pixel

Injuries Unpacked #10: Greater Trochanteric Pain Syndrome (GTPS)

Posted in: , , ,

Anatomy The gluteus medius muscle runs from your hip bone and ends behind a bony prominence on your femur called the greater trochanter. The muscle joins to the greater trochanter through a piece of connective tissue called a tendon. This muscle is very important for keeping the pelvis stable when you walk. It also moves […]
Full article

Anatomy

The gluteus medius muscle runs from your hip bone and ends behind a bony prominence on your femur called the greater trochanter. The muscle joins to the greater trochanter through a piece of connective tissue called a tendon.

This muscle is very important for keeping the pelvis stable when you walk. It also moves your leg out sideways.

Mechanism of Injury

Greater Trochanteric Pain Syndrome (GTPS) is a common cause of pain on the outside of your hip.

GTPS occurs when there is a gluteus medius tendinopathy and/or bursitis of the trochanteric bursa. Tendinopathy is a term for injury to a tendon, it develops when there is compression and excessive loading. Bursitis is inflammation of a fluid-filled sac called a bursa, it is also caused by compression. GTPS generally develops if your gluteal muscles are not strong enough for the activities you do. This results in the gluteus medius tendon being wrapped around the greater trochanter and compressed. You can visualise this like a phone charger that always gets bent in one spot and eventually gets damaged.

Risk Factors

Risk factors for GTPS can include:

  • Poor control of pelvic, back and hip position
  • Weak gluteal muscles
  • Tight muscles around the hip
  • Walking with a crossover foot pattern
  • Recent increase in activities like walking or running
  • More common in women – possibly due to shape of the pelvis
  • More common in people over 40 years old

What a physiotherapist can help with

Tendons respond really well to specific load and gradual return to activity, and your physiotherapist will develop an individualised program to help you get back to moving without pain.

Physiotherapists can help with:

  • Assessing and diagnosing the extent of the injury.
  • Explaining the prognosis and discuss treatment options.
  • Providing specific exercises for your gluteus medius and other contributing muscles
  • Addressing the causative factors to help you avoid tendinopathies in the future
  • Ensuring you are ready to return to sport or normal activity safely!

Tips for managing GTPS

Strength and control exercises are essential to reduce your pain. Another important factor is avoiding aggravating the tendon. Initially, you should avoid the following activities until you are stronger and have less pain.

  • Sitting with crossed legs
  • Sitting on low chairs (use pillows to make it taller if needed)
  • Do not lie on the sore side
  • If lying on the opposite side put a pillow between your legs

Categories

Send Message

Related Posts

Online Services Now Available

If you are not certain which of the above-listed rehabilitation services and treatments will best meet your specific requirements, please contact us to schedule an in-person consultation with one of our professionals. Over the years, we had the opportunity to work with a diverse range of clients, all who arrived with a specific problem that required a strategically-designed physiotherapy treatment plan.

Telehealth

STC has adapted to the COVID-19 crisis:

For those that do not need hands-on treatment or are in the vulnerable person category, we are now offering online physiotherapy and online classes, which are claimable via your health fund rebates.

We are still offering face to face physiotherapy services for those with significant musculoskeletal pain or post-surgical rehabilitation, this may change if the crisis escalates.

Exercise Classes

We are offering several classes online including Pilates and Mums & Bubs post/antenatal rehabilitation. We’re able to facilitate varied online classes, so if you’re more comfortable with conducting your rehab from home, let us know and we’ll arrange to have you dialled in online to a class.

Book your appointment online or get in touch the old fashioned way

Online bookings only take a few minutes to complete. Or phone to speak with our friendly team.
We accept all health funds and insurance claim referrals, such as motor vehicle accident (MVA), work injury, and EPC (Enhanced Primary Care).
SportsTec Clinic
Your Personal Performance & Rehabilitation Team
SportsTec Clinic
Phone: (02) 6156 1308
Fax: (02) 6156 2254
Copyright © 2022 SportsTec Clinic
Website by MAAD Creative
crossmenuarrow-down