What is Greater Trochanteric Pain Syndrome?
Greater Trochanteric Pain Syndrome (GTPS) is a condition characterized by chronic pain over the greater trochanter, the bony prominence on the outer side of the hip. This syndrome encompasses a range of hip disorders, including trochanteric bursitis and gluteal tendinopathy. Patients with GTPS often report lateral hip pain that can extend to the thigh, aggravated by lying on the affected side, walking, or transitioning from sitting to standing. The pain is typically due to inflammation of the surrounding tissues and tendons, often as a result of overuse, injury, or biomechanical abnormalities.
Physical Therapy for Greater Trochanteric Pain Syndrome
Physical therapy is pivotal in managing GTPS, aiming to alleviate pain, improve hip function, and address the underlying causes of the condition. Initial treatment focuses on reducing inflammation and pain through modalities such as ice, heat, or ultrasound. Manual therapy, including soft tissue massage and joint mobilizations, can be beneficial in relieving tension and improving mobility in the hip and surrounding areas.
As the acute symptoms subside, rehabilitation emphasizes strengthening and stretching exercises tailored to the individual's needs. Strengthening exercises target the gluteal muscles and other hip stabilizers to support the hip joint and reduce strain on the affected tendons. Stretching exercises aim to improve flexibility in the hip flexors, iliotibial band, and lower back, addressing any muscular imbalances that may contribute to GTPS. Additionally, therapists may incorporate balance and functional training to enhance stability and proprioception, reducing the risk of re-injury. Education on activity modification and proper body mechanics is also provided to help patients manage symptoms and prevent future episodes. With a comprehensive and personalized approach, physical therapy can effectively alleviate the symptoms of GTPS and improve patients' quality of life.