Greater trochanter where is it

Tenderness to touch. Pain sitting with your legs crossed. Excessive repetitive movements involving your hip area such as increased walking distances, brisk walking pace, running too far a distance. Secondary to osteoarthritis of knees and hips. Secondary to low back pain. Inactive lifestyle, causing weakness in the buttock muscles. The gluteus maximus tendon inserts into the upper part of the femur and is not usually implicated in TPS.

Tendon tears can be a result of an acute injury generally younger athletic individuals but much more commonly are part of a degenerative process that occurs with ageing. Internal degeneration of intact tendons tendinopathy can be present and degenerative tendon tears are very common in individuals above the age of fifty — only a small proportion of these are actually painful — probably a result of an associated bursitis or impingement abnormal contact or pinching against the overlying fascial tissue.

This snapping may or may not be painful. It can radiate sometimes along the outer aspect of the thigh or into the buttock. It is usually dull and aching but the outside of the hip can be quite tender to touch.

Generally this causes most trouble at night when lying on the affected side — which is either not possible at all or only for a very short time. Some individuals find they are unable to lie on the opposite side for any period — this position will also cause pain to arise in the affected hip. This nocturnal pain can cause major disruption to sleep and is often the main driving reason for seeking treatment.

Pain can be present with sitting, particularly when driving for significant distances. When bad, pain can be present even with walking, stair climbing or any activities involving repetitive hip flexion and extension. Examination of an individual with suspected TPS should include an observation of gait, palpation over affected site for the extent of tenderness, assessment of the range of motion of the hip noting painful positions and the strength of the various muscle groups supporting the hip, particularly the gluteal muscles.

A test for fascial tightness is very helpful and this maneouvre will often reproduce pain typical of TPS. Avoid activities that make the pain worse. When sleeping, do not lie on the side that has bursitis. Avoid standing for long periods of time. When standing, stand on a soft, cushioned surface. Put an equal amount of weight on each leg. Placing a pillow between your knees when lying on your side can help decrease your pain.

Wear comfortable, well-cushioned shoes with a low heel. Lose weight if you are overweight. Strengthen your core muscles. Other treatments include: Removing fluid from the bursa Steroid injection. To help prevent hip pain: Always warm up and stretch before exercising and cool down afterward.

Stretch your quadriceps and hamstrings. Here you have your trochanteric bursa. In this area you also have your gluteal tendons — notably gluteus medius and gluteus minimus. These run over the trochanteric bursas which attach your glute muscles to your hip. The term syndrome is often misunderstood. However, it is generally used as an umbrella term to group similar symptoms together which occur concurrently.

Greater Trochanteric — relating to the greater trochanter the hip. GTPS is caused by an injury to either the bursa fluid filled sacs between tendons and bones that act like cushions or tendons around your hip. Or it can be an injury to both your bursa and tendons. Or it could also be caused by other structures in the area such as your ITB or hip joint. The main causes of lateral hip pain or GTPS are:. This can certainly be the case. However, it can often be one pathology or the other, which will help to target your rehabilitation.