GTPS generally occurs in 10-25% of the population, most commonly in people over the age of 40, with women outnumbering men by 4 to 1. There are certain risk factors for developing GTPS which include a sudden change in activity, change in hormones, knee osteoarthritis, diabetes, end stage kidney disease and a wider shaped pelvis.
Typical symptoms of GTPS are pain along the outside of the hip. This may occur whilst lying on your side at night or during or after standing, walking or other activities.
GTPS is diagnosed by your GP or Physiotherapist by taking a history from you about your symptoms and carrying out the necessary examination. Only a small number of people will require tests or investigations, however this will be to rule out other diagnoses.
Therapists can provide you with exercises to reduce pain and improve your function.
These may need to be completed for 1-2 months before significant improvements are made, and compliance is key to success.
The exercise below can help:
Lie on your good side, making sure there is a straight line from your head, through your trunk, down your legs to your toes.
Straighten your legs and pull the toes up towards you.
Raise the top leg straight up, then control the motion back down.
Ensure your leg goes directly up, as though sliding up and down a wall.
If the above management is unsuccessful you can be referred for cortisone injection. However, this treatment may only be successful for a short period and will not fix the primary problem which is addressed with the exercise programme.
Only a very few people will require surgery and only if the above management has failed.
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