The first line of treatment for trochanteric bursitis or other causes of greater trochanteric pain syndrome is nonsurgical. If activities can be identified that seem to trigger the symptoms, often these can be modified, resulting in resolution.
Supervised physical therapy can be helpful to outline a home program of treatment and can be especially beneficial for cases that fail to respond to simpler measures of management. If not contraindicated, nonsteroidal anti-inflammatory medications can help modulate symptoms by reducing inflammation. For recalcitrant cases, judicious use of corticosteroids injection may be appropriate. Surgical trochanteric bursectomy is rarely necessary. In fact, if symptoms fail to respond to standard forms of conservative treatment, a deeper investigation may be warranted to look for other causes beyond simply bursitis.