Evidenced-Based Management of Greater Trochanteric Pain Syndrome
- PDF / 363,287 Bytes
- 9 Pages / 595.276 x 790.866 pts Page_size
- 93 Downloads / 163 Views
SPORTS MEDICINE REHABILITATION (B LIEM AND BJ KRABAK, SECTION EDITORS)
Evidenced-Based Management of Greater Trochanteric Pain Syndrome Michael Boyd 1,2 & Nevin Vijayaraghavan 1,3
&
Kristopher Karvelas 1
Accepted: 22 September 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Purpose of Review This paper aims to review the evidenced-based management of greater trochanteric pain syndrome (GTPS). Recent Findings There are various studies evaluating greater trochanteric pain syndrome that illustrate the mainstay of treatment is activity modification with the implementation of isometric and isotonic exercise programs. If conservative care fails, short-term benefits can be seen with corticosteroid injections. More refractory cases of GTPS should be referred for diagnostic ultrasound evaluation to illustrate gluteal tendinosis that could benefit from a targeted treatment such as percutaneous tenotomy or orthobiologics. Summary GTPS is a common cause of lateral hip pain that typically requires a multimodal diagnostic and therapeutic approach that should be individualized based on patient-centered care. Treatments should take into consideration the individual’s overall health to develop a comprehensive treatment plan that utilizes both conservative and interventional modalities to maximize recovery. Keywords Lateral hip pain . Greater trochanter . Trochanteric bursitis . Greater trochanteric pain syndrome . Gluteal tendinopathy
Introduction Lateral hip pain is a common problem, with a prevalence of 17.6% in adults aged 50–79 [1]. Previously, the etiology was attributed to local irritation and inflammation causing greater trochanteric bursitis. This was traditionally treated conservatively with rest, nonsteroidal antiinflammatories (NSAIDs), exercise, and corticosteroid injections [2]. More recently, it has been found that bursitis is actually rarely present in patients presenting with lateral hip pain [3]. It is now known that there are several potential pain generating areas of the lateral
This article belongs to the Topical Collection on Sports Medicine Rehabilitation * Nevin Vijayaraghavan [email protected] 1
Department of Physical Medicine and Rehabilitation, University of North Carolina School of Medicine, Chapel Hill, NC 27514, USA
2
Department of Orthopedics, University of North Carolina School of Medicine, Chapel Hill, NC 27514, USA
3
Memorial Hospital, Campus Box #7200, 101 Manning Drive, Chapel Hill, NC 27514, USA
hip including the gluteus medius and minimus tendons, the iliotibial (IT) band, referred pain from the buttock, back, hip, and knee as well as the multiple trochanteric bursae [4]. Greater trochanteric pain syndrome (GTPS) has emerged as the preferred terminology for lateral hip pain given the broad spectrum of potential pathologies in the lateral hip [5]. There is a great deal of overlap with other conditions outside of the lateral hip that contribute to GTPS, which can potentially make for a diagnostic conundrum and lead to extensive u
Data Loading...
