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Increased your walking recently and experiencing hip pain?

Greater Trochanteric Pain Syndrome:

Symptoms:

  • Pain on the outside of the hip, on or close to the bone.
  • Pain lying on affected side
  • Pain may refer down the outside of the thigh
  • Pain walking up stairs, uphill or getting in and out of a car.
  • Pain on getting up from sitting and crossing legs.
  • Difficulty getting dressed when needing to stand on one leg or crossing leg over.

 

Causes:

  • Increased compression of gluteal muscles that attach onto the bone on the side of your hip.
  • Repetitive movements or positions where compression of tendons and bursae leads to pain.
  • Poor pelvic control when walking, squatting or climbing stairs.
  • Posture and stance habits:
    • Standing with hip hanging to side (as if holding a baby on one hip.)
    • Sitting with legs crossed
  • Sudden increase in activity or starting a new activity (new exercise class, walking more whilst on holidays, change in walking routes with more uphill walking or returning too quickly after an injury).
  • Other factors:
    • Changes in medication, weight & hormones can often play a role.
    • More common in women either during or after menopause.

 

Treatment & Management:

  • Physiotherapist assessment to accurately diagnose your pain.
  • Exercise program targeted at surrounding muscles and specific exercises for local muscles around the area of pain.
  • Corticosteriod injections can often help to decrease pain and provide a time frame for appropriate strengthening.

 

Tips:

  • Advice and education on daily habits and activities has been found to improve symptoms.
  • Resting from aggravating activities, whilst targeting to strengthen local muscles helps to decrease symptoms.
  • Gradual walking and exercise program outlined by your physiotherapist is important to reduce the likleyhood of pain returning.