Greater trochanteric pain syndrome (of the hip)
Associated with Gluteus Medius Tendinopathy, Gluteus medius tendinopathy, Gluteus medius and minimus tears (Rotator cuff of the hip), Trochanteric Bursitis.
Gluteus Medius and Minimus (muscles that attaches across the hip joint) Tendinopathy (wear) and tears can present as hip pain in the athlete or the non-athlete, causing pain on walking, running, climbing stairs etc. Clinically, the patient would have tenderness at the Greater Trochanter, where the muscles insert. Range of motion, may be painful and so is resisted abduction (movement at the hip, away from the mid-line). The diagnosis may or may not be confirmed by a MRI scan. But it can help to exclude other serious causes of hip pain. It can be associated with a Trochanteric bursitis - (Inflammation of a bursa)
Treatment initially involves stopping the aggravating activities, like sport. Stretching followed by strengthening and gradual return to sport. Sometimes a judicious use of an injection with a local anaesthetic and a corticosteroid, may help, if the above management is not successful.
Further reading
Radiology - http://www.radsource.us/clinic/0405
Dr Praveen Kumar KL
Sports Injuries and Ortho Clinic
Associated with Gluteus Medius Tendinopathy, Gluteus medius tendinopathy, Gluteus medius and minimus tears (Rotator cuff of the hip), Trochanteric Bursitis.
Gluteus Medius and Minimus (muscles that attaches across the hip joint) Tendinopathy (wear) and tears can present as hip pain in the athlete or the non-athlete, causing pain on walking, running, climbing stairs etc. Clinically, the patient would have tenderness at the Greater Trochanter, where the muscles insert. Range of motion, may be painful and so is resisted abduction (movement at the hip, away from the mid-line). The diagnosis may or may not be confirmed by a MRI scan. But it can help to exclude other serious causes of hip pain. It can be associated with a Trochanteric bursitis - (Inflammation of a bursa)
Treatment initially involves stopping the aggravating activities, like sport. Stretching followed by strengthening and gradual return to sport. Sometimes a judicious use of an injection with a local anaesthetic and a corticosteroid, may help, if the above management is not successful.
Further reading
Radiology - http://www.radsource.us/clinic/0405
Dr Praveen Kumar KL
Sports Injuries and Ortho Clinic
