Physical examination testing and possibly X-rays can rule out other causes of lateral sided hip pain. If the pain persists, one should see a physician. If a patient has greater trochanteric pain syndrome, typically they will try anti-inflammatories or Tylenol, and note some, but incomplete, pain relief with this. Most often, there is no “cause” or acute trauma they have suffered before having the pain. Patients may note that they fatigue easily with prolonged walking. Patients typically complain of pain rolling over in bed on the affected side. Patients with gluteus medius or minimus partial or complete tears typically have pain on the outside of their hip, as opposed to patients with hip arthritis, where the pain is typically near the groin. Nowadays, many of us use the term greater trochanteric pain syndrome instead of “greater trochanteric bursitis”, since the underlying issue typically is more from a tendon issue. ![]() Thus, some have called the gluteus medius and minimus tendons the “rotator cuff of the hip”. ![]() This situation is directly analogous to “rotator cuff bursitis”, where the bursa becomes inflamed and irritated secondary to underlying rotator cuff disease. ![]() The bursa becomes irritated secondarily to the partial or complete tears. Recently, it has been recognized that many cases of hip “bursitis” is actually from wear and tear (called tendinosis), or even complete tears, of the gluteus medius and minimus tendons, that attach just deep to the greater trochanteric bursa. In the past, this was thought to be from an unexplained irritation of the bursa on the outside of the hip joint. Greater trochanteric pain is a common orthopaedic complaint.
0 Comments
Leave a Reply. |