Key Info:

  • Minimally invasive treatments can reduce symptoms for several months
  • GTPS is a self-limiting condition and only a small proportion of patients need invasive treatments.
  • Investigations to rule out a sinister cause of pain
  • Condition typically waxes and wanes with time
“Please ask us, if you need more information, at the time of Pain Consultation. Your GP or Practice Pharmacist could be able to advise you further if needed”

Greater Trochanteric Pain Syndrome:

• Common Hip condition, mostly seen in women or athletes
• Previously called as ‘Trochanteric Bursitis’
• Deep ache in outer hip and thigh region.
• Unable to sleep on one side
• Repeated muscle spasms
• Aggravated by stress & cold windy weather
• Caused by: Bursitis, Tendonitis, Repetitive injury, Sensitised nerves, Faulty Pain Modulation

Conditions mimicking GTPS:

• Hip Joint Pain
• Sacroiliac Joint Pain
• Iliotibial Band Pain
• Rheumatoid Arthritis
• Spinal Stenosis
• Failed Back Surgery Syndrome

Investigations:

• X-Ray
• Ultrasound
• MRI

Conservative management:

• Weight Reduction
• Physiotherapy/ Shock wave therapy
• Acupuncture
• NSAIDs
• Amitriptyline/ Nortriptyline
• Duloxetine / Venlafaxine
• Tramadol

Minimally Invasive Procedures:

• Trochanteric Injection with steroids
• Trochanteric Injection with BOTOX
• Ultrasound-guided dry needling
• PRF

Neuro-destructive Procedures:

• Not recommended

Surgery:

• Not recommended