346:. Tears in the muscles may also be repaired, and loose material from arthritic degeneration of the hip removed. At the time of bursal surgery, a very close examination of the gluteal tendons will reveal sometimes subtle and sometimes very obvious degeneration and detachment of the gluteal tendons. If this detachment is not repaired, removal of the bursa alone will make little or no difference to the symptoms.
36:
128:
238:
Greater trochanteric pain syndrome can remain incorrectly diagnosed for years, because it shares the same pattern of pain with many other musculoskeletal conditions. Thus people with this condition may be labeled malingerers, or may undergo many ineffective treatments due to misdiagnosis. It may also
214:
Occasionally, this bursa can become inflamed and clinically painful and tender. This condition can be a manifestation of an injury (often resulting from a twisting motion or from overuse), but sometimes arises for no obviously definable cause. The symptoms are pain in the hip region on walking, and
316:
patients, low-energy SWT was a good alternative, and surgery was effective in refractory cases and superior to corticosteroid therapy and physical therapy. There are numerous case reports in which surgery has relieved GTPS, but its effectiveness is not documented in clinical trials as of 2009.
315:
injection. Surgery is usually for cases that are non-respondent to conservative treatments and is often a combination of bursectomy, iliotibial band (ITB) release, trochanteric reduction osteotomy or gluteal tendon repair. A 2011 review found that traditional nonoperative treatment helped most
291:
Because wear on the hip joint traces to the structures that support it (the posture of the legs, and ultimately, the feet), proper fitting shoes with adequate support are important to preventing GTPS. For someone who has flat feet, wearing proper orthotic inserts and replacing them as often as
267:
A doctor may begin the diagnosis by asking the patient to stand on one leg and then the other, while observing the effect on the position of the hips. Palpating the hip and leg may reveal the location of the pain, and range-of-motion tests can help to identify its source.
226:
that secondarily inflames the bursa. This is most common in middle-aged women and is associated with a chronic and debilitating pain which does not respond to conservative treatment. Other causes of trochanteric bursitis include uneven leg length,
684:
669:
707:
334:
Physical therapy to strengthen the hip muscles and stretch the iliotibial band can relieve tension in the hip and reduce friction. The use of point ultrasound may be helpful, and is undergoing clinical trials.
259:
The primary symptom is hip pain, especially hip pain on the outer (lateral) side of the joint. This pain may appear when the affected person is walking or lying down on that side.
295:
Strength in the core and legs is also important to posture, so physical training also helps to prevent GTPS. But it is equally important to avoid exercises that damage the hip.
46:
1003:
741:
353:
and, consequently, on an outpatient basis. Patients often have to use crutches for a few days following surgery up to a few weeks for more involved procedures.
211:. It has the function, in common with other bursae, of working as a shock absorber and as a lubricant for the movement of the muscles adjacent to it.
161:
107:
79:
20:
402:
324:
86:
993:
734:
488:
304:
93:
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The bursa is not required, so the main potential complication is potential reaction to anaesthetic. The surgery can be performed
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24:
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Conservative treatments have a 90% success rate and can include any or a combination of the following: pain relief medication,
75:
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998:
841:
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tenderness over the upper part of the femur, which may result in the inability to lie in comfort on the affected side.
54:
1161:
342:
shots, and anti-inflammatory medication, the inflamed bursa can be removed surgically. The procedure is known as a
323:
or immobilizing the area but avoiding actions which result in aggravation of the pain. Icing the joint may help. A
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65:
50:
100:
1201:
1038:
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1139:
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may relieve pain and reduce the inflammation. If these are ineffective, the definitive treatment is
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Lustenberger, David P; Ng, Vincent Y; Best, Thomas M; Ellis, Thomas J (September 2011).
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853:
827:
789:
610:
585:
561:
536:
312:
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537:"The management of greater trochanteric pain syndrome: A systematic literature review"
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908:
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240:
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1149:
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974:
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437:"Greater Trochanteric Pain Syndrome: A Review of Anatomy, Diagnosis and Treatment"
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969:
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343:
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16:
Medical condition characterized by inflammation, or bursitis, of the hip area.
1120:
775:
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339:
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619:
570:
462:
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In extreme cases, where the pain does not improve after physical therapy,
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719:
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638:
for "Point-of-Care
Ultrasound in Greater Trochanteric Pain Syndrome" at
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248:
223:
64:
if you can. Unsourced or poorly sourced material may be challenged and
1112:
673:
586:"Efficacy of Treatment of Trochanteric Bursitis: A Systematic Review"
489:"Managing and preventing hip pathology in trochanteric pain syndrome"
192:
723:
279:
may reveal tears or swelling. But often these imaging tests do
281:
not reveal any obvious abnormality in patients with documented
185:
29:
19:"GTPS" redirects here. For the former UK phone system, see
403:"Evaluating hip pathology in trochanteric pain syndrome"
61:
651:
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recommended are also important preventive measures.
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1104:
1072:
1027:
982:
963:
942:
933:
852:
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319:The primary treatment is rest. This does not mean
1004:Shoulder injury related to vaccine administration
487:Dougherty C, Dougherty JJ (November 1, 2008).
60:Please review the contents of the article and
735:
401:Dougherty C, Dougherty JJ (August 27, 2008).
8:
482:
480:
396:
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191:This bursa is at the top, outer side of the
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939:
763:
742:
728:
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652:
430:
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139:
609:
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452:
790:Stenosing tenosynovitis (Trigger finger)
407:The Journal of Musculoskeletal Medicine
373:
162:Amplified musculoskeletal pain syndrome
517:
506:
180:, is inflammation of the trochanteric
21:Government Telephone Preference Scheme
7:
711:: Greater trochanteric pain syndrome
325:non-steroidal anti-inflammatory drug
222:is caused by disease of the gluteal
76:"Greater trochanteric pain syndrome"
994:Adhesive capsulitis of the shoulder
590:Clinical Journal of Sport Medicine
170:Greater trochanteric pain syndrome
143:Greater trochanteric pain syndrome
14:
126:
34:
25:Galloway Township Public Schools
23:. For the US school system, see
195:, between the insertion of the
435:Williams BS, Cohen SP (2009).
62:add the appropriate references
1:
999:Shoulder impingement syndrome
842:Tenosynovial giant cell tumor
821:Synovial osteochondromatosis
602:10.1097/JSM.0b013e318221299c
454:10.1213/ane.0b013e31819d6562
47:reliable medical references
1228:
535:Reid, Diane (March 2016).
441:Anesthesia & Analgesia
277:magnetic resonance imaging
18:
553:10.1016/j.jor.2015.12.006
53:or relies too heavily on
1039:Iliotibial band syndrome
331:into the inflamed area.
229:iliotibial band syndrome
1172:Aggressive fibromatosis
1162:Dupuytren's contracture
541:Journal of Orthopaedics
218:More often the lateral
836:villonodular synovitis
632:Clinical trial number
516:Cite journal requires
231:, and weakness of the
1207:Soft tissue disorders
751:Soft tissue disorders
715:Ohio State University
709:wexnermedical.osu.edu
382:Trochanteric Bursitis
363:Snapping hip syndrome
207:of the femur and the
152:Trochanteric bursitis
1167:Plantar fibromatosis
795:De Quervain syndrome
233:hip abductor muscles
1049:Achilles tendinitis
1044:Patellar tendinitis
815:osteochondromatosis
802:Transient synovitis
785:Calcific tendinitis
950:Ligamentous laxity
640:ClinicalTrials.gov
255:Signs and symptoms
205:greater trochanter
1189:
1188:
1185:
1184:
1100:
1099:
1096:
1095:
1009:Rotator cuff tear
929:
928:
921:Calcific bursitis
703:
702:
495:on March 14, 2010
329:steroid injection
309:shockwave therapy
307:, physiotherapy,
203:muscles into the
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137:Medical condition
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491:. Archived from
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447:(5): 1662–1670.
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413:on July 27, 2009
409:. Archived from
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351:arthroscopically
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184:, a part of the
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1202:Synovial bursae
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201:gluteus minimus
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55:primary sources
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1078:
1075:other/general:
1070:
1069:
1067:
1066:
1061:
1056:
1054:Calcaneal spur
1051:
1046:
1041:
1035:
1033:
1025:
1024:
1022:
1021:
1016:
1014:Golfer's elbow
1011:
1006:
1001:
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988:
977:
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927:
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892:Retrocalcaneal
889:
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879:
874:
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846:
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831:
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828:Plica syndrome
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656:Classification
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648:External links
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596:(5): 447–453.
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197:gluteus medius
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117:September 2017
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1059:Metatarsalgia
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955:Hypermobility
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948:
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909:Synovial cyst
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807:Ganglion cyst
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780:Tenosynovitis
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241:low back pain
239:coexist with
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209:femoral shaft
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176:), a form of
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78: –
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72:Find sources:
67:
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43:This article
41:
32:
31:
26:
22:
1177:Knuckle pads
1150:Fibromatosis
1140:Eosinophilic
1074:
1029:
1019:Tennis elbow
984:
975:Tendinopathy
965:Enthesopathy
914:Baker's cyst
877:Trochanteric
876:
834:
813:
768:Synoviopathy
708:
683:
668:
633:
628:
593:
589:
579:
547:(1): 15–28.
544:
540:
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509:cite journal
497:. Retrieved
493:the original
444:
440:
415:. Retrieved
411:the original
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97:
90:
83:
71:
51:verification
44:
1154:contracture
1135:Necrotizing
1113:Fasciopathy
934:Noncapsular
882:Subacromial
872:Prepatellar
635:NCT01642043
148:Other names
45:needs more
1196:Categories
1088:Tendinosis
1084:Tendinitis
1030:lower limb
985:upper limb
970:Enthesitis
854:Bursopathy
417:August 27,
369:References
344:bursectomy
311:(SWT) and
287:Prevention
273:ultrasound
87:newspapers
1212:Syndromes
1121:Fasciitis
1064:Bone spur
902:Iliopsoas
867:Olecranon
776:Synovitis
387:eMedicine
340:cortisone
299:Treatment
263:Diagnosis
245:arthritis
158:Treatment
1105:Nonjoint
943:Symptoms
887:Achilles
862:Bursitis
758:Capsular
620:21814140
571:26955229
499:July 15,
463:19372352
357:See also
321:bed rest
271:X-rays,
220:hip pain
178:bursitis
1130:Nodular
1125:Plantar
897:Ischial
611:3689218
562:4761624
471:5521326
249:obesity
224:tendons
101:scholar
66:removed
618:
608:
569:
559:
469:
461:
305:NSAIDs
283:GTPS.
247:, and
103:
96:
89:
82:
74:
936:joint
760:joint
694:726.5
679:M70.6
467:S2CID
193:femur
182:bursa
108:JSTOR
94:books
689:9-CM
616:PMID
567:PMID
522:help
501:2009
459:PMID
419:2009
275:and
199:and
174:GTPS
80:news
49:for
685:ICD
670:ICD
606:PMC
598:doi
557:PMC
549:doi
449:doi
445:108
385:at
186:hip
1198::
1123::
713:,
692::
677::
674:10
614:.
604:.
594:21
592:.
588:.
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545:13
543:.
539:.
513::
511:}}
507:{{
479:^
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457:.
443:.
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427:^
405:.
393:^
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188:.
68:.
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729:v
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662:D
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172:(
119:)
115:(
105:·
98:·
91:·
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27:.
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