Greater Trochanteric Pain Syndrome
What is Greater Trochanteric Pain Syndrome?
Greater Trochanteric Pain Syndrome (GTPS) is persistent pain on the outside of your hip, caused by irritation of the tissues around the greater trochanter, the bony prominence on the outer part of your upper thigh bone. This condition was previously called trochanteric bursitis, but we now understand it often involves the tendons and muscles around the hip as well as the bursa.
Experiencing persistent hip pain that’s affecting your daily activities or sleep? Book an assessment with our expert physiotherapists and get the targeted treatment you need for lasting relief.
The pain typically presents as a deep ache or tenderness on the outer hip and upper thigh. It often worsens when lying on the affected side at night, climbing stairs, walking long distances, or standing from a seated position. Some people experience pain that radiates down the outer thigh, and stiffness in the hip joint is common, particularly after periods of rest.
Several interconnected factors can contribute to GTPS:
- Muscle Weakness or Imbalance: Weak hip abductor muscles (particularly the glutes) are the primary culprit. When these muscles can’t stabilise the pelvis properly, excessive stress falls on the tendons and bursa. This is a common sports injury we treat regularly.
- Overuse and Repetitive Activities: Running, especially on uneven surfaces or with sudden increases in distance, cycling, or prolonged walking can overload the hip structures. Long periods of standing or stair climbing also contribute.
- Biomechanical Issues: Leg length differences, knee problems, or altered gait patterns place abnormal stress on the hip. Postural syndrome affecting the pelvis and lower back can also play a role.
- Direct Trauma: A fall onto the hip or a direct blow can trigger the condition, causing immediate inflammation.
- Age and Gender: GTPS is more common in women over 40, particularly during and after menopause when tendon health can be affected by hormonal changes.
The condition shares similarities with other forms of bursitis, but GTPS specifically affects the hip region and requires targeted treatment to address the unique biomechanics of this area.
Effective Treatment Approaches
Greater Trochanteric Pain Syndrome responds well to structured physiotherapy when the underlying causes are properly addressed. Most patients achieve significant improvement without the need for surgery.
- Load Management: We’ll help you modify activities to reduce hip strain while maintaining fitness. This doesn’t mean complete rest – the right amount of activity actually aids recovery.
- Targeted Strengthening Programme: Progressive exercises focusing on hip abductors, glutes, and core muscles are essential. Building strength in these areas reduces stress on the affected tendons and bursa.
- Manual Therapy Techniques: Hands-on treatment including soft tissue release, joint mobilisation, and trigger point therapy to reduce pain and improve hip mobility. Sports massage can be particularly beneficial for releasing tight hip muscles.
- Biomechanical Assessment: We’ll analyse your walking pattern, running technique, and overall movement mechanics. This may lead to footwear recommendations or exercises to correct imbalances.
- Advanced Treatment Options: For persistent cases, shockwave therapy can be highly effective in stimulating tendon healing and reducing chronic inflammation.
- Education and Self-Management: We’ll teach you sleeping positions to minimise discomfort, appropriate stretches, and how to gradually return to your activities safely.
Start Your Recovery with True Physio
Hip pain doesn’t have to limit your lifestyle. With expert assessment and targeted treatment, you can return to comfortable, pain-free movement.
At True Physio, our HCPC registered physiotherapists have extensive experience treating hip conditions like GTPS. We create personalised treatment plans that address your specific needs and goals, whether you’re an athlete wanting to return to sport or simply looking to walk without discomfort.
We’re accredited with Aviva, Bupa, Vitality, and most major healthcare providers, making it easy to access the specialist care you deserve.
Don’t let hip pain hold you back. Book your appointment today or call your nearest True Physio clinic to start your journey back to pain-free movement.
