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.
Highlights
This case study presents a different approach to the treatment of Greater Trochanter Pain Syndrome (GTPS) and proposes that GTPS may present in a similar manner to Gluteus Medius (GM) tendinosis
The appropriate term for this condition has been suggested as Greater Trochanter Pain Syndrome (GTPS) (Bird et al 2001, Kingzett-Taylor et al 1999, Paluska 2005, Shbeeb et al 1996)
This case study reported on the rehabilitation of a female walker who suffered from chronic greater trochanter pain syndrome
Summary
Greater trochanter pain syndrome (GTPS), known as trochanteric bursitis, is a regional pain syndrome that is frequently treated by physiotherapists in private practice or out-patient departments. This case study presents a different approach to the treatment of GTPS and proposes that GTPS may present in a similar manner to GM tendinosis. This phenomenon could possibly explain the chronic nature of the condition. KEY W ORDS: GREATER TROCHA NTER PA IN SY NDROME, GLUTEUS MEDIUS TENDINOSIS, SPECIFIC SOFT TISSUE MOBILIZATION, ECCENTRIC STRENGTHENING
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