Best Practice Case Studies-Greater Trochanter Pain Syndrome

Pdf Summary

Greater Trochanteric Pain Syndrome (GTPS) is a common condition causing lateral hip pain and tenderness, particularly affecting women more than men. It results from inflammation of tendons, muscles, bursa, or other structures around the greater trochanter, a bony prominence on the side of the hip. Historically called trochanteric bursitis, recent imaging studies indicate that lateral hip pain often stems from inflammation in gluteal muscle tendons or other hip structures rather than the bursa alone.<br /><br />Symptoms include lateral hip pain, swelling, stiffness, and difficulty sleeping on the affected side, sometimes occurring on both sides. GTPS is more frequent in women and has associated risk factors like obesity, knee pain, iliotibial band tenderness, and low back pain. The condition generally doesn't involve symptoms such as redness, extreme swelling, fever, or malaise, which could suggest infection or another condition.<br /><br />Evaluation by a sports medicine physician involves a history review and a physical exam, with imaging tests like X-rays or MRIs rarely needed. GTPS often resolves within weeks or months but may persist longer. Treatment typically includes modified activity, cold or heat therapy, NSAIDs, exercise, and physical therapy. Glucocorticoid injections may be considered if symptoms persist, while surgery is rarely necessary.<br /><br />Preventive measures include stretching and strengthening exercises for the iliotibial band, quadriceps, hamstrings, gluteal muscles, and low back, as well as maintaining a healthy diet and weight. For the general population, continued physical activity is encouraged with modifications to manage symptoms. Athletes can often still participate in sports, with their sports medicine physician coordinating their return to play with coaches and trainers.

Meta Tag

Edition 2nd Edition

Related Case 2nd Edition, CASE 24

Topic Hip

Keywords

2nd Edition, CASE 24

2nd Edition

Hip

Greater Trochanteric Pain Syndrome

lateral hip pain

gluteal muscle tendons

trochanteric bursitis

risk factors

sports medicine

treatment

preventive measures

physical therapy

athletes