Greater trochanteric pain syndrome.

Tests

Subjective

Objective

Research

Why this and nothing else?

Differentials

Pathology

Treatment

30 second single leg stance. Pain reproduced by 30 secs.

FABER test would expect positive result.

Strengthen testing may reveal weaker hip abductors and pain on resisted abduction. Which may be a contributing factor to source of pain.

Observation: potential trendelenburg meaning poor pelvic stability.

Palpation: noticeable pain localized over greater trochanter. The jump sign.

Agg factors: prolonged sitting, stairs, high impact activity or lying on effected area.

Typically no trouble with shoes and socks. Sitting with legs crossed can increase pain.

Patients present with pain over the lateral aspect of thigh.

Occurs due to degenerative changes affecting the gluteal tends and bursa.

Multifactoral components contributing to the development some of which include mechanical overload, poor healing, training errors.

Previously known as trochanteric bursitis. This condition is often under diagnosed.

GTPS is self limiting and conservative has 90% success rate.

Includes load management, reduction of compressive forces and strengthening of gluteal muscles.

Conservative management

Lying on side causes pain.

Pain produced with 30 sec single leg stance.

Activity produces pain.

OA - Would expect: groin pain, stiffness in morning, progressive course. Difficult with shoes and socks.

Lumbar radiculopathy - would expect associated LBP. reduced ROM in lumbar with positive SLR.

Other lateral hip pain:

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Higher prevalence from ages 40-60.

Direct palpation causes pain.

This pain may radiate down lateral thigh and buttocks.

Insidious

Avoiding aggs as much as possible.