Greater trochanteric pain syndrome (GTPS) is a condition that causes pain and tenderness on the outside of the hip. It affects many people, particularly women over the age of 40. The pain can be severe, limiting mobility and making daily activities difficult. However, with proper diagnosis and treatment, symptoms can be managed, and pain reduced. 

Causes of Greater Trochanteric Pain Syndrome 

GTPS can be caused by a variety of factors, including: 

• Inflammation of the bursa, a small fluid-filled sac that cushions the joint and reduces friction 
• Tendinitis, or inflammation of the tendons that attach muscles to bones 
• Injury or trauma to the hip area 
• Repetitive stress on the hip joint, such as from running or cycling 
• Poor posture or gait abnormalities 

Symptoms of Greater Trochanteric Pain Syndrome 

The most common symptom of GTPS is pain on the outer part of the hip, which can be sharp, dull, or burning. The pain may also radiate down the side of the leg or into the buttock. Other symptoms may include: 

• Tenderness to the touch on the outer part of the hip 
• Stiffness or limited range of motion in the hip joint 
• Pain that worsens with activity or prolonged sitting 

Diagnosis and Treatment of Greater Trochanteric Pain Syndrome 

If you are experiencing GTPS symptoms, you should seek medical attention to confirm the diagnosis and determine the best course of treatment. To rule out other conditions, a physical exam may be performed, and imaging tests such as X-rays, ultrasound, or MRI may be ordered. 

Rest and self-care measures, such as applying ice to the affected area, taking anti-inflammatory medication, and avoiding activities that aggravate the condition, are typically used to treat GTPS. Physiotherapy may also be advised to aid in the management of symptoms and the prevention of future injuries. A physiotherapist can evaluate your condition and create a customised treatment plan that may include: 

• Manual therapy techniques to reduce pain and inflammation 
• Stretching and strengthening exercises to improve flexibility and stability 
• Gait analysis and correction to improve biomechanics and reduce stress on the hip joint 
• Education on proper posture, body mechanics, and injury prevention strategies 

In some cases, corticosteroid injections may be recommended to reduce inflammation and pain. Surgery is rarely necessary but may be considered in severe cases. 

Preventing Greater Trochanteric Pain Syndrome 

Maintaining a healthy weight, engaging in regular exercise, and avoiding repetitive stress on the hip joint are the best ways to prevent GTPS. Proper footwear and equipment, such as shock-absorbing insoles, can also aid in reducing hip stress. Strengthening the hip and core muscles can also help with stability and injury prevention. 

How R3 Physiotherapy Can Help 

Our experienced physiotherapists at R3 Physiotherapy can provide expert diagnosis, treatment, and management of GTPS. Our customised treatment plans can help you reduce pain, improve mobility, and avoid injuries in the future. We help our patients achieve their goals by combining manual therapy techniques, exercise therapy, and education. 

Conclusion 

Greater trochanteric pain syndrome can be debilitating, but with proper diagnosis and treatment, symptoms and pain can be managed. By addressing underlying biomechanical issues and providing targeted exercises and education, physiotherapy can play an important role in the treatment and prevention of GTPS. If you have GTPS symptoms, you can treat them with targeted exercises and education. Seek medical advice if you are experiencing symptoms of greater trochanteric pain syndrome and take steps to manage your condition to improve your quality of life. 

 References 

Santos, L. E. N., Navarro, T. P., Machado, C. J., Cabrita, H. A. B. A., Pires, R. E., Figueiredo, L. B., … & Andrade, M. A. P. (2021). Relationship of the Pelvic-Trochanteric Index with greater trochanteric pain syndrome. Clinics, 76, e3312. https://doi.org/10.6061/clinics/2021/e3312

Boyd, M., Vijayaraghavan, N., & Karvelas, K. (2020). Evidenced-Based Management of Greater Trochanteric Pain Syndrome. Sports Medicine Rehabilitation, 2(1), 46-57. doi: 10.1007/s40719-020-00168-7