Greater Trochanteric Pain Syndrome

reater trochanteric pain syndrome is a common condition that most commonly affects middle-aged and elderly women and potentially younger active male and female individuals.1 Symptoms include pain referable to the lateral hip as well as point tenderness that often interferes with activity and sleeping.2,3 Contrary to prior misconceptions that symptoms were due to underlying bursitis, it has been shown that the underlying etiology for greater trochanteric pain syndrome is most commonly tendinosis or a tendon tear of the gluteus medius, gluteus minimus, or both at the greater trochanter and that tendon inflammation (or tendinitis) is not a major feature.4–7 In addition, adjacent bursal distention is uncommon, and the bursa is neither inflamed nor a cause of patient symptoms in most situations.7,8 Treatment of greater trochanteric Jon A. Jacobson, MD, Corrie M. Yablon, MD, P. Troy Henning, DO, Irene S. Kazmers, MD, Andrew Urquhart, MD, Brian Hallstrom, MD, Asheesh Bedi, MD, Aishwarya Parameswaran, MS