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[Great trochanteric pain syndrome].
Stéphane Genevay1, Antonio Faundez
1Service de rhumatologie, HUG, 1211 Genève 14. stephane.genevay@hcuge.ch
Revue Medicale Suisse
|April 23, 2011
Summary
Greater trochanteric pain syndrome is common but understudied. Treatment typically involves anti-inflammatory drugs and physical therapy, with injections for persistent pain and surgery reserved for rare cases.
Area of Science:
- Orthopedics
- Musculoskeletal Disorders
- Pain Management
Context:
- Greater trochanteric pain syndrome (GTPS) is a prevalent condition.
- Despite its prevalence, GTPS remains understudied with limited research.
- Current diagnostic and treatment approaches lack standardized guidelines.
Purpose:
- To review the current understanding and management of GTPS.
- To highlight the diagnostic approach, emphasizing clinical evaluation.
- To outline available treatment options, from conservative to surgical.
Summary:
- GTPS diagnosis is primarily clinical; imaging is reserved for complex cases.
- First-line treatments include non-steroidal anti-inflammatory drugs (NSAIDs) and kinesitherapy.
- Refractory cases may benefit from corticosteroid and lidocaine injections; surgery is exceptional.
Impact:
- Provides a concise overview of GTPS diagnosis and management.
- Highlights the need for further research and guideline development.
- Aids clinicians in managing patients with greater trochanteric pain syndrome.
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