Greater trochanteric pain syndrome

Prolotherapy Knee articular cartilage repair without surgery

Ross Hauser, MD

In a commentary on a study in the Journal of Orthopaedic & Sports Physical Therapy exploring dry needling techniques versus cortisone, Greater trochanteric pain syndrome (GTPS) is described as a chronic, intermittent pain and tenderness on the outside of the hip.

Treatment was also described as a medical community thinking that a swollen hip bursa was the source of such pain, which led to the use of corticosteroid injections to the bursa to help decrease swelling and pain.

However, researchers now believe that injuries to the muscles and tendons around the hip are the actual cause of this pain, and that inflammation is often not involved.

In the study published in the April 2017, doctors explored dry needling (injections where nothing is injected) as an alternative to cortisone injections to reduce pain and improve function in patients.

What is causing hip pain? Greater trochanteric pain syndrome or tendinopathy?

The hip is a big joint, at Caring Medical and Rehabilitation Services we believe to help patients achieve their treatment goals, they need to have their entire hip treated with our comprehensive Prolotherapy program for hip pain.

An example of concentrating on specific hip problems instead of treating the whole hip joint can be found in medical research studies trying to find out why some hip procedures did not work as well as they should have.

An example is a new paper from doctors in Italy who looked to see what caused greater trochanter pain syndrome in patients with suspected femoroacetabular impingement syndrome. After magnetic resonance arthrography of the hip and an evaluation of 189 patients, in the end it was hard to say because there were so many problems with the patient’s hips that they far outnumberd femoroacetabular impingement syndrome problems.

The biggest problem the patients had was 38% had tendinopathy of the hip, 16% had bursitis. Problems considered “normal hip pathology.” So there were many problems causing the patients discomfort.

Back to Dry Needling vs Cortisone

In the study proceeding the commentary above in  the Journal of Orthopaedic & Sports Physical Therapy, doctors documented their research.

In other words, dry needling worked just as well. Why does dry needling work just as well, because muscles and tendons around the hip are the actual cause of this pain.

Greater trochanteric pain syndrome treatments

Researchers writing in the medical journal Current sports medicine reports gave a good summary of the challenges of identifying and treating Greater trochanteric pain syndrome. Here is what they wrote:

Regenerative medicine injections for Greater trochanteric pain syndrome

Supportive of this research are multiple studies that have shown degeneration of the gluteal tendons, which attach near the bursa often fool providers into thinking the patients have bursitis.

In this video lateral hip pain treatment options including Prolotherapy are discussed.

Are you a candidate for our non-surgical treatments? Ask our specialists:

Contact us now!

1 Hip Pain: Dry Needling Versus Cortisone Injections. J Orthop Sports Phys Ther 2017;47(4):240. [Google Scholar]

2 Brennan KL, Allen BC, Maldonado YM. Dry Needling Versus Cortisone Injection in the Treatment of Greater Trochanteric Pain Syndrome: A Noninferiority Randomized Clinical Trial. J Orthop Sports Phys Ther. 2017 Apr;47(4):232-239. [Pubmed] [Google Scholar]

3.Kong A, Van der Vliet A, Zadow S. MRI and US of gluteal tendinopathy in greater trochanteric pain syndrome. European Radiology. 2007;17(7): 1772-1783. Citation [Google Scholar]

4. Quiroz C, Ruta S, Rosa J, Navarta DA, Garcia-Monaco R, Soriano ER. Ultrasound evaluation of the Greater Trochanter Pain Syndrome: Bursitis or tendinopathy? ACR Citation [Google Scholar]

5. Connell DA, Bass C, Sykes CJ, Young D, Edwards E. Sonographic evaluation of gluteus medius and minimus tendinopathy. European Radiology. 2003; 13(6): 1339-1347. [Pubmed] [Google Scholar]

6. Long SS, Surrey DE, Nazarian LV. Sonography of Greater Trochanteric Pain Syndrome and the rarity of primary bursitis. American Journal of Roentgenology. 2013; 201(5): 1083-1086. [Pubmed] [Google Scholar]

7. Ho GW1, Howard TM. Greater trochanteric pain syndrome: more than bursitis and iliotibial tract friction. Curr Sports Med Rep. 2012 Sep-Oct;11(5):232-8. [Pubmed] [Google Scholar]

8. Pozzi G, Lanza E, Parra CG, Merli I, Sconfienza LM, Zerbi A. Incidence of greater trochanteric pain syndrome in patients suspected for femoroacetabular impingement evaluated using magnetic resonance arthrography of the hip. La radiologia medica. 2017 Mar 1;122(3):208-14. [Pubmed] [Google Scholar]

Our Facebook Reviews
Our Facebook Reviews
Celebrating 25 years of Prolotherapy! Are you a good Prolotherapy candidate?
How Can We Help You?
First Name:
Last Name:

Enter code:

for your symptoms

Prolotherapy, an alternative to surgery

Were you recommended SURGERY?
Get a 2nd opinion now!

★ ★ ★ ★ ★We pride ourselves on 5-Star Patient Service!Come see why patients travel from all
over the world to visit our clinics.
Current Patients
Become a New Patient

Chicagoland Office
715 Lake St., Suite 600
Oak Park, IL 60301
(708) 393-8266 Phone
(855) 779-1950 Fax
Southwest Florida Office
9738 Commerce Center Ct.
Fort Myers, FL 33908
(239) 303-4069 Phone
(855) 779-1950 Fax Fort Myers, FL Office
We are an out-of-network provider.
© 2017 | All Rights Reserved | Disclaimer
National Prolotherapy Centers specializing in Comprehensive Prolotherapy,
Stem Cell Therapy, and Platelet Rich Plasma.

Meet our Prolotherapy Doctors and check out our Prolotherapy research.