Greater Trochanteric Pain Syndrome (GTPS) affects the tendons, muscles, and bony structures around the greater trochanter of the femur, and sadly this is a condition we see weekly at OHL. Key contributors include the thickened changes to gluteal tendons (specifically the gluteus medius and gluteus minimus) and the iliotibial band (ITB). GTPS often results from repetitive microtrauma, causing degeneration, microtears, and inflammation in the gluteal tendons. Simultaneously, inflammation of the trochanteric bursa may occur. Biomechanical factors and age-related changes further complicate GTPS.
Accurate diagnosis involves a detailed physiotherapist-led assessment, exploring medical history and conducting a focused, individualised physical examination. While imaging such as ultrasound or MRI may be considered, its necessity varies case by case. Our OHL physiotherapist's expertise in recognising GTPS-specific signs ensures a precise understanding, facilitating a targeted treatment plan and best success in seeing changes to someone’s pain.
Where is this condition you ask? GTPS manifests as lateral hip pain, often described as a deep ache or burning sensation. Pain may radiate down the outer thigh or extend to the knee. Tenderness around the greater trochanter, increased pain while lying on the affected side, and aggravation during weight-bearing activities are typical. Distinguishing GTPS from conditions like gluteal tear, hip bursitis in isolation, and lumbar spine issues is crucial for effective treatment.
Your trusty OHL physiotherapists play a centre role in guiding GTPS treatment with an individualized approach. Treatment options include:
- Rest and Activity Modification: Temporarily avoiding or modifying activities exacerbating symptoms. This may include less walking, different gym classes and/or changes to your gardening, grandparenting and/or sitting habits.
- Physiotherapy Exercises are MOST important and most evidence-based in resolving this stubborn condition. No two people with GTPS are the same, so we cannot list exact exercises here, but they will be focused on the tendon structures initially and then more globally as the tendon thickening is changing.
- Stretching Routines: Specific stretches to alleviate tightness and enhance the range of motion.
- Ice and Heat Therapy: Application of ice to reduce inflammation and heat to relax muscles.
- Medication: Referral for pain medications or anti-inflammatory drugs can be helpful for some people. We may also have a lengthy pro/con discussion with you about the potential of including a cortisone injection for severe cases, but this is a very individualised discussion.
In summary, for an accurate diagnosis and an individualised rehabilitation program, consulting your trusty OHL physiotherapist is crucial. Their expertise guides the formulation of a tailored treatment plan, incorporating exercises and lifestyle modifications to address the root causes of GTPS and facilitate a successful recovery. You can book today via 9431 5955 or you can book online via the Client Portal on the website.
