Greater Trochanter Pain Syndrome
Greater trochanteric pain syndrome (GTPS) is a term related to pain caused by a variety of problems at the side of the hip bone called the greater trochanter. These include damage to the tendons that support the hip and pelvis, inflammation and swelling of the bursa associated with the tendons and a rubbing pressure of a band on tendon called the illio tibial band.syndrome.
The tendons surrounding the hip can become torn or strained as similar problems appear in the shoulder. Because it is more difficult to rest and we have to move about continued stress is put on the damaged tissues.
A bursa consists of a membrane surrounding a small amount of fluid. This is situated between tendons so that when they can move freely over and around eachother. Incircumstances where muscles and tendons are being overused without adequate rest then the bursa can become inflamed and swell. Increasing in size and causing pressure on the tissues and pain receptors. Usually diagnosic ultrasound cannot visualise the bursa but when it has becaome inflamed the fluid swells sothat is it seen and measured, sometimes it can be complicated with increased vascularity.
The ilio tibial band connects the tensor facia lata muscle on the side of the hip and its tendon reaches below the knee, it gives support to the muscles and the side of the thigh. When activity increases especially with runners then the band can rub against the bony prominence of the hip called the greater trochanter. It can cause hip pain and sometimes refer down to the knee.
Diagnostic imaging can show which of the above problems may be causing the pain or to rule out other causes of hip pain.by understanding what is affecting the persona and to what degree then the best suitable treatment and advice addressed.