An Osteopathic Approach to Greater Trochanteric Pain Syndrome

Abstract

Greater trochanteric pain syndrome is a common office complaint in primary care. It encompasses a constellation of clinical conditions, including greater trochanteric bursitis, teninopathies affecting the gluteus medius and gluteus minimus, inflammation of the iliotibial band and abductor-adductor imbalance. Common treatments include supportive care such as rest, ice, and compression as well as corticosteroid injections, Extracoproreal shockwave therapy and home exercise programs. Surgical interventions are reserved for refractory cases. Emerging therapies include OMM utilizing muscle energy, as well as regenerative medicine such as PRP or prolotherapy.