Cause:
Greater trochanteric pain syndrome (GTPS) refers to pain on the outer (lateral) aspect of the hip, near the prominent bony area called the greater trochanter. This pain is commonly due to inflammation or bursitis at the trochanter and is often associated with core weakness, tightness of the iliotibial (IT) band, and gluteus medius and minimus tendon pathology.
Persistent or refractory cases may involve pathology of hip abductor tendons, such as tearing or tendinosis (microscopic wear and tear).
Symptoms:
Pain and tenderness over the lateral hip, especially when lying on the affected side. Symptoms are often worsened by running, walking on uneven ground, climbing stairs, or prolonged standing.
Treatment:
NSAIDs, activity modification, and physical therapy (PT) aimed at strengthening the core, improving hip abductor function, and stretching the IT band.
Corticosteroid injections can effectively reduce inflammation in cases of bursitis—especially when combined with PT.
Platelet-rich plasma (PRP) injections may also be beneficial by promoting tissue healing in the hip abductor tendons (gluteus minimus and medius) in the setting of degenerative tendinosis.
Surgery is usually not required to successfully treat GTPS. However, surgical intervention may be considered if symptoms persist despite extensive physical therapy and injections.
Surgical options include:
If you are suffering from hip pain, please schedule an appointment with Dr. Pappas today.
