Greater Trochanteric Pain Syndrome, often shortened to GTPS (previously termed Trochanteric Bursitis) is concerned with the muscles of the thigh, their attachment to the bones and the fluid-filled sacs in the joints known as bursa.

There is a global incidence of around 1.8 people per 1000 people.

What is Greater Trochanteric Pain Syndrome (GTPS)?

GTPS is pain over the outer part of the hip. It used to be called trochanteric bursitis, as a thin sack of tissue called the trochanteric bursa is often inflamed. Increasingly it is believed that the hip abductor muscles, which attach to the outer part of the hip, play a major role in the development of pain rather than just the bursa.

What are the symptoms of Greater Trochanteric Pain Syndrome (GTPS)?

Pain over the outer part of the hip, which may radiate into the buttock or down the leg. The symptoms can start gradually without an obvious cause or may occur after a fall onto the side or after particularly strenuous exercise. Pain may just come on with exercise or be present continually. Pressing on the side of the hip is painful, it can often be too painful to sleep on the side affected by the condition.

How is Greater Trochanteric Pain Syndrome (GTPS) diagnosed?

Usually, the history of symptoms and a careful examination will suggest the diagnosis. An x-ray, ultrasound scan or MRI may be suggested to exclude problems that cause similar symptoms such as a tear in the hip abductor muscles or hip arthritis.

How is Greater Trochanteric Pain Syndrome (GTPS) treated?

In most cases, lifestyle changes, physiotherapy and simple anti-inflammatories are all that is required to settle the symptoms of Greater Trochanteric Pain Syndrome (GTPS). If this does not lead to resolution of the pain then shockwave ultrasound treatment or special injections can help. In rare circumstances, surgery can be required to remove the bursa or release the tight layer of tissue over the outer part of the hip.

If you or someone you know has suffered an injury or is experiencing pain in their hip or difficulty with mobility and would like a consultant-led review, please contact us. Grosvenor Orthopaedics have extensive experience in the treatment of arthritis with excellent patient outcomes.

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Grosvenor Orthopaedics have extensive experience in the treatment of hip -related injuries with excellent patient outcomes.

HIP CONDITIONS

If you would like to learn about other hip conditions click the button below to find out more

HIP TREATMENTS

If you would like to learn about other hip treatments click the button below to find out more

our hip SURGEONS

Hip care at Grosvenor Orthopaedics is led by Mr Simon Newman, Mr Chethan Jayaden, Mr Emeka Oragui and Mr Mark Webb. They are further supported by the orthopaedic team including other consultant surgeons, nurses and care staff. We perform over 300 hip replacements each year but offer a broad range of hip treatments to patients both young and old.

Our team are well placed to manage and treat a diverse range of hip problems utilising cutting edge diagnostic technology and treatment approaches, both surgical and conservative. Below is an overview of some of the conditions we treat but for a more thorough understanding please contact our team here

MR SIMON NEWMAN

Consultant Orthopaedic Hip Surgeon

BSc(Hons) BM PhD FRCS(Tr&Orth)
Simon is a Consultant Hip Surgeon practising at the world-renowned Nuffield Orthopaedic Centre in Oxford, King Edward VIIs Hospital and The London Clinic. He has a particular interest in the hip joint and has developed a large practise treating hip problems in adults of all ages. His philosophy is to achieve the best possible outcomes for patients which involves engaging patients in the decision-making process about their treatment and utilising non-operative techniques, where possible. Should any surgery be required, Simon performs any procedure with care, planning and precision.

MR EMEKA ORAGUI

Consultant Orthopaedic Hip Surgeon

MA (Cantab), MBBS, MBA, FRCS (Tr & Orth)
meka is a Consultant Orthopaedic Hip Surgeon practising at Chelsea and Westminster Hospital NHS Foundation Trust. His practice includes all aspects of hip surgery including hip replacements, hip redo or revision surgery, hip arthroscopy and sports injuries around the hip including sports man’s hernia (Gilmore’s Groin) and adductor longus tears and tendinitis. He uses the muscle sparing direct anterior approach for hip replacements which allows some patients a faster recovery.

MR MARK WEBB

Consultant Orthopaedic Hip Surgeon

MBBS MSc FRCS (Tr & Orth)
Mark is a Consultant Orthopaedic Surgeon with a passion for sports related injuries. He strives to not only provide excellent surgical treatments but also rounded, bespoke care that allows his patients to get back to the activities they love. This is evident in his specialist training which includes a Master’s degree in Sports Medicine from University College London to help him when treating all levels of athletes. Alongside surgical treatments, Mr. Webb offers non-operative (conservative) options including using orthobiologics, such as PRP and stem cells, to treat the symptoms of early arthritis, as well as tendon injuries. Treatment plans are tailored to the patient’s requirements and expectations using the best evidence available

What some of our patients say

Mrs JS

Thank you to the whole team for getting me back on my feet again