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What Is Greater Trochanteric Pain Syndrome?
Written by Medicover Team and Medically Reviewed by Dr Sharif Dudekula , Orthopedics
Greater Trochanteric Pain Syndrome (GTPS) affects the outer hip and its surrounding structures, including the bursa and gluteal tendons. Often causing chronic pain and reduced mobility, early diagnosis and proper treatment are essential to improving daily function and preventing long-term disability.
What are the Greater Trochanteric Pain Syndrome Symptoms and Warning Signs?
Recognising GTPS symptoms early can aid in timely treatment and reduce complications.
Common Symptoms
- Pain in the side of the hip, particularly when lying on the affected side
- Tenderness over the greater trochanter
- Pain that radiates down the outer thigh or into the buttocks
- Discomfort during walking or climbing stairs
Severe Symptoms
What are the Different Types of Greater Trochanteric Pain Syndrome?
GTPS is not a single condition but a cluster of related hip disorders.
- Trochanteric Bursitis: Inflammation of the bursa that overlies the greater trochanter
- Gluteal Tendinopathy: Degeneration or irritation of the gluteal tendons
- Gluteal Tendon Tears: Partial or complete tendon ruptures causing severe pain and dysfunction
What are the Common Causes and Risk Factors of Greater Trochanteric Pain Syndrome?
Understanding what leads to GTPS can help in prevention and tailored treatment.
Causes
- Overuse from repetitive activities like running or prolonged walking
- Biomechanical issues such as poor gait or leg length discrepancy
- Direct trauma (falls or impact injuries) to the hip area
Risk Factors
- Age (middle-aged to elderly individuals are more at risk)
- Female gender (linked to pelvic and gait differences)
- Obesity or sedentary lifestyle
- Prolonged sitting or standing
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Get Second OpinionHow Greater Trochanteric Pain Syndrome is Diagnosed?
Diagnosis begins with clinical evaluation and may include imaging to confirm soft tissue damage.
Diagnostic Procedures
- Physical Examination: Palpation of the greater trochanter and range-of-motion tests
- Imaging:
- MRI: Detects tendon tears or bursitis
- Ultrasound: Useful for identifying fluid accumulation and tissue inflammation
At Medicover, our orthopedic and sports injury specialists use advanced imaging and individualised assessments to ensure accurate diagnosis and effective treatment planning.
What are the Treatment Options for Greater Trochanteric Pain Syndrome?
Treatment is typically non-surgical and focuses on pain relief, restoring function, and preventing recurrence.
Conservative Approaches
- Rest and Activity Modification: Avoid prolonged walking, standing, or lying on the affected hip
- Physical Therapy: Exercises to strengthen gluteal muscles, correct gait, and increase hip flexibility
- NSAIDs: Non-steroidal anti-inflammatory drugs for pain and inflammation
- Modalities: Ultrasound therapy or shockwave treatment to reduce inflammation
Medical Interventions
- Corticosteroid Injections: Targeted relief for persistent inflammation in the bursa
- Surgery (rare): Reserved for severe tendon tears or resistant cases, involving bursectomy or tendon repair
At Medicover, our rehab teams and orthopedic specialists work together to offer customised therapy plans backed by modern technology and clinical expertise.
When to See a Doctor?
GTPS can be managed effectively when addressed early.
- If symptoms persist beyond 2-3 weeks or worsen with physical activity
- If pain interferes with sleep, sitting, or daily routines
- High-risk groups (older adults, women, sedentary individuals) should seek early consultation
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What is the Recovery Process After Greater Trochanteric Pain Syndrome Treatment?
Post-treatment care is key to full recovery and preventing recurrence.
Recovery Steps
- Regular follow-up appointments with physiotherapists and orthopedic doctors
- Gradual return to activity with a supervised exercise plan
- Lifestyle changes (losing or maintaining a healthy weight, improving posture
What Precautions Can Help Prevent Greater Trochanteric Pain Syndrome?
Prevention and awareness are key in reducing the risk of GTPS or recurrent symptom.
Prevention
- Maintain a healthy weight
- Avoid repetitive stress on the hips
- Use proper footwear to correct gait
- Perform regular hip-strengthening and stretching exercises
Complications if Left Untreated
- Chronic pain and impaired mobility
- Muscle weakness and altered gait
- Increased risk of tendon tears or prolonged inflammation
Our Experience Treating Greater Trochanteric Pain Syndrome
At Medicover, we provide expert care for patients with hip pain and Greater Trochanteric Pain Syndrome. With advanced diagnostics, personalized physiotherapy, and compassionate support, the ultimate aim is for patients to regain movement and live a life without pain.
