GTPS

• GTPS (Greater trochanter pain syndrome):

  • Umbrella term for common, nonarthritic hip pathologies that affect the lateral hip – prevalent with gluteal tendinopathies
• GTPS - Mechanism:

  • Most common: Gluteal tendinopathy. Glute medius and minimus
  • Excessive hip adduction and weak abductors
  • Compression of tendon on Greater Trochanter
• GTPS - Population

  • Women that are older than 40 years, especially with wider hips
  • Long distance runners
• GTPS - Symptoms

  • Pain over lateral hip / greater trochanter
  • Exacerbated pain by side lying on affected limb
  • Pain and weakness with single leg exercises and adduction
• GTPS - Objective testing

  • greater trochanter palpation = pain
  • FABER Test = lateral hip pain
  • Pain on single leg stand for 30 seconds
• GTPS - Treatment:

  • Remove contributing factors to ease pain e.g. habitual sitting/standing
  • Progressive loading of hip abductors / glutes
  • NSAIDS
  • Avoiding aggravators