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Author | John J. Dougherty, DO


1761 WIRE RD APT 3-13


Managing and preventing hip pathology in trochanteric pain syndrome

Greater trochanteric pain syndrome shares painpatterns with other musculoskeletal conditions, complicatingthe diagnosis and treatment. Many advances in evaluating andmanaging hip pathology have resulted in improved outcomes.Conservative treatment includes the use of NSAIDs for reducing pain.Physical therapy is combined with stretching of the iliotibial band andhip external rotators. Successful relief of trochanteric compartmentpain has been achieved with local anesthetic and corticosteroidinjections. Surgical management often results in significant improvementin refractory pain. There are several ways to work towardpreserving the integrity of the joint, especially maintaining anappropriate biomechanical relationship between the acetabular fossaand the femoral head. A diversified strength-training program isrecommended. (J Musculoskel Med. 2008;25:521-523)

Evaluating hip pathology in trochanteric pain syndrome

Patients may have greater trochanteric pain syndrome foryears without knowing a defining cause or seeing pain improvement.Pathology within and around the hip joint falls into one of severalcategories, including acute pain with trauma, overuse and repetitivemotion activities, and diseases and degenerative conditions. Pain isdescribed as deep, occasionally sharp aching and stiffness. A uniqueset of factors contribute to the stability and function of the joint. Thedifferential diagnosis for hip pathology includes many entities; consideringreferred pain patterns is important to reduce inappropriatetesting.A compartmental approach to testing for hip pathology helpsorganize causes. Plain radiographs are an important first step inimaging; MRI may help delineate the sources of pain. (J MusculoskelMed. 2008;25:428-436)