Soft tissue hip problems

Trochanteric pain syndrome – This is also called trochanteric bursitis and causes pain over the outside of the upper thigh and hip. It can feel like a sharp stabbing pain. It can be injected to improve symptoms. If the pain associated with clicking or snapping, a layer of tissue called the ‘fascia lata’ can be released from outside the hip to improve symptoms.

Piriformis syndrome – This causes a pain in the buttock area. It can be caused by pinching or squeezing of the sciatic nerve as it passes the piriformis muscle. This is a short muscle which along with several others helps rotate the hip outwards. These ‘external rotators’ can become swollen with strenuous work or exercise. The condition can be difficult to diagnose and is often confused with back pain or sciatica. Injection in the painful area or rarely, release of the nerve may be required.

Meralgia paresthetica – This causes a burning painful sensation over the upper outer thigh. It is caused by compression of a nerve in front of the hip, under the inguinal ligament. Injection or release can help symptoms.