Greater Trochanteric Pain Syndrome is essentially caused by a weakening of the strong gluteal tendons in the buttocks, leading to pain and instability in the hips, low back and thighs. It often manifests as Greater Trochanteric Bursitis or a Gluteal Tendinopathy.
The predominate sign of gluteal tendinopathy (or GTPS) is pain over the outside of your hip, which can radiate into the buttock and down the outside of the thigh. Your hip may feel weak and unstable and you may also experience pain into the groin and low back.
Also, if you are experiencing pain on the inside of your knees or ankles, or on the bottom of your feet (plantar fasciitis), this may also be due to a weakness in your hips as a result of a gluteal tendinopathy.
Gluteal tendinopathies can be caused by a one-off injury however they are usually the result of a cumulative injury when the gluteal tendon undergoes changes due to prolonged or repetitive activity.
Although they can be the result of chronic over-use, they are more commonly associated with long-term under-use of the gluteal muscles in the buttocks followed by a fairly swift increase or change in activity.
A typical patient is someone who has not done much exercise for a number of years – and has a fairly sedentary lifestyle (desk job, drive to work, etc.) – but has recently decided to take up running without having gone through a strength or conditioning programme beforehand. The tendon has become weak as a result of the years of inactivity and the recent rapid increase in activity starts to put it under pressure that it is unable to cope with.
Most cases of gluteal tendinopathy are fairly long-standing, with the best treatment being a course of Shockwave Therapy followed by a guided exercise rehabilitation programme.
If your pain is short-lived however then it may react well to ‘hands-on’ treatments like massage and manipulation, used in conjunction with other modalities such as ultrasound and acupuncture.
Our clinic provides osteopathy & shockwave therapy for areas including March, Ely, Wisbech, Huntingdon, St Ives & Whittlesey and beyond.
Contact us now to book a free 15-minute chat with an Osteopath to see if we could help with your hip problem.
Need help? Call us on 01354 694050 or book online here