Greater trochanteric pain syndrome (GTPS) is a common condition that affects millions of people worldwide. It is a painful condition that is characterized by pain and tenderness around the greater trochanter, which is the bony protrusion on the side of our hip. This condition is known by many names such as greater trochanteric bursitis or hip bursitis, but the common thing is that it results in pain in the hip area.

GTPS is more common in women than in men and is most often seen in people aged 40 to 60. People who are overweight, have a recent history of trauma, or have a family history of hip problems are more likely to be affected by GTPS.

Symptoms of GTPS can be very debilitating and interfere with daily activities such as walking or sleeping. The pain may start gradually and increase over time or it can appear suddenly. The location and intensity of the pain may vary. Some people experience pain on the outer side of the hip while others may experience it in the lower back or buttock region.

There are many causes of GTPS, with the most common ones being:

1. Inflammation – When the bursa (a small fluid-filled sac) located between the bone and the tendon becomes inflamed, it can cause pain.

2. Tendinitis – Inflammation of the tendon that attaches the muscles to the bone can cause GTPS.

3. Injury – A sudden injury or trauma to the hip area can cause GTPS.

4. Hip Arthritis – GTPS may be a symptom of underlying hip osteoarthritis.

5. Piriformis Syndrome – Compression of the sciatic nerve by the piriformis muscle can cause pain in the hip and buttock region.

Diagnosis of GTPS begins with a physical examination by a healthcare professional. The examination may include palpation of the greater trochanter to identify the source of pain. Imaging tests such as X-ray, ultrasound, or magnetic resonance imaging (MRI) may be used to confirm the diagnosis and rule out other potential causes of hip pain.

The treatment of GTPS is focused on relieving pain, reducing inflammation, and improving function. Treatment options will depend on the cause and severity of the condition. Some of the most common treatment options for GTPS include:

1. Rest – The patient may be advised to rest to reduce the inflammation and allow the body to heal.

2. Nonsteroidal anti-inflammatory drugs (NSAIDs) – These drugs help reduce inflammation and pain.

3. Physical Therapy – A physical therapist can help with exercises that target the hip muscles and improve range of motion.

4. Corticosteroid injections – These injections are sometimes used to reduce inflammation in the hip joint.

5. Surgery – In severe cases, surgery may be necessary to remove damaged tissue or to repair damaged muscle or bone.

Despite the discomfort and pain, most people with GTPS eventually recover fully without any lasting effects. However, it is essential to address any underlying conditions that may have contributed to the development of the condition. Maintaining a healthy weight, stretching before exercise, and avoiding long periods of sitting or standing can all help prevent GTPS.

In conclusion, Greater trochanteric pain syndrome is a painful condition that can significantly impact daily activities. However, with the right treatment and prevention measures, GTPS can be managed effectively, and the individual can recover fully. If you experience any hip pain or discomfort, consult with a healthcare professional to determine the cause and appropriate treatment.

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