American Board of Family Medicine (ABFM) Practice Exam

What is the most commonly recommended treatment for trochanteric bursitis?

1. Steroid injection

2. Physical therapy

3. Complete bed rest

4. Ice application

The correct answer is: Steroid injection

Trochanteric bursitis, commonly referred to as greater trochanteric pain syndrome, often results from inflammation of the bursa located over the greater trochanter of the femur, leading to pain and discomfort in the hip region. The most commonly recommended treatment for this condition is a steroid injection. The rationale for using a steroid injection is that it directly targets the inflammation of the bursa, providing rapid relief from pain and allowing for improved mobility and function. Corticosteroids reduce inflammation and swelling, which can significantly alleviate the symptoms associated with trochanteric bursitis. This treatment also helps to minimize the need for oral medications, which may come with a risk of systemic side effects. While physical therapy, ice application, and rest can all play supportive roles in the management of trochanteric bursitis, they are typically not first-line treatments. Physical therapy may be beneficial for strengthening and stretching exercises to promote recovery but often follows the initial pain relief provided by injections. Ice application can help with pain and inflammation management but does not address the underlying issue as effectively as an injection. Complete bed rest is contraindicated, since it may lead to further stiffness and weakness without addressing the inflammation. In summary, the administration of a steroid