Managing and preventing hip pathology in trochanteric pain syndrome

Greater trochanteric pain syndrome shares pain patterns with other musculoskeletal conditions, complicating the diagnosis and treatment. Many advances in evaluating and managing hip pathology have resulted in improved outcomes. Conservative treatment includes the use of NSAIDs for reducing pain. Physical therapy is combined with stretching of the iliotibial band and hip external rotators. Successful relief of trochanteric compartment pain has been achieved with local anesthetic and corticosteroid injections. Surgical management often results in significant improvement in refractory pain. There are several ways to work toward preserving the integrity of the joint, especially maintaining an appropriate biomechanical relationship between the acetabular fossa and the femoral head. A diversified strength-training program is recommended. (J Musculoskel Med. 2008;25:521-523)