What is greater trochanteric pain syndrome?

In this article here, renowned consultant orthopaedic surgeon, Mr Rizwan Shahid, provides us with a detailed account of greater trochanteric pain syndrome, including what it is, and how the hip-affecting condition is typically diagnosed. 

What is greater trochanteric pain syndrome?

Greater trochanteric pain syndrome (GTPS) is a common condition that causes pain on the outside of the hip. This syndrome primarily affects the greater trochanter, the bony prominence on the side of the hip where the gluteal muscles attach. GTPS is often linked to inflammation or irritation of the tendons and bursae around the greater trochanter, leading to significant discomfort in the hip as well as limited mobility.

Who does this condition affect the most?

GTPS can affect anyone but is more prevalent in middle-aged and older adults, particularly women. The pain associated with GTPS is typically described as aching or burning in the hip, and may be exacerbated by activities such as walking, climbing stairs, or lying on the affected side. In severe cases, the pain can become chronic and impact daily activities and sleep.

What are the main causes of GTPS?

Several factors can contribute to the development of GTPS, including overuse of the hip, injury, and biomechanical issues such as leg length discrepancies or abnormal gait patterns. People who engage in repetitive activities that strain the hip, such as running or cycling, are at higher risk. Additionally, conditions like osteoarthritis or lower back pain can increase susceptibility to GTPS.

How is GTPS diagnosed and treated?

Diagnosis of GTPS involves a thorough clinical examination and medical history assessment. Physicians may perform specific tests to identify tenderness around the greater trochanter and assess the range of motion in the hip. Imaging studies like MRI or ultrasound can help rule out other conditions and confirm the diagnosis.

Treatment for GTPS focuses on reducing pain and inflammation, improving hip function, and addressing any underlying causes. Initial management often includes rest, avoiding activities that aggravate the condition, and using ice or anti-inflammatory medications. Physical therapy plays a crucial role in the treatment plan, with exercises designed to strengthen the hip muscles, improve flexibility, and correct biomechanical issues.

In some cases, corticosteroid injections may be administered to reduce inflammation and provide temporary pain relief. If conservative measures fail, more advanced interventions like platelet-rich plasma (PRP) injections or even surgery may be considered, though these are less common.

If you wish to consult with Mr Rizwan Shahid, just head over to his Top Doctors profile today to do just that.