Greater Trochanteric Pain Syndrome (GTPS) is a common cause of outer hip pain. Many wonder if walking is advisable or if it might worsen their discomfort. This article explores how walking impacts GTPS and how it can be approached safely for managing symptoms and recovery.
Understanding Greater Trochanteric Pain Syndrome
Greater Trochanteric Pain Syndrome (GTPS) describes pain felt on the outside of the hip, thigh, or buttock. This condition arises from irritation or inflammation of soft tissues surrounding the greater trochanter, a bony prominence on the upper thigh bone. While often referred to as trochanteric bursitis, current understanding points to tendinopathy of the gluteus medius and minimus muscles as the primary source of pain. The trochanteric bursa, a fluid-filled sac, can also become irritated.
Common symptoms include pain that worsens when lying on the affected side, during activities like walking or climbing stairs, or after prolonged sitting. The pain can feel sharp initially and may develop into a persistent ache. Causes are varied, often involving overuse, sudden increases in activity, or repetitive movements that stress the hip. Muscle imbalances, direct trauma, or prolonged pressure can also contribute.
Walking and GTPS: Considerations and Modifications
Walking with Greater Trochanteric Pain Syndrome can be beneficial for mobility and healing, but carries risks if not managed properly. Gentle, low-impact exercise like walking improves circulation and encourages muscle activation, aiding tissue repair and strength. Complete rest is generally not recommended, as it can lead to stiffness and muscle weakness.
However, walking can exacerbate pain if tissues are overloaded or poor biomechanics are present. Activities increasing compression on gluteal tendons, such as walking uphill or with an altered gait, may intensify symptoms. The suitability of walking depends on pain level, condition stage, and ability to modify activity. Adjust activity to avoid increasing pain, as pushing through significant discomfort can hinder recovery.
Safe Walking Practices
Adopting safe walking practices is important to minimize pain and support recovery. Begin with shorter durations and lower intensity, gradually increasing distance and pace as pain allows. Wear comfortable, supportive footwear with good cushioning to absorb impact and reduce hip stress. Choose flat, even surfaces, as uneven terrain or uphill walking can strain the hip.
Incorporate a gentle warm-up before walking and a cool-down afterwards. Modify stride length to take smaller steps and widen foot placement slightly to reduce direct hip compression. Avoid standing with weight shifted onto one leg for prolonged periods, as this can aggravate symptoms. If pain increases during or after walking, reduce activity or take a break.
Comprehensive Management of GTPS
A comprehensive management plan for Greater Trochanteric Pain Syndrome often includes physical therapy, a primary non-surgical treatment. Physical therapy strengthens gluteal muscles and hip abductors, improves flexibility, and corrects movement patterns to reduce load on affected tissues. Therapists may use manual therapy, stretching, and targeted exercises like side-lying leg lifts or clamshells.
Pain relief can be managed through anti-inflammatory medications, such as over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen. Ice and heat application can also reduce inflammation and discomfort. In some cases, corticosteroid injections may offer short-term pain relief by reducing inflammation. However, these injections typically provide temporary relief and do not address underlying causes, making exercise and physical therapy more beneficial for long-term recovery. Consult a healthcare professional for an accurate diagnosis and tailored treatment plan.