Retro-trochanteric sciatica-like pain: current concept

Area of Science:

• Orthopedics
• Pain Management
• Radiology

Background:

• Retro-trochanteric pain syndrome (RTPS) is a common condition with varied terminology, including greater trochanteric pain syndrome, trochanteric bursitis, and trochanteritis.
• The condition often presents as sciatica-like pain radiating down the lower extremity, causing diagnostic challenges.

Purpose of the Study:

• To review current knowledge on retro-trochanteric pain syndrome.
• To provide recommendations for diagnosis and differential diagnosis.
• To suggest evidence-based treatment options for RTPS.

Main Methods:

• Literature review of retro-trochanteric pain syndrome.
• Analysis of diagnostic criteria and differential diagnoses.
• Evaluation of radiographic assessment's role in diagnosis.
• Development of a treatment algorithm.

Main Results:

• The terminology for RTPS is inconsistent in the literature.
• Radiographic assessments play a role, but clinical evaluation is paramount.
• Excluding spinal and pelvic pathologies is crucial before initiating RTPS-specific treatment.

Conclusions:

• Standardized terminology and diagnostic approaches are needed for RTPS.
• A systematic approach, including exclusion of other pathologies, improves management outcomes.
• The proposed treatment algorithm aids in managing sciatica-like retro-trochanteric pain.