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Greater Trochanteric Pain Syndrome (GTPS): Cause and Treatment Options

Illustration of a Greater Trochanteric Pain SyndromeHip Pain: Greater Trochanteric Pain Syndrome

Greater Trochanteric Pain Syndrome is a common hip disorder that causes discomfort along the iliotibial band (ITB) or lateral hip pain. The lateral hip pain and tenderness from a Greater Trochanteric Pain Syndrome often develop gradually. However, there are cases in which the pain develops acutely from a traumatic event. Greater Trochanteric Pain Syndrome (GTPS), affects about two out of every 1000, making it the most common hip problem. It impacts females more often than males and has a higher level of prevalence. Those at risk of developing this disorder are the obese, arthritic and existing back pain patients.

Because the Greater Trochanteric Pain Syndrome is a relatively long-term, most clinicians have started to use its acronym, GTPS. Therefore, we will use this abbreviation throughout this article to mean the same. This article will provide you with information and holistic non-surgical treatment options that repairs the root-causes of the GTPS condition that affects the iliotibial band (ITB).

 

Illustration showing causes of Greater Trochanteric Pain Syndrome.

What Does the Term GTPS Mean?

As mentioned, the term, GTPS means Greater Trochanteric Pain Syndrome. GTPS is an all-encompassing term descriptive of hip disorder at or near the greater trochanter, including the iliotibial band (ITB). In a short while, we will elaborate more on the need for this new term, GTPS. But, first, let’s address the greater trochanter and its importance.

 

 

 

 

 

Anatomical location of the Greater Trochanter.The greater trochanter is the bony prominence along the side of the hip. It serves as attachment point for the tendons of muscles from the spine, buttocks, hip, and leg. In other words, there are several tendons and even muscles that traverse near or in proximity to the greater trochanter. Therefore, the clinical significance of the greater trochanter is undoubtedly important to the recovery of back pain, hip pain, leg pain, slipped disc and even scoliosis patients.

 

 

Balance in Muscles of the hip and Grater Trochanter.

GTPS is a confluence of disorders that impact the lateral hip and the iliotibial (ITB). One of which is the greater trochanteric bursitis. In fact, GTPS is a new term that replaced the traditional trochanteric bursitis term. The shit towards GTPS terms denotes the significance of the greater trochanter. Also, many issues and conditions can cause swelling, pain, and tenderness in lateral or side of the hip joint. Thus, the need for this new, all-encompassing term for lateral hip pain.

 

 

 

 

Inflamed IT band and Greater Trochanteric Pain SyndromeGTPS, Greater Trochanteric Bursitis, and Lateral Hip Pain?

As mentioned, the previous term for lateral hip pain and GTPS was “trochanteric bursitis.” Yes, both conditions are inflammatory processes present in the bursa of the greater trochanter. But, the hip has several bursae and structures that cause lateral hip pain or tenderness. That’s the primary reason for the term of Greater Trochanteric Pain Syndrome or GTPS. It covers the variability present in symptoms while acknowledging the many other possible causes. They include but are not limited to muscle pain, muscle tears, and iliotibial band pain, also known as ITB.

 

 

Bursa of the hip and greater trochanter.

As the name applies, the greater trochanteric bursa is situated directly above, the greater trochanter. It provides protection and cushioning of the muscular tendons that attach to the greater trochanter. Trochanteric bursitis has many causes including trauma, repetitive motions and most important is pinched nerves resulting in chronic muscular spasms of muscles that have tendentious attachments to the greater trochanter.

 

 

 

 

 

Additional sources of pain in Greater Trochanteric Pain Syndrome.Can the Trochanteric Syndrome like GTPS Come from the Spine or be Caused by Sciatica?

The short answer is a definite YES! Spinal issues such as a slipped disc (slip-disc) cause nerve irritation. Nerve irritation is the result impingement syndromes. An impingement syndrome compresses the nerve. The exiting spinal nerves, traversing spinal nerve or the Thecal Sac (distal spinal cord) are all susceptible.

 

 

 

Side view of the lumbar spine.

Why is this important? Well, if the cause of your GTPS is a spinal disc disorder, and your doctor or physical therapist continue to treat the hip without addressing the root-cause (spine), you will not recover. In fact, you may progress and get worse. Therefore, the most critical factor to recovery is accurate diagnosis followed with holistic care. A correct diagnosis combined with targeted, holistic treatments is the only way forward. So, don’t opt for the palliative care that most centers provide. Aks for holistic corrective care combined with palliative measures. In other words, get the kind of care that gets rid of all your symptoms once and for all.

So, avoid the inexperienced or the clinically challenged, visit one of our centers for accurate diagnosis and best of the holistic treatments of hip pain, back pain and of course Greater Trochanteric Pain Syndrome (GTPS).

 

 

 

Bursitis and Greater Trochanteric Pain SyndromeBursitis: A Common Cause of Greater Trochanteric Pain (GTPS)

A bursa, not to be confused with Bursa Malaysia is the fluid-filled, natural sacs in our bodies that protects and cushions sensitive structures. They thin cushions located between the opposing surfaces of bones, muscles, ligaments and even skin, protecting against friction. The plural form a bursa term is as bursae. Trauma, tight clothing and repetitive can irritate and produce inflammatory reactions within the synovial walls of a bursa. An inflamed bursa (swelling in the synovial walls of a bursa) is called bursitis. The largest of the bursae around the hip and the gluteal region is the subgluteus maximus bursa.

In the gluteal region, there are three bursae: the subgluteus minimus bursa, subgluteus medius bursa, and the subgluteus maximus bursa. But, these are not the only bursae impacting the lateral hip (side of the hip). Other bursae implicated in GTPS include the greater trochanteric bursa and genitofemoral bursa.  A mentioned earlier; the biggest is the bursa under the gluteus maximus muscle, the subgluteus maximus bursa.

GTPS itself is a regional pain syndrome, which often mimics pains generated at other points, such as degenerative joint conditions. Common examples of degenerative joint conditions include spinal problems or osteoarthritis of the hip. In fact, anywhere from a quarter to a third of those with the pain of the low back wind up experiencing GTPS.

 

What are the Symptoms of a Trochanteric Pain Syndrome?

Symptoms of a GTPS usually consist of persistent pain, especially towards the outer, gluts, and lateral hip pain. Pain might radiate down through the outside of a thigh towards the knee, but on occasions, it can emit below the knee and cause leg pain. Patients afflicted with GTPS have point tenderness on the lateral hip that is consistent with the particular site where they experience the pain. That might be over their gluteal tendons, bursae, or related soft tissue, and it prevents many from lying comfortably on their sides.

In GTPS, it’s often painful to push a leg out to a side against any resistance or even climb stairs. Some folks might find it more intrusive than others, and it might impact their capacity to participate in sports, go running, or even walk in daily life. This is the main reason why our expert clinical teams of chiropractors and physical therapists (physiotherapists) assess the lower back, spinal discs, buttocks, and the hip joint.

 

Chiropractor and Female patient in discussionHow Should the Greater Trochanteric Pain Syndrome be Managed or Treated?

First and foremost, pain management is best when a given condition cannot be corrected. Many centers offer pain management, but few provide corrective care. Therefore, whenever possible restorative care is better than pain management. Because, in pain management, the condition progresses, and in time it may proceed to appoint where it cannot be treated. Therefore, our advice is to opt for holistic diagnosis based targeted treatment, such as that offered by our centers.

There are scenarios where patients suffering from a GTPS have recovered without any intervention. But, these are rare occasions. Treatment strategies that are conservative are most helpful when based on an accurate diagnosis. The most common cause of pain management is a misdiagnosis of patients. Therefore, if you are experiencing chronic hip or buttocks pain, visit us for a thorough assessment to identify the root-cause of your GTPS.

Manual Physiotherapy for Greater Trochanteric Pain Syndrome.

We have the best chiropractors and clinical physical therapists or physiotherapists in Kuala Lumpur. Our clinical teams can advise you on strategies for activity modification, as well as help you address particular biomechanical issues. We offer guidance on the optimization of your comprehensive musculoskeletal health. Our Chiros and Physios can help you manage various contributing factors like issues with your hip joint, buttocks or spine. In short, if you are looking for the best clinical non-surgical treatment of Greater Trochanteric Pain Syndrome (GTPS), chose us!

 

Back pain treatment of Greater Trochanteric Pain Syndrome.

 

Conservative Treatment of Lateral Hip Pain Versus Steroid Injections for Pain Relief

The best means of training lateral hip pain comprehensively is with a conservative treatment program. Holistic treatments are those that address root-cause issues. In other words, it fixes the actual cause. Physical therapy and chiropractic combined offer the best clinical success rate. Chiropractic and physical therapy treatments combined is significantly superior to chiropractic or physical therapy alone.

The go-to non-surgical treatment that an orthopedic surgeon provides is either medication or a steroid injection. Medication and steroid injection introduce harmful chemicals into your body that can harm more. In fact, lateral hip pain or GTPS has never killed a single person. However, steroid injections and pain medication prescribed for short-term relief have killed thousands if not millions. So, opt for the targeted treatment that decreases a lateral hip pain, and improves the hip’s range of motion. GTPS is a condition closely related to the gluteus medius and gluteus minimus muscles.

Our methods of Physical Therapy and Chiropractic for Lateral hip Pain is better than others because we foucse on the actual casue. And it is Just that Simple!

The gluteus medius and gluteus minimus along with the tensor fasciae latae (TFL) are the primary internal rotator of the hips. The gluteus minimus is also a hip abductor. Hip adductor helps in lifting away the leg from the midline. So, the tensor fasciae latae, gluteus medius and gluteus minimus along with other hip abductor or abductors impacts your hip range of motion. Patients that suffer from a GTPS will always have some degree of damage or malfunction in their iliotibial band (ITB), tensor fasciae latae (TFL), gluteus medius and gluteus minimus muscles.

To recover, you must have therapeutic procedures that address these tissues; otherwise the pain relief you get is only there for a short-term. Our center has the experts you need for long-term improvements because we provide expert focused treatments through chiropractic and physical therapy. Don’t settle for less.

To conclude, chose Chiropractic Specialty Center for Clinica Physical Therapy and Research-Based Chiropractic. Our physical therapy treatment modalities such as the ultrasound, Interferential Current Therapy, targetted physiotherapy, and Shockwave therapy for lateral hip pain is significantly superior to the surgeon’s steroid injections or care that others centers or hospital provide. We offer the best conservative treatment for lateral hip pain and Greater Trochanteric Pain Syndrome (GTPS) in Malaysia.