Surgical Treatment for Greater Trochanteric Pain Syndrome

Greater trochanteric pain syndrome (GTPS) causes lateral hip pain and can stem from several distinct underlying pathologies. When conservative management has not produced satisfactory outcomes, a structured surgical protocol is considered.

This protocol applies to recalcitrant GTPS — cases where optimal conservative management has not achieved adequate relief and surgical intervention is under evaluation. The appropriate procedure is guided by the specific pathology identified on assessment.

Surgical approaches for GTPS address the underlying structural pathology; the type of procedure varies depending on what is found. Functional outcomes in appropriately selected patients are generally good. The full selection criteria, procedural algorithm, and post-operative pathway are detailed in the complete protocol.

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References

DOI: 10.3399/bjgp17X693041

Surgical treatment for GTPS is reserved for recalcitrant cases that have failed optimal conservative management, and functional outcomes are generally good.
Procedures are dependent on underlying pathology but may involve lengthening or release of the ITB and fascia lata, gluteal tendon tear repair, minimally invasive endoscopic bursectomy, or open reduction trochanteric osteotomy.

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