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Greater Trochanteric Pain Syndrome Treating Pain and Tenderness Over the Side of the Hip 3657600504825Greater trochanteric pain syndrome (GTPS), often called gluteal tendinopathy, commonly presents as pain and tenderness over the side of the hip, buttock, and thigh during standing, walking, sitting, and side lying (Reid, 2016). In the past, these symptoms were thought to be caused by trochanteric bursitis, irritation of the fluid filled sacs around hip musculature, and the bony prominence on the side of the hip called the greater trochanter. More recently, research has suggested that GTPS is the result of tendinopathy of the gluteus medius and/or minimus (Speers, et al, 2017). Tendinopathy is a broad term that includes overuse injuries leading to pain, inflammation, decreased function and exercise intolerance of the associated tendon (Cook, et al, 2009). The good news: The majority of cases of GTPS can be successfully managed with non-surgical measures such as physical therapy, ice, and weight loss. The goal of physical therapy is to improve stability by strengthening the joint and muscles around the hip while decreasing pain. Furthermore, if conservative treatment such as physical therapy is not effective, a more invasive intervention such as surgery has been shown to provide pain relief. (Williams, et al, 2009) Practical advice: -361949228600Limit sitting for long periods of time!Stay active, but try not to overdo it!So, how will physical therapy help? Physical therapy will help to build muscle strength, improve motion in the hip joint, and decrease pain to help those return to their desired activities (Williams, et al, 2009). In addition, physical therapy will help with activity modification to avoid certain motions that aggravate the hip (Mallow, et al, 2014). Physical therapists will provide exercises to strengthen the gluteal muscles, including stepping up and down stairs, bridges (lifting the hips while lying on the back with knees bent), and squats. These forms of exercise have been shown to decrease pain within 4-6 weeks (Cook, et al, 2009). Greater Trochanteric Pain Syndrome (GTPS) InfographicBy: Kerri Baker, SPT, Lindsay Blackwood, SPT, Krista Nunn, SPT, and Maddie Upham, SPT References: Cook, J. L., & Purdam, C. R. (2009). Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy. British Journal of Sports Medicine, 43(6), 409–416. Mallow, M., & Nazarian, L. N. (2014). Greater Trochanteric Pain Syndrome Diagnosis and Treatment. Physical Medicine and Rehabilitation Clinics of North America, 25(2), 279–289.Reid, D. (2016). The management of greater trochanteric pain syndrome: A systematic literature review. Journal of Orthopaedics, 13(1), 15–28.Speers, C. J., & Bhogal, G. S. (2017). Greater trochanteric pain syndrome: a review of diagnosis and management in general practice. The British journal of general practice : the journal of the Royal College of General Practitioners, 67(663), 479–480.Williams, B. S., & Cohen, S. P. (2009). Greater Trochanteric Pain Syndrome: A Review of Anatomy, Diagnosis and Treatment: Anesthesia & Analgesia, 108(5), 1662–1670.Image: : ................
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