Greater trochanteric pain syndrome is likewise typically called trochanteric bursitis. The primary symptom is pain over the beyond your upper thigh. Most cases are due to small injury or inflammation to tissues in your upper, external thigh area. Typically the condition goes away over time. Anti-inflammatory painkillers, physiotherapy and steroid injections can all often help.
What is greater trochanteric pain syndrome?
Greater trochanteric pain syndrome is a condition that causes pain over the outside of your upper thigh (in right thigh, in left thigh or thighs). The cause is normally due to swelling or injury to some of the tissues that lie over the bony prominence (the greater trochanter) at the top of the thigh bone (femur). Tissues that lie over the higher trochanter consist of muscles, tendons, strong fibrous tissue (fascia), and bursae.
Greater trochanteric pain syndrome utilized to be called trochanteric bursitis. This was because the pain was believed to be coming from a swollen bursa that lies over the greater trochanter. A bursa is a little sac filled with fluid which assists to permit smooth motion between two unequal surfaces. There are numerous bursae in the body and they can end up being swollen due to different factors.
However, research suggests that many cases of higher trochanteric pain syndrome are because of small tears or damage to the neighboring muscles, tendons or fascia and an inflamed bursa is an uncommon cause. So, instead of the term trochanteric bursitis the more basic term, greater trochanteric pain syndrome, is now chosen.
How typical is greater trochanteric pain syndrome?
It is a typical condition. It is more typical in women than in men. It most often happens in individuals who are aged over 50 years. However, it can likewise take place in more youthful people, particularly runners. It is unclear precisely the number of individuals establish this condition. Nevertheless, one United States study of 3,026 people aged from 50-79 years discovered that greater trochanteric pain syndrome was present in almost 1 in 4 women and almost 1 in 10 men.
See also: How to Get Rid of Soreness in My Thighs
What causes higher trochanteric pain syndrome?
Causes of greater trochanteric pain syndrome consist of:
- An injury such as a fall on to the side of your hip area.
- Repeated movements involving your hip area, such as excessive running or walking.
- Extended or excessive pressure to your hip area (for instance, sitting in container safety seat might aggravate the problem).
- Some infections (for instance, tuberculosis) and some illness (for instance, gout and arthritis) can be connected with an inflamed fluid-filled sac (bursa).
- The existence of surgical wire, implants or scar tissue in the hip area (for instance, after hip surgery).
- Having a difference in your leg length.
What are the symptoms of greater trochanteric pain syndrome?
The most typical symptom is pain in your external thigh and hip area. Many people find this pain to be a deep pain which might be hurting or burning. The pain may worsen in time.
The pain might be more intense when you are resting on your side, especially during the night. The pain may likewise be intensified by doing workout. You may find that you walk with a limp.
How is higher trochanteric pain syndrome identified?
The diagnosis is typically made based on your symptoms and an assessment by a doctor. Your doctor will normally analyze your hip and legs. You may discover it be to be extremely tender when your doctor presses over the trochanter area. Tests (investigations) are not typically required. Nevertheless, tests might be required if your doctor believes that infection of the fluid-filled sac (bursa) is the cause (rare). Tests might likewise be needed if the diagnosis is unclear. For example, an X-ray of your hip or an MRI scan may be recommended if the diagnosis is uncertain.
What is the treatment of higher trochanteric pain syndrome?
Greater trochanteric pain syndrome is typically self-limiting. That is, it generally disappears by itself in time. However, it commonly takes several weeks for the pain to reduce. Symptoms can persist for months, and in some cases longer in a little percentage of cases. However, persistence does not mean that there is a severe underlying condition or that the hip joint is being harmed.
Decreasing activity such as running or extreme walking for a while might assist to speed recovery. In addition, the following may be useful:
- Using an ice pack (wrapped in a towel) for 10-20 minutes several times a day might enhance your symptoms.
- Taking paracetamol or non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen may assist to reduce the pain.
- Slimming down. If you are overweight or obese then losing some weight is likely to enhance your symptoms.
- Injection of steroid and local anaesthetic. If the above steps do not assist then an injection into the uncomfortable area may be advantageous.
- Physiotherapy. If a steroid injection does not improve your symptoms then you may be described a physiotherapist. They will have the ability to provide you suggestions on improving your flexibility and strengthening your muscles.
- If the condition is severe or relentless then you may be described a specialist for advice regarding more treatment.