Greater Trochanteric Pain Syndrome

Greater Trochanteric Pain Syndrome (GTPS), also known as trochanteric bursitis or hip bursitis, is a condition characterized by pain and tenderness on the outer side of the hip. It is a common cause of hip pain and is often seen in middle-aged or older adults, particularly women.

The greater trochanter is a bony prominence on the side of the hip, where several muscles and tendons attach. The trochanteric bursa is a small fluid-filled sac located between the greater trochanter and the overlying muscles and tendons. When this bursa becomes inflamed or irritated, it can cause pain and tenderness in the hip area, which is known as trochanteric bursitis.

Symptoms of GTPS may include:

• Pain and tenderness on the outer side of the hip, which may radiate down the thigh
• Pain that is worse with activity or when lying on the affected side
• Stiffness or limited range of motion in the hip joint
• Swelling or warmth in the hip area

Risk factors for GTPS may include:

• Overuse or repetitive strain on the hip joint, such as in runners or athletes
• Poor posture or biomechanics, which can put additional stress on the hip joint
• Obesity or excess body weight, which can place increased pressure on the hip joint
• Previous hip surgery or injury
• Certain medical conditions, such as rheumatoid arthritis or diabetes

Treatment for GTPS may include:

• Rest and avoiding activities that aggravate the pain
• Ice or heat therapy to reduce pain and inflammation
• Nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve pain and inflammation
• Physical therapy to improve hip strength, flexibility, and biomechanics
• Corticosteroid injections to reduce inflammation in the bursa
• In rare cases, surgery may be recommended for severe or persistent cases of GTPS.

It is important to seek medical attention from a healthcare provider if you suspect you may have GTPS, as early diagnosis and treatment can help improve outcomes and prevent long-term complications.