Greater Trochanteric Pain Syndrome (GTPS)

Greater Trochanteric Pain Syndrome (GTPS) is a common cause of persistent pain on the outer side of the hip. It affects the tendons and bursa around the greater trochanter — the bony prominence on the side of the hip. GTPS can significantly impact walking, sleeping, climbing stairs, and lying on the affected side.

It is more common in women aged 40–60 and in individuals with lower back pain, hip weakness, or altered walking patterns.

Greater Trochanteric Pain Syndrome (GTPS)

What Causes GTPS?

GTPS typically develops due to irritation or overload of the gluteal tendons and surrounding bursa. Contributing factors include:

  • Repetitive walking or running

  • Prolonged standing

  • Sudden increase in physical activity

  • Hip muscle weakness

  • Poor biomechanics

  • Coexisting lower back pain

Common Conditions Under GTPS

Gluteal Tendinopathy

Degeneration or inflammation of the gluteus medius and minimus tendons, causing lateral hip pain.

Trochanteric Bursitis

Inflammation of the fluid-filled bursa over the greater trochanter, leading to tenderness and pain with movement or pressure.

External Snapping Hip

A snapping sensation on the outside of the hip due to tight soft tissues moving over the bone.

Symptoms of GTPS

  • Pain on the outer side of the hip

  • Tenderness when pressing over the hip

  • Pain when lying on the affected side

  • Discomfort during walking, climbing stairs, or prolonged standing

  • Pain radiating down the outer thigh

Diagnostic Assessment

  • Detailed clinical examination

  • Diagnostic ultrasound scan to assess gluteal tendons and bursae

  • MRI in selected cases if deeper pathology is suspected

Accurate diagnosis is essential to differentiate GTPS from hip arthritis or lower back–related pain.

Treatment Options for GTPS

Conservative Management

  • Activity modification

  • Anti-inflammatory medications (if appropriate)

  • Advice on sleeping positions and load management

Physiotherapy & Rehabilitation

  • Targeted gluteal strengthening exercises

  • Hip stability training

  • Stretching of tight structures

  • Gait and biomechanical correction

  • Gradual return-to-activity program

Injection Therapy

  • Ultrasound-guided corticosteroid injection into the trochanteric bursa

  • Ultrasound-guided injection around the gluteal tendons for tendinopathy

Advanced Treatment

  • Shockwave therapy (in selected chronic cases)

  • Surgery (rarely required) if conservative and interventional treatments fail

Why Early Treatment Matters

If left untreated, GTPS can become chronic and significantly affect mobility and quality of life. Early intervention helps reduce inflammation, strengthen the hip muscles, and restore pain-free movement.

If you are experiencing persistent outer hip pain, consult a qualified healthcare professional for an accurate diagnosis and personalised treatment plan.