Case Report

A different approach to the management of greater trochanter pain syndrome

J.C. Van Rooy
South African Journal of Physiotherapy | Vol 65, No 1 | a79 | DOI: https://doi.org/10.4102/sajp.v65i1.79 | © 2009 J.C. Van Rooy | This work is licensed under CC Attribution 4.0
Submitted: 06 January 2009 | Published: 06 January 2009

About the author(s)

J.C. Van Rooy, Private Practitioner and Clinical Supervisor, Physiotherapy Division, Stellenbosch University, South Africa

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Abstract

Greater trochanter pain syndrome (GTPS), also known astrochanteric bursitis, is a regional pain syndrome that is frequently treatedby physiotherapists in private practice or out-patient departments.  It is classi -fied as an overuse injury that could become chronic in nature and frequentlyco-exists with other pathologies.This case study describes the treatment of a 61-year-old female with GTPS of her left hip. The aim was to evaluate the effectiveness of specificsoft tissue mobilisation (SSTM) and eccentric strengthening of the Gluteus Medius (GM) muscle in treating this condition. Particular emphasis was placed on rehabilitation of lumbar spine control in order to improve proximal stability. A nother aim was to return the patient faster to her functional activitiesthan had been reported in the literature. The patient could return to her normal daily activities after four treatment sessions and was completely pain free after 12 weeks. This case study presents a different approach to the treatment of GTPS and proposes that GTPS maypresent in a similar manner to GM tendinosis. This phenomenon could therefore possibly explain the chronic nature ofthe condition.

Keywords

greater trochanter pain syndrome; gluteus medius tendinosis; specific soft tissue mobilization; eccentric strengthening

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