I saw this in a recent JOSPT and thought you’d find it interesting. Love to hear your thoughts.
Greater trochanteric pain syndrome (GTPS) is the current terminology for what was once called greater trochanteric or subgluteal bursitis. Cortisone (corticosteroid) injection into the lateral hip has traditionally been the accepted treatment for this condition; however, the effectiveness of injecting the bursa with steroids is increasingly being questioned. An equally effective treatment with fewer adverse side effects would be beneficial.
Cortisone injections for GTPS did not provide greater pain relief or reduction in functional limitations than DN. Our data suggest that DN is a noninferior treatment alternative to cortisone injections in this patient population.
I frequently use DN for treatment of trochanteric hip pain. I am generally successful and able to provide relief for my patients. The treatment is, of course, paired with a comprehensive POC. There are definitely times that I have not been successful and referred a patient on for injection. I don’t have full awareness of the success of their treatments, but I have been able to f/u with some who did report successful relief with the injection. I feel that it is a logical progression of care if my PT POC is unsuccessful.
I agree with Stephen. I have had success with this condition, but as said previously, a complete POC including motor control, strengthening, and JST as needed is typically required to really see improvement in these patients.
I have also seen many patients that have “failed” with the steroid injection. Not sure all of the reasons, but could be related to non-US-guided injection and inaccurate diagnosis of GTPS that my be mistaken for lumbar spine pathology.