Non-surgical treatment as the first step to manage peritrochanteric space disorders

Purpose Greater trochanter pain syndrome (GTPS) or lateral hip pain terms include external snapping hip, trochanteric bursitis and gluteus medius or minimus pathology. The aim of this review is to update the most recent knowledge about non-surgical management of peritrochanteric disorders. Methods A...

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Published inKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Vol. 29; no. 8; pp. 2417 - 2423
Main Authors Marín-Pena, Oliver, Papavasiliou, Athanasios V., Olivero, Matteo, Galanis, Nikiforos, Tey-Pons, Marc, Khanduja, Vikas
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.08.2021
Springer Nature B.V
Subjects
Analgesics
Complications
Corticosteroids
Disorders
Health services
Hip
Literature reviews
Medicine
Medicine & Public Health
Nonsteroidal anti-inflammatory drugs
Orthopedics
Pain
Pathology
Physical therapy
Shock waves
Sports Medicine
Trochanter
Extracorporeal shock wave therapy
Bursitis
Greater trochanter pain syndrome
Trochanter
Corticosteroid injection
Physical therapy
Conservative treatment
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Summary:Purpose Greater trochanter pain syndrome (GTPS) or lateral hip pain terms include external snapping hip, trochanteric bursitis and gluteus medius or minimus pathology. The aim of this review is to update the most recent knowledge about non-surgical management of peritrochanteric disorders. Methods A literature review was performed including articles most relevant in the last years that were focused in non-surgical treatment of peritrochanteric disorders. Results Conservative treatment still has a place and includes activity modification, NSAIDs, analgesics, physiotherapy, home training, local corticosteroid injection (CSI) and shock wave therapy (SWT). These non-surgical alternatives have demonstrated good clinical results with low rate of complications. Conclusion Most patients tend to resolve GTPS or lateral hip pain with non-surgical management in the mid-term but when everything failed, surgical options should be evaluated. The next frontier that will be a game changer is to determine an individualized treatment plan based on the exact pathology. Level of evidence V.
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ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-020-06366-x