Bursitis Trochanterica and Its Ayurvedic Management

Abstract

Our musculoskeletal system is a complex structure which provides shape and helps in mobility from one place to another as well within the bodily structures. Ligaments, muscles, tendons, bones altogether move over each other to facilitate movements. Now all these structures ligaments, tendons, skin, muscles slide over the bones while joint movements. Slippery and tiny pouches filled with fluid known as bursae helps in this sliding motion by rendering a fine cushion and minimising the friction between the surface of these structures. Bursitis Trochanterica usually refers to the inflammation of the bursae in the hip joint. In the following text we shall discuss Bursitis trochanterica in a little detail and its Ayurvedic concept as well. We shall also have a look at its management in the contemporary system of medicine as well as Ayurvedic management.

Introduction

Bursitis is the condition when the outer lining of the bursae (also called synovial membrane) that facilitates joint movements get inflamed. Inflammation of the trochanteric bursa ( the greater trochanter) is called Bursitis trochanterica. There are a number of factors that can lead to Bursitis trochanterica. The condition usually occurs in women. Trauma and stress injury remains on the top of the list that causes Bursitis trochanterica. In Ayurveda, the condition of Bursitis trochanterica can be correlated with pitta and vata dosha vitiation. Inflammation is caused by pitta dosha and the pain is associated with vata dosha. And the management is based on the cause of the condition.

Causes and Risk Factors of Bursitis Trochanteric

Repetitive Stress Injury

Frequent climbing stairs, running, standing for longer duration, cycling can lead to Bursitis trochanterica.

Hip Injury

Traumatic bursitis can happen due to sudden fall onto the hip point.

Spinal Diseases

Diseases like lumbar arthritis and scoliosis can cause Bursitis trochanterica.

Unequal size and length of the leg

Walking uniquely to compensate for the leg length shortening can result in bursa irritation and ultimately Bursitis trochanterica.

Rheumatoid Arthritis and Gout

Rheumatoid Arthritis raises the risk of developing Bursitis trochanterica. Gout can result in the Bursitis trochanterica due to accumulation of urate crystals in the synovial joints causing irritation.

Prior Surgeries

Prosthetic hip and previous surgeries of the hip and around the hip are predisposing factors of Bursitis trochanterica.

Calcium deposits and Bone spurs

Bursae can get inflamed due to calcium deposits and bone spurs in the tendons.

Age and Gender

• Usually people above the age of 40 develop Bursitis trochanterica but it can affect anyone at any age.
• Women are more likely to get Bursitis trochanterica

Symptoms of Bursitis Trochanterica

1. Pain in the thigh
2. Pain in the buttock
3. Pain during when the pressure is applied
4. Pain during climbing stairs
5. Pain while lying on the affected hip
6. Tenderness on the affected hip
7. Feeling of snap in the lateral side of the hip
8. Lower backache
9. Pain related sleep disturbance

Differential Diagnosis

1. Snapping Hip Syndrome
2. Iliotibial Band Syndrome
3. Meralgia Paresthetica
4. Gluteus Medius Tendon Dysfunction and Tears
5. Referred pain

Diagnosis

1. X-Ray
2. MRI (Magnetic Resonance Imaging)
3. Fluid aspiration in infective bursitis

Management

1. Physical therapy
2. Weight loss
3. Corticosteroid injections
4. Antibiotic in septic Bursitis trochanterica
5. Non-steroidal anti-inflammatory drugs (NSAIDs)
6. Bursectomy - Arthroscopic bursectomy
7. Iliotibial band release
8. Osteotomy of the greater trochanter 

Ayurvedic Overview

Ayurveda is a life science which describes how to lead a healthy life as well as mentions about the management of various health conditions. Ayurveda is based on the three doshas, seven dhatus and other vitals pillars that decides the health of a person and as well as diseased condition. Any imbalance of the dosha leads to a disease whereas balance of the dosha is regarded as health. Ayurveda also takes mental state as a part of standardisation of health as it mentions the happiness of the mind and soul are also important in determining the health of a person.

Ayurvedic management depends on the pacification of the vitiated dosha. In Bursitis trochanterica, the vitiated doshas are pitta and vata dosha. Hence, the pacification of the same is done through herbs such as haridra (Curcuma longa), nirgundi (Vitex negundo), ashwagandha (Withania somnifera), laksha (Laccifer lacca) etc. And there are other herbs that effectively help in bone health management such as asthi shrinkhala (Cissus quadrangularis). There are also some other mineral based formulations available that provide nutrients to the bone and help its diseased conditions. 

• Nirgundi oil can be applied and massaged over the affected hip region.
• Turmeric powder can be taken after mixing it with milk.
• Heat pack and ice pack application.
• Ginger oil can be applied locally bover the affected hip.
• Drinking alfalfa leaves infused tea can help in Bursitis trochanterica.

Herbal Remedies for Bursitis Trochanterica by Planet Ayurveda

Planet Ayurveda is an esteemed GMP certified, ISO 9001:2015 certified and US-FDA registered Ayurvedic Company, which sticks to the objective of producing quality Ayurvedic products as described in a number of ancient texts of Ayurveda. Planet Ayurveda has worldwide branches. Products are manufactured without additives and preservatives and other kinds of chemicals or artificial flavour enhancers which can cause a number of side effects on the human body. Products manufactured  at Planet Ayurveda are pure and devoid of any kind of adulteration. The products are purely organic and vegetarian and gluten free. Planet Ayurveda presents its magnificent products useful in Bursitis trochanterica and other conditions of the musculoskeletal system.

Following is the list of formulations that are helpful in managing the condition of the Bursitis Trochanterica

1. Bone Support
2. Curcumin Capsules
3. Joint aid plus
4. Coral Calcium Complex

Product Description

1. Bone Support

As the name of the product suggests, the Bone Support capsules support the bone by providing all the beneficial material to the bone. Its ingredients include Shobhanjan beej ( Moringa oleifera ), laksha ( Laccifer lacca ), Asthi Shrinkhala ( Cissus quadrangularis ), Arjuna ( Terminalia arjuna ), praval pishti ( Corallium rubrum ) and Mukta ( pearl calcium ). Moringa oleifera possess anti inflammatory, analgesic properties. Laksha is helpful in bone disorders . It is a marvellous herb for aiding fractures. It has sandhaniya property which means it possesses adhesive or adhesion properties which means it joins the fractured bones.

Furthermore it relieves swelling due to trauma. Thus it is a beneficial herb in the traumatic Bursitis trochanterica. Arjuna has vranropan property which means wound healer. It too helps in healing the traumatic Bursitis trochanterica. Praval pishti and mukta are natural supplements of calcium which are derived from the pearls, corals etc. thus are beneficial in early healing of the trauma and gives strength to bones and their joining structures. Therefore the Bone Support capsules strengthen the overall bone and its associated structures which keep them in place and provide good range of motion. Hence the formulation is useful in the condition of Bursitis trochanterica.

Dosage– Two capsules twice a day with plain water after meals.

2. Curcumin Capsules

Curcumin Capsules are filled with the standardised extract of haridra ( Curcuma longa ). Haridra possesses antiinflammatory, analgesic, antimicrobial, antiseptic properties. It relieves the pain and tenderness of the hip bursitis. It also heals the trauma induced Bursitis trochanterica. 

Dosage– Two capsules twice a day with plain water after meals. 

3. Joint Aid Plus

Joint aid Plus capsules contain herbs that are helpful in joint conditions and disorders. The herbs are nirgundi ( Vitex negundo ), shallaki ( Boswellia serrata ), ashwagandha ( Withania somnifera ), sonth ( Zingiber officinale ) and guggul ( Commiphora mukul ). The herbs are known to provide relief from the pain. The capsules possess antiinflammatory activity thus alleviating pain due to inflamed bursae. Joint Aid Plus heals the joint and reduces inflammation of the bursae of the hip. By its healing property and anti-inflammatory activity Joint Aid Plus is of much help in Bursitis trochanterica.

Dosage– Two capsules twice a day with plain water after meals.

4. Coral Calcium Complex

Coral Calcium Complex is a polyherbal product which contains praval pishti ( Coral calx ), akik pishti ( agate ), jahar mohra pishti ( calx of serpentine stone ) , kamdudha ras ( an ayurvedic formulation ), mukta pishti ( Pearl calx ), guduchi ( Tinospora cordifolia ). The capsules provide strength to the musculoskeletal system. By strengthening the tendons, ligaments, bursae and bones, it provides a healthy and good range of motion and reduces the inflammation of the bursa. With its great properties the Coral Calcium Complex is beneficial in Bursitis trochanterica. 

Dosage– One capsule twice a day with plain water after meals.

Contact Planet Ayurveda to provide you the costing / ordering and delivery information at – costing.planetayurveda@gmail.com or call at +91-172-5214040 Or Check Website – www.PlanetAyurveda.com

Conclusion

Bursitis trochanterica is a painful condition of the affected hip that occurs while moving it or sometimes even at rest. The condition is so painful and the condition of the patient is merciful as one cannot perform some daily chores and becomes dependent on others. So as soon as the condition is diagnosed, proper management steps should be initiated to prevent further worsening of the condition. As there is no better treatment available in the contemporary system of medicine because one has to take analgesics lifelong and steroids as well. And the body gets many side effects from the drugs which results in other complex and serious conditions. In the traditional Ayurvedic system of medicines, there are herbal formulations available that manage the conditions of the musculoskeletal system. There are many herbs that provide benefits in the condition of Bursitis trochanterica as they possess properties like anti-inflammatory, analgesic, antimicrobial, blood cleansing etc. The formulations above mentioned are purely composed of the standardised herbs. Therefore, they are efficient in their action and thus are managing the condition of Bursitis trochanterica magnificently.