pain, cramp in the back of the thigh
  • Itchy thigh (left or right) keeps you awake!
  • Pain in the groin, legs and back due to overloaded SI joint
  • Achilles tendon injury, heel-calf pain: inflamed, torn
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