Greater Tronchanteric Pain Syndrome

Question 1

What is GTPS

Answer 1

Tendinopathy of Gluteus Medius and Gluteus Minimums Tendons which insert onto the greater trochanter

Question 2

What are the main function of the gluteus medius and minimus muscles

Answer 2

Hip Abduction and Stabilisation of the Pelvis during walking and standing

Question 3

How does gluteal tendon pathology contribute to GTPS?

Answer 3

Tendon inflammation or degeneration can lead to pain, weakness, and impaired function, contributing to lateral hip pain.

Question 4

What type of injury commonly affects the gluteal tendons in GTPS?

Answer 4

Overuse injuries due to repetitive stress or abnormal biomechanics.

Question 5

What symptoms might indicate gluteal tendon involvement in GTPS?

Answer 5

Lateral hip pain, tenderness over the greater trochanter, and pain that worsens with hip activities (e.g., climbing stairs, lying on the affected side).

Question 6

How can gluteal tendon issues be evaluated in the diagnosis of GTPS?

Answer 6

Physical examination may reveal weakness in hip abduction and pain during resisted hip abduction tests.

Question 7

What are some treatment options specifically targeting gluteal tendon pathology in GTPS?

Answer 7

Rest, physical therapy focusing on strengthening and stretching the gluteal muscles, and corticosteroid injections to reduce inflammation.

Question 8

What is the primary distinction in definition between gluteal tendinopathy and trochanteric bursitis?

Answer 8

Gluteal tendinopathy is degeneration or inflammation of the gluteus medius and minimus tendons, while trochanteric bursitis is inflammation of the trochanteric bursa.

Question 9

How do the symptoms of gluteal tendinopathy differ from those of trochanteric bursitis?

Answer 9

Gluteal tendinopathy typically causes lateral hip pain and weakness with hip abduction, whereas trochanteric bursitis causes localized tenderness over the greater trochanter and pain radiating down the thigh.

Question 10

What are the key physical examination findings that differentiate gluteal tendinopathy from trochanteric bursitis?

Answer 10

In gluteal tendinopathy, there is weakness during resisted hip abduction; in trochanteric bursitis, tenderness is directly over the bursa with pain upon palpation.