Greater trochanteric pain syndrome

What causes GTPS?

Often GTPS can occur for no apparent reason but these are some factors which appear to contribute to it. These include:

• a sudden increased load on your hip
• a change to your activity levels like increased walking distances or pace
• increased pressure to your hip area through sitting or standing in one position for too long or weight bearing on one leg
• reduced strength and flexibility of the muscles around the hip and buttock
• having a sedentary, inactive lifestyle or being overweight
• an injury like a fall on to the side of your hip area
• hormone changes may also influence this condition
• this can also be related to osteoarthritis of the hips and knees or low back pain

How can GTPS be managed?

An important step in your recovery is identifying which activities are causing or increasing your pain. Modifying those activities can help to reduce symptoms.

The key to success is slow progressive loading of the soft tissues through exercise that strengthen the muscles involved.

Read more about exercises for greater trochanteric pain syndrome

Over time it is important to gradually increase the exercises to help the tendons and muscles become stronger, less painful and more able to cope with your normal activity levels.

Other ways to help improve symptoms include:

• spreading your weight evenly across both feet and not leaning on just one leg
• avoiding low chairs
• avoid sitting with your legs crossed
• avoid sleeping on the painful side – try lying on your back with a pillow under your knees or lie on your good side with a pillow between your legs to keep them in line with your hip joints
• try to keep active and stay at work even if you have to modify your duties
• losing weight if you are overweight

This condition can often take 6 to 12 months of rehabilitation to settle, but this will depend on the cause.

It is normal to have flare ups during this time. If this happens, then it may be best to reduce the repetitions or rest for a few days before starting again.

Managing pain

Pain medication can help you move more comfortably, which can help your recovery.

More about taking painkillers

Corticosteroid injections

If painkillers aren’t helping to control the pain, your healthcare professional may discuss the option of having a corticosteroid injection into the outer hip.

Corticosteroids are medicines that help reduce pain and inflammation. They may also be given with a local anaesthetic.

Injections may not cure your condition, they are used to help with the pain.

Read more about corticosteroids

Work

GTPS can sometimes mean you need to take some time off work to help recovery. How long you’re off will depend on your condition and your role at work.

You don’t need to be symptom free before you consider returning to work. Continuing to go to work, or returning to work as soon as is possible for you, will help your recovery.

Gradually getting back to your normal daily activities can help to build up your strength and stamina levels.

Help and support

Following this advice, you should see gradual improvements over time.

Talk to a healthcare professional if:

• your symptoms haven’t improved within 6 weeks following this advice
• your symptoms get worse

Find out about access to MSK services in your area.

When dealing with any health condition it’s important to also look after your mental wellbeing. This can impact your recovery.

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