Condition
Greater trochanteric pain: pain on the outside of the hip
Pain on the outside of the hip may come from the gluteal tendons and nearby bursae, the small cushioning sacs. The umbrella term is greater trochanteric pain syndrome. These symptoms are not always caused by bursitis alone.
What may be causing the pain?
The gluteal muscles attach through tendons to the bony prominence on the outside of the upper thigh. Tendon changes or overload can cause pain, and bursae may also be involved. Several factors can contribute.
The area may hurt with pressure, lying on that side, climbing stairs or longer walks. Pain from the hip joint or back can feel similar and needs to be considered during assessment.
What does assessment involve?
We ask about the precise location, how symptoms have developed, changes in activity and treatments already tried. Examination then assesses tenderness, movement and strength. Walking, the hip joint and, where relevant, the back are considered too.
Imaging is not automatically the first step. Further investigations depend on the question left unanswered after discussion and examination. Bring existing reports; a change described on a scan does not necessarily explain every symptom.
How can treatment be planned?
Important elements include adjusting activity and following a guided exercise programme for the hip and gluteal muscles. Prolonged rest is usually no more helpful than rapidly increasing training. Together, we identify activities that may need temporary adjustment.
Reducing pressure on the painful side may help with daily comfort. Suitable pain relief can be discussed if needed. A corticosteroid injection may provide temporary relief, but does not replace gradual loading. Risks, including infection and possible weakening of the tendon, need to be considered beforehand. Other treatments are considered according to progress, benefits and risks; a certain or immediate result cannot be promised.
When should you seek urgent help?
Severe pain after a fall or inability to bear weight requires immediate medical attention. Fever, feeling very unwell or sudden severe pain needs urgent assessment. In an emergency, call 112 rather than waiting for a routine appointment with us.
