What is Trochanteric Bursitis?



To put it simply, hip bursitis is inflammation of the bursa in the hip. Bursae are thin, lubricated cushions that reduce friction between bones. There are approximately 160 bursae in an adult body. The hip contains two major bursae known as the greater trochanteric bursa and the iliopsoas bursa. The greater trochanteric bursa covers the bony point of the hip bone known as the greater trochanter, and inflammation of this bursa is what we call Trochanteric Bursitis.

Trochanteric bursitis is often caused by the iliotibial band (IT band) tightening and rubbing against the bursa. This leads to inflammation in the bursa that can cause pain and tenderness in this region as well as pain that radiates from the hip down the outside of the thigh. Other symptoms include pain when lying on the affected side, pain when pressing on the outside of the hip, and pain that worsens with activity such as walking up stairs. In the initial stages, patients typically report sharp and intense pain that later becomes more of an ache that is spread across a larger area of the hip.

It has been found that women are far more likely to develop trochanteric bursitis than men, although physically active and sedentary adults of all ages are at risk for developing trochanteric bursitis.

The good news is that surgery is often not needed for the treatment of trochanteric bursitis. We can usually treat this condition with conservative measures like activity modification (avoiding activities that worsen symptoms), over the counter anti-inflammatories, short-term use of assistive devices (like canes or crutches), physical therapy and steroid injections. In the rare case that surgery is indicated, the bursa can be removed using arthroscopic surgical techniques. The hip is not hurt by the removal of the bursa and can function normally without it.

If you are experiencing any of these symptoms, it’s important that you contact a physician for a proper diagnosis. With the right treatment plan, you can eliminate your symptoms and return to your active lifestyle without the need for surgical intervention.

Lancaster County’s #1 Orthopedic Physician!

2015 Best of logo WP


The readers of Lancaster County Magazine have spoken and the results are in! Dr. Westphal has been named LANCASTER COUNTY’S #1 ORTHOPEDIC PHYSICIAN in the Best of Lancaster awards!

At Westphal Orthopedics, we believe in a kinder, gentler approach to medicine. One that involves our patients in every decision that is made, and one that puts your satisfaction at the forefront of what we do. With 100% of the focus on our patients and their best possible outcomes, we have established a practice that prides itself on being the best that we can be. This attitude starts at the top from Dr. Westphal and runs through everyone who works here.

Patient Satisfaction Surveys conducted by SE Healthcare Quality Consulting consistently rank Westphal Orthopedics higher than the National Average in EVERY category including Overall Satisfaction, Provider Communication, Practice Operations and Customer Service.

At Westphal Orthopedics we practice our Vision everyday…….. “We will lead the way in orthopedic excellence by providing quality, compassionate, and innovative care to every patient with the utmost integrity and respect.”

Congratulations, Dr. Westphal!


Click here to visit 2015 Best of Lancaster Listing

Life After a Knee Replacement

                You’ve decided that the pain and stiffness in your knee has gotten bad enough to consider a total joint replacement, but you’re concerned about the recovery and what life will be like after surgery. Most patients are pleasantly surprised at how quickly they recover and are able to return to their normal activities.

Recovery and rehabilitation will be different for each person. We will encourage you to begin using your new knee shortly after your operation. Although it may be challenging at times, doing this will speed your recovery and help you get the most out of your new knee.

Most patients will experience some temporary pain in the replaced joint because the surrounding muscles are weak from inactivity, the body is adjusting to the new joint, and the tissues are healing. This pain is typically mild and resolves in a few months. Ice, elevation and medications are all used to alleviate these symptoms.

Exercise and physical therapy are an extremely important part of the recovery process. You will be provided with specific exercises to help restore movement and strengthen the joint. Like anything else, you’ll get out of it what you put into it! Following the advice of your therapist and physician will ensure you stay on the path to a speedy recovery.

Within just a few months, most patients are able to get back to the things they love doing like swimming, riding their bicycle, golfing or playing tennis. High impact exercises like jogging are not recommended as they will tend to wear out the new knee faster, but they are possible.

Deciding to have a knee replacement is a tough decision, and one that should be discussed with a physician. With over two and a half decades of experience, Dr. Westphal is able to answer any questions that you may have. Contact us today with questions or to schedule an appointment. At Westphal Orthopedics, our priority is you!

Osteoarthritis of the Hip: A Quick Lesson

Osteoarthritis is the most common cause of joint pain, particularly in weight bearing joints such as the hip. Ostearthritis is caused by degeneration of the cartilage that lubricates the joints. Watch this quick video for a visual demonstration:


Symptoms of hip osteoarthritis include:

  • Pain in your groin or thigh that radiates to your buttocks or your knee
  • Pain that flares up with vigorous activity
  • Stiffness in the hip joint that makes it difficult to walk or bend
  • “Locking” or “sticking” of the joint, and a grinding noise (crepitus) during movement caused by loose fragments of cartilage and other tissue interfering with the smooth motion of the hip
  • Decreased range of motion in the hip that affects the ability to walk and may cause a limp
  • Increased joint pain with rainy weather

Treatment Options:

There are many different types of treatments  to combat the symptoms of hip osteoarthritis that do not require surgery. Activity modification, physical therapy, joint supplements and weight loss are just a few examples. If you’re experiencing any of these symptoms, contact our office to schedule a consultation. We will work with you to develop a personalized plan that will allow you to get back to your active lifestyle!

Partial Knee Replacement: What is it?

Unicompartmental knee replacement, also known as a partial knee replacement, is an option for a small percentage of patients who have osteoarthritis (OA) of the knee. The knee is made up of three compartments; medial, lateral and patellofemoral. Partial knee replacements may be considered if a patient’s OA is confined to either the medial or the lateral compartment of the knee.

Uni Knee

So why choose a partial knee replacement instead of a total knee replacement?

Partial knee replacement is a less invasive procedure that maintains a more natural-feeling joint. Because of this, patients typically experience less post-operative pain and a shorter hospital stay. In some cases, the procedure can be done as an outpatient so the patient is home the same day. Similarly, patients require less rehabilitation and can return to normal activities sooner.

Our June and July educational series at Westphal Orthopedics will be devoted to partial knee replacements. These seminars are free to anyone that would like to attend. Click here to view our schedule of upcoming sessions. Make sure you reserve your spot today!

“Prehabilitation” for Total Joint Replacements

WGAL News 8 recently did a story on the emerging trend of “prehabilitation” in orthopedics. Watch as Dr. Westphal and Hayden McDevitt of Hartz Physical Therapy discuss the advantages of preparing your joints for surgery.