What is GTPS
Greater Trochanteric Pain Syndrome GTPS is common cause of hip pain affecting the outer portions of the hip, thigh, or buttock regions of the body. People experiencing GTPS commonly report painful symptoms over the posterior aspect of their hip joint or buttocks when sitting or standing for Long periods of time, climbing stairs or lying on the affected side.
What is the source of the pain:
GTPS is an umbrella term that encompasses inflammatory or degenerative changes to the gluteal muscle tendons and/or inflammatory responses to the gluteal bursae . Previously people with the symptoms were often given the narrow diagnosis of hip bursitis and treated with cortisone injections into the bursea alone. The classification of GTPS takes a more expansive approach and includes the often involved tendons to the glute medius and glute minimus tendons where they attach onto the top of the thigh bone.
What are the symptoms of GTPS:
The main symptoms reported by people experiencing GTPS include pain to the outside of the gluteal muscles or side of the thigh that is typically described as a deep ache type pain. It may progress gradually over time or be brought on by a traumatic event such as a fall onto the affected side.
Aggravating activities Of GTPS pain include:
Pain when walking/running
Pain when sitting particularly in low chairs for long periods of time
Pain when standing for prolonged periods of time
Pain when walking up/down steps
Pain when lying on the affected side
What are the treatment options for GTPS:
Physiotherapy in the form of Deep Tissue Massage, stretching and strengthening provides the front line treatment of GTPS.
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References:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4761624/