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Trochanteric Bursitis (Greater Trochanteric Pain Syndrome) Treatment in Knoxville, TN

Lateral hip pain when injections, physical therapy, and rest have not given you lasting relief.

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What Is Trochanteric Bursitis?

Trochanteric bursitis — also called greater trochanteric pain syndrome (GTPS) — causes pain on the outside of the hip over the greater trochanter, the bony prominence at the top of the femur. The condition involves inflammation of the trochanteric bursa and often the surrounding gluteal tendons (gluteus medius and minimus tendinopathy).

Symptoms include sharp or aching pain when walking, climbing stairs, lying on the affected side at night, or standing up from a seated position. It is one of the most common causes of chronic hip pain, especially in adults over 40.

How LDRT Treats Trochanteric Bursitis

LDRT delivers a low-dose anti-inflammatory effect directly to the trochanteric bursa and gluteal tendon insertions. By modulating the inflammatory cytokine cascade and macrophage activation, LDRT addresses the underlying biological driver of pain — not just the symptoms.

Published series and the DEGRO 2018 guidelines support LDRT for trochanteric bursitis with response rates consistent with the broader inflammatory musculoskeletal disease evidence base. Treatment is painless, requires no anesthesia, and has no recovery time.

Who Is a Candidate for LDRT?

  • Lateral hip pain for 6+ months
  • Tenderness when pressing on the bony prominence on the outside of the hip
  • Pain at night when lying on the affected side
  • Cortisone injections that wore off or stopped helping
  • Physical therapy without lasting improvement
  • You want to avoid hip bursa surgery

At Heelex Medical, we treat the chronic inflammatory environment at the hip — so walking, sleeping on your side, and getting through the day stop being a calculation.

What to Expect

Your care begins with a one-on-one consultation where we examine the lateral hip, review imaging if available, and discuss your treatment history. If LDRT is right for you, treatment typically involves 6 to 8 weekday sessions. Each session is quick and painless. There are no needles, no anesthesia, and no activity restrictions between sessions. Many patients notice gradual improvements in walking tolerance and night pain in the weeks following their treatment course.

Working With Your Care Team

Your orthopedic or sports-medicine doctor knows your history and your options better than anyone, along with the physical therapist on your care team. We don't replace them, and we wouldn't want to. We're a resource for them — for patients who have worked through the usual steps and want a non-surgical, drug-free option before considering surgery. You stay in their care: we treat only what's referred, keep your doctors informed, and refer you back to them. We're not here to take anyone's patients.

Scientific references

  1. Niewald M, Holtmann H, Prokein B, et al. (2008). Multicenter prospective study on radiotherapy for painful coxarthrosis and trochanteric bursitis. Strahlentherapie und Onkologie.

    Open on PubMed
  2. Hautmann MG, Jung EM, Beyer LP, et al. (2014). Trochanteric pain syndrome treated with radiotherapy. Strahlentherapie und Onkologie.

    Open on PubMed

Is Low-Dose Radiation Therapy safe?

The dose used for benign conditions is a small fraction of cancer-treatment radiation — roughly 10–25× lower — delivered in a few short sessions. Low-dose radiation therapy for benign disease has decades of clinical use, and side effects are uncommon and typically mild.

Every treatment plan is prepared by a board-certified medical physicist and reviewed by a licensed physician. Whether it's the right option for you — and any personal considerations — is decided together during your consultation.

Ready to walk and sleep without the hip pain?

If lateral hip pain has resisted injections and physical therapy, call Heelex Medical to schedule a consultation.

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