Hip Pain Syndrome

Hip pain is a common complaint that can be caused by a wide variety of problems. The precise location of the hip pain can provide valuable clues about the underlying cause.

Problems within the hip joint itself tend to result in pain on the inside of the hip or the groin. Hip pain on the outside of the hip, upper thigh or outer buttock is usually caused by problems with muscles, ligaments, tendons and other soft tissues that surround the hip joint.

Hip pain can sometimes be caused by diseases and conditions in other areas of the body, such as the lower back. This type of pain is called referred pain.

Greater trochanteric pain syndrome (GTPS) is a regional pain disorder in which patients experience lateral hip pain and tenderness. These symptoms may be caused by inflamed tendons, muscles, bursa or other structures surrounding the greater trochanter, the large bony prominence on the side of the hip.

GTPS is one of the most common causes of lateral hip pain in adults and affects women more than men.

Patients complain of lateral hip pain, swelling or stiffness. These symptoms can get worse with walking and by applying pressure to the affected side. Many patients complain of difficulty sleeping on the affected side at night due to pain. Pain may occur on one or both sides and is often felt directly over or around the greater trochanter.

Risk factors for the development of GTPS include female gender, obesity, knee pain, iliotibial band tenderness and low back pain. GTPS does not typically cause redness, extreme swelling, fever or malaise. These symptoms may indicate you are developing an infection or other another condition.

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