357:. 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.
47:
139:
249:
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
225:
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
327:
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.
326:
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
302:
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
278:
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.
237:
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,
695:
680:
718:
345:
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.
270:
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.
306:
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.
57:
1014:
752:
364:
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.
222:. 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.
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118:
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31:
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97:
1004:
745:
499:
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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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35:
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Conservative treatments have a 90% success rate and can include any or a combination of the following: pain relief medication,
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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.
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shots, and anti-inflammatory medication, the inflamed bursa can be removed surgically. The procedure is known as a
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or immobilizing the area but avoiding actions which result in aggravation of the pain. Icing the joint may help. A
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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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548:"The management of greater trochanteric pain syndrome: A systematic literature review"
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251:
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448:"Greater Trochanteric Pain Syndrome: A Review of Anatomy, Diagnosis and Treatment"
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Medical condition characterized by inflammation, or bursitis, of the hip area.
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630:
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473:
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In extreme cases, where the pain does not improve after physical therapy,
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230:
188:
730:
672:
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for "Point-of-Care
Ultrasound in Greater Trochanteric Pain Syndrome" at
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259:
234:
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if you can. Unsourced or poorly sourced material may be challenged and
1123:
684:
597:"Efficacy of Treatment of Trochanteric Bursitis: A Systematic Review"
500:"Managing and preventing hip pathology in trochanteric pain syndrome"
203:
734:
290:
may reveal tears or swelling. But often these imaging tests do
292:
not reveal any obvious abnormality in patients with documented
196:
40:
30:"GTPS" redirects here. For the former UK phone system, see
414:"Evaluating hip pathology in trochanteric pain syndrome"
72:
662:
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recommended are also important preventive measures.
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1115:
1083:
1038:
993:
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944:
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330:The primary treatment is rest. This does not mean
1015:Shoulder injury related to vaccine administration
498:Dougherty C, Dougherty JJ (November 1, 2008).
71:Please review the contents of the article and
746:
412:Dougherty C, Dougherty JJ (August 27, 2008).
8:
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202:This bursa is at the top, outer side of the
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801:Stenosing tenosynovitis (Trigger finger)
418:The Journal of Musculoskeletal Medicine
384:
173:Amplified musculoskeletal pain syndrome
528:
517:
191:, is inflammation of the trochanteric
32:Government Telephone Preference Scheme
7:
722:: Greater trochanteric pain syndrome
336:non-steroidal anti-inflammatory drug
233:is caused by disease of the gluteal
87:"Greater trochanteric pain syndrome"
1005:Adhesive capsulitis of the shoulder
601:Clinical Journal of Sport Medicine
181:Greater trochanteric pain syndrome
154:Greater trochanteric pain syndrome
25:
137:
45:
36:Galloway Township Public Schools
34:. For the US school system, see
206:, between the insertion of the
446:Williams BS, Cohen SP (2009).
73:add the appropriate references
1:
1010:Shoulder impingement syndrome
853:Tenosynovial giant cell tumor
832:Synovial osteochondromatosis
613:10.1097/JSM.0b013e318221299c
465:10.1213/ane.0b013e31819d6562
58:reliable medical references
1239:
546:Reid, Diane (March 2016).
452:Anesthesia & Analgesia
288:magnetic resonance imaging
29:
564:10.1016/j.jor.2015.12.006
64:or relies too heavily on
1050:Iliotibial band syndrome
342:into the inflamed area.
240:iliotibial band syndrome
1183:Aggressive fibromatosis
1173:Dupuytren's contracture
552:Journal of Orthopaedics
229:More often the lateral
847:villonodular synovitis
643:Clinical trial number
527:Cite journal requires
242:, and weakness of the
1218:Soft tissue disorders
762:Soft tissue disorders
726:Ohio State University
720:wexnermedical.osu.edu
393:Trochanteric Bursitis
374:Snapping hip syndrome
218:of the femur and the
163:Trochanteric bursitis
1178:Plantar fibromatosis
806:De Quervain syndrome
244:hip abductor muscles
1060:Achilles tendinitis
1055:Patellar tendinitis
826:osteochondromatosis
813:Transient synovitis
796:Calcific tendinitis
961:Ligamentous laxity
651:ClinicalTrials.gov
266:Signs and symptoms
216:greater trochanter
18:Trochanteric bursa
1200:
1199:
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1111:
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1107:
1106:
1020:Rotator cuff tear
940:
939:
932:Calcific bursitis
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506:on March 14, 2010
340:steroid injection
320:shockwave therapy
318:, physiotherapy,
214:muscles into the
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148:Medical condition
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16:(Redirected from
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502:. Archived from
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458:(5): 1662–1670.
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424:on July 27, 2009
420:. Archived from
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362:arthroscopically
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195:, a part of the
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1213:Synovial bursae
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212:gluteus minimus
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66:primary sources
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1086:other/general:
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1065:Calcaneal spur
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1025:Golfer's elbow
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903:Retrocalcaneal
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839:Plica syndrome
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667:Classification
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659:External links
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607:(5): 447–453.
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128:September 2017
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1070:Metatarsalgia
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966:Hypermobility
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818:Ganglion cyst
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791:Tenosynovitis
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252:low back pain
250:coexist with
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220:femoral shaft
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83:Find sources:
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54:This article
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43:
42:
37:
33:
19:
1188:Knuckle pads
1161:Fibromatosis
1151:Eosinophilic
1085:
1040:
1030:Tennis elbow
995:
986:Tendinopathy
976:Enthesopathy
925:Baker's cyst
888:Trochanteric
887:
845:
824:
779:Synoviopathy
719:
694:
679:
644:
639:
604:
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590:
558:(1): 15–28.
555:
551:
541:
520:cite journal
508:. Retrieved
504:the original
455:
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426:. Retrieved
422:the original
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125:
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101:
94:
82:
62:verification
55:
1165:contracture
1146:Necrotizing
1124:Fasciopathy
945:Noncapsular
893:Subacromial
883:Prepatellar
646:NCT01642043
159:Other names
56:needs more
1207:Categories
1099:Tendinosis
1095:Tendinitis
1041:lower limb
996:upper limb
981:Enthesitis
865:Bursopathy
428:August 27,
380:References
355:bursectomy
322:(SWT) and
298:Prevention
284:ultrasound
98:newspapers
1223:Syndromes
1132:Fasciitis
1075:Bone spur
913:Iliopsoas
878:Olecranon
787:Synovitis
398:eMedicine
351:cortisone
310:Treatment
274:Diagnosis
256:arthritis
169:Treatment
1116:Nonjoint
954:Symptoms
898:Achilles
873:Bursitis
769:Capsular
631:21814140
582:26955229
510:July 15,
474:19372352
368:See also
332:bed rest
282:X-rays,
231:hip pain
189:bursitis
1141:Nodular
1136:Plantar
908:Ischial
622:3689218
573:4761624
482:5521326
260:obesity
235:tendons
112:scholar
77:removed
629:
619:
580:
570:
480:
472:
316:NSAIDs
294:GTPS.
258:, and
114:
107:
100:
93:
85:
947:joint
771:joint
705:726.5
690:M70.6
478:S2CID
204:femur
193:bursa
119:JSTOR
105:books
700:9-CM
627:PMID
578:PMID
533:help
512:2009
470:PMID
430:2009
286:and
210:and
185:GTPS
91:news
60:for
696:ICD
681:ICD
617:PMC
609:doi
568:PMC
560:doi
460:doi
456:108
396:at
197:hip
1209::
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724:,
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522:}}
518:{{
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673:D
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183:(
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126:(
116:·
109:·
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20:)
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