Understanding (GTPS) / Gluteal Tendinopathy - brought to you by PhysioHub. Physio clinics in Middleton and Stockport.

Understanding Greater Trochanteric Pain Syndrome (GTPS) / Gluteal Tendinopathy

Greater Trochanteric Pain Syndrome (GTPS), also known as gluteal tendinopathy, is a prevalent cause of lateral hip pain. It involves degeneration or tearing of the gluteus medius and minimus tendons, often accompanied by inflammation of the surrounding bursae. At our physiotherapy clinics in Stockport and Middleton, we find this condition is frequently observed in individuals who engage in repetitive hip movements or experience sudden increases in physical activity. 

Recognizing the Symptoms

Individuals with GTPS may experience:
        •       Pain on the outer side of the hip, especially when lying on the affected side.
        •       Discomfort during activities such as walking, climbing stairs, or standing for prolonged periods.
        •       Tenderness over the greater trochanter upon palpation.
        •       Pain that may radiate down the lateral thigh but typically not beyond the knee.   

These symptoms can significantly impact daily activities and quality of life.

Man walking with or without hip pain?

Our Middleton and Stockport Physiotherapist recognise that GTPS commonly affects: 

•       Middle-aged to older adults: Particularly women, due to anatomical and hormonal factors.
        •       Athletes: Especially runners and those involved in sports requiring repetitive hip movements.
        •       Individuals with biomechanical issues: Such as leg length discrepancies or poor hip control.   

Understanding the risk factors can aid in early identification and management of the condition.

Lifestyle Modifications: What to Avoid

To alleviate symptoms and prevent exacerbation:
        •       Avoid positions that compress the hip: Such as sitting with legs crossed or standing with weight shifted to one side.
        •       Limit activities that increase hip load: Including stair climbing, hill walking, or running on uneven surfaces.
        •       Refrain from stretching exercises targeting the gluteal muscles: As they can increase tendon compression and aggravate symptoms.
        •       Modify sleeping positions: Avoid lying on the affected side; instead, sleep on your back or the unaffected side with a pillow between your knees.   

Implementing these changes can reduce stress on the gluteal tendons and promote healing
       

Walking in sand.

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Rehabilitation - The Physiohub way

A structured rehabilitation program focusing on strengthening and load management is crucial. We offer this from our Physio clinics in Heaton Moor (Stockport) and Middleton (David Lloyd).

Early-Stage Exercises:
        •       Isometric hip abduction: Perform gentle contractions without joint movement to activate the gluteal muscles.
        •       Bridging exercises: Strengthen the posterior chain while minimizing hip compression.
        •       Core stabilization: Enhance pelvic control through exercises like the 4-point kneeling position. 

Progressive Strengthening:
        •       Side-lying leg lifts: Target the gluteus medius; ensure proper form to avoid compensatory movements.
        •       Standing hip abduction with resistance bands: Increase load gradually to build tendon resilience.
        •       Functional movements: Incorporate activities like step-ups or controlled single-leg squats as tolerated. 

Consistency and gradual progression are key to effective rehabilitation.

Recovery

Recovery from GTPS varies among individuals: 
        •       Short-term improvement: Some may notice relief within a few weeks with appropriate management.
        •       Long-term recovery: Complete resolution can take several months, depending on the severity and adherence to rehabilitation protocols.

Patience and commitment to the treatment plan are essential for optimal outcomes.

Final Thoughts

Physiotherapy clinics in Heaton Moor, Stockport. Physio clinics in David Lloyd Manchester.

Greater Trochanteric Pain Syndrome is a manageable condition with the right approach. Early intervention, lifestyle modifications, and a tailored exercise program can lead to significant improvements. Consulting with a healthcare professional or physiotherapist can provide personalized guidance and support throughout the recovery process.

Remember, proactive management and adherence to recommended strategies are vital in overcoming GTPS and returning to pain-free activities.