Often, a patient who feels pain in the hip area does not have damage to the joint itself. Clinical examination and possible X-ray and ultrasound diagnoses trochanteritis. It is an inflammation of the mucous sac and/or muscle grip on the outside of the large bony prominence of the hip that scrapes against a type of longitudinal ligament that extends from the pelvis to below the knee. Complaints are more common in women due to a wider pelvis or in men who run on uneven terrain. Patients are often not given the correct diagnosis and visit different specialists looking for help. Most often, the treatment of arthrosis is started, which these patients do not actually have.
Treatment can begin with various injections, such as long-acting drugs that reduce inflammation or platelet-rich plasma, and stretching exercises. In case of partial success or failure of such therapy, we recommend surgery with the use of a camera through 2-3 small incisions (up to 1 cm). During the operation, a so-called window is created. fenestration of that ligament while preserving the lateral strands. In this way, the function of the ligament is preserved. Recovery is very fast.