Greater Trochanteric Pain Syndrome Overview

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Questions and Answers

Which symptom is commonly associated with Greater Trochanteric Pain Syndrome?

  • Pain that only occurs during sports
  • Swelling in the knee area
  • Pain localized to the lateral aspect of the hip (correct)
  • Pain when sitting

What condition is characterized by inflammation of the bursal sac?

  • Iliotibial Band Syndrome
  • Hip osteoarthritis
  • Hip Flexor Strain
  • Trochanteric Bursitis (correct)

Which treatment is NOT recommended for managing Trochanteric Bursitis?

  • NSAIDs
  • Physical Therapy
  • Rest
  • Surgery (correct)

Which of the following muscles is most commonly injured in adductor strains?

<p>Adductor longus (C)</p> Signup and view all the answers

Which activity might exacerbate symptoms of Trochanteric Bursitis?

<p>Lying on the affected side (B)</p> Signup and view all the answers

What is a common underlying cause of adductor strains?

<p>Poor conditioning (A)</p> Signup and view all the answers

What type of symptom is NOT associated with muscle strains?

<p>Environmental allergies (C)</p> Signup and view all the answers

What type of muscle strain can be classified into grades I, II, and III?

<p>All types of muscle strains (D)</p> Signup and view all the answers

Which symptom indicates a possible muscle strain?

<p>Pain with passive abduction (B)</p> Signup and view all the answers

What activity is typically essential to the treatment of Trochanteric Bursitis?

<p>Avoidance of aggravating activities (B)</p> Signup and view all the answers

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Study Notes

Greater Trochanteric Pain Syndrome

  • Pain localized to the outer aspect of the hip
  • Pain worsens with prolonged walking, climbing stairs, lying on the affected or opposite side
  • Difficulty starting to walk, or initiating gait, can cause pain
  • Common conditions include trochanteric bursitis and external snapping hip

Trochanteric Bursitis

  • Inflammation of the bursal sac
  • Tenderness to touch, swelling, and warmth
  • Treatment includes rest, ice, NSAIDs, and physical therapy (stretching and strengthening)

Trochanteric Bursitis - Etiology

  • Common in active individuals
  • Inflammation of trochanteric bursae caused by repetitive friction and compression from the iliotibial (IT) band
  • Symptoms: inflammation, pain when lying on the affected side, increased pain with activity, relief with rest
  • Treatment: manage pain and inflammation, avoid aggravating activities, stretching, strengthen abductor muscles, injections

Other

  • Ischial bursitis can occur in cyclists

Muscle Strains

  • Groin or adductor strains are the most common type
  • The iliopsoas, adductors, and hamstrings are commonly affected
  • Of the adductors, the adductor longus is most commonly injured
  • Associated with poor conditioning, fatigue, overloading, and muscle imbalances
  • Injuries involve the musculotendinous unit, which includes muscles, tendons, and their attachments to bone
  • Classified as Grades I, II, and III
  • Symptoms include stabbing pain, edema or bruising after injury, pain with passive abduction and resisted adduction, and muscle guarding

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