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Seacoast Spine & Sports Injuries Clinic

Greater Trochanteric Pain Syndrome

Hip, groin & thigh · Before your visit

Greater trochanteric pain syndrome causes pain at the outside of the hip and often involves gluteal tendons, with or without bursal irritation.

When to seek urgent medical care

Seek prompt medical evaluation after a fall or impact if you cannot bear weight, the leg looks shortened or rotated, swelling develops rapidly, or new numbness, weakness, redness, or fever appears.

This is not an exhaustive emergency list. If something feels severe, rapidly worsening, or unsafe, call 911 or seek urgent medical evaluation.

Start here

What is greater trochanteric pain syndrome?

Greater trochanteric pain syndrome causes pain at the outside of the hip and often involves gluteal tendons, with or without bursal irritation. Compression and load tolerance are central to the pattern.

The same label can behave differently from one person to the next. The timing, location, type of symptoms, injury mechanism, and response to movement help distinguish a local tissue problem from referred pain, nerve involvement, or a pattern that should be evaluated elsewhere first.

Common signs of greater trochanteric pain syndrome

People do not need every sign below to fit this pattern. They are useful clues to discuss during an evaluation, especially when paired with what changes the symptom and what activity has become difficult.

  • side-hip pain
  • pain lying on that side
  • pain with stairs or single-leg stance
  • tenderness over the greater trochanter

What may be loading the area

A contributor is not always a single cause. Tissue capacity, recovery, the size of a recent load change, and the mechanics of the task can overlap. For greater trochanteric pain syndrome, the history commonly examines:

  1. 1gluteal tendon overload
  2. 2sustained side-hip compression
  3. 3rapid walking or running increase

What a useful assessment should answer

An assessment begins with the story, then tests the findings that can change a decision. For this presentation, that usually means looking at the items below and comparing them with the demands of work, daily life, or sport.

Clinical focusgluteal strength and tendon response
Clinical focussingle-leg mechanics
Clinical focuslumbar and joint screen

Imaging can be useful when the history or examination indicates it, but a scan is not a substitute for matching the finding to symptoms, function, and the clinical screen.

Clinically reviewed

Reviewed by Dr. Tamara Lovelace, DC, DACBSP, ICCSP, Chiropractic Sports Doctor and clinic director, on August 25, 2026.

This page explains what we look at and what care can involve. It is not a diagnosis, and it cannot replace an examination. Bring the problem in and a provider will tell you what is going on.

What a plan for this usually covers

Care for greater trochanteric pain syndrome is built around the findings, not a preset protocol. The early goal may be symptom control or protection; the later goal is enough motion, strength, and tolerance for the exact activity you need.

01

reduce compressive positions early

Progress is checked against symptom response and function so the plan can change when capacity changes.

02

progress gluteal strength

Progress is checked against symptom response and function so the plan can change when capacity changes.

03

rebuild walking and running volume

Progress is checked against symptom response and function so the plan can change when capacity changes.

Services that may support care for greater trochanteric pain syndrome

These are clinical tools, not automatic recommendations. Your provider selects a service only when it fits the diagnosis, irritability, healing stage, and goal.

See every service

Common questions about greater trochanteric pain syndrome

Short answers to the decisions people usually face before an evaluation.

What is greater trochanteric pain syndrome?

Greater trochanteric pain syndrome causes pain at the outside of the hip and often involves gluteal tendons, with or without bursal irritation. Compression and load tolerance are central to the pattern.

How is greater trochanteric pain syndrome assessed?

The examination is shaped by your history and the task that brings symptoms on. For this pattern, useful checkpoints include gluteal strength and tendon response, single-leg mechanics, lumbar and joint screen. The provider also screens for findings that should be evaluated medically before musculoskeletal care continues.

What can care for greater trochanteric pain syndrome include?

A plan may draw from Physical Therapy, Radial Pressure Wave, and ART, but the service is not the diagnosis. Care is selected around the examination and may focus on reduce compressive positions early, progress gluteal strength, rebuild walking and running volume. The dose and sequence change with irritability, healing stage, and the activity you need to regain.

Can I stay active with greater trochanteric pain syndrome?

Often, some activity can continue after the provoking dose is adjusted, but that decision depends on the tissue, severity, and warning signs. The goal is to protect what needs healing while preserving safe strength and conditioning, then rebuild the specific work, daily-life, or sport demand.

When does greater trochanteric pain syndrome need urgent medical care?

Seek prompt medical evaluation after a fall or impact if you cannot bear weight, the leg looks shortened or rotated, swelling develops rapidly, or new numbness, weakness, redness, or fever appears.

Related hip & thigh guides

Symptoms often overlap. These pages can help you compare nearby tissues, referred pain, and different loading patterns.

Browse hip, groin & thigh

Get clarity on greater trochanteric pain syndrome.

Book at the Portsmouth or Alton clinic. The first step is a focused assessment that separates what hurts from what is driving it.

Portsmouth Clinic

Portsmouth, NH · Seacoast

Mon to Thu: 9:00 AM to 6:00 PMFriday: 9:00 AM to 5:00 PM
(603) 431-4200
Lakes Region Clinic

Alton, NH · Lakes Region

Mon, Wed, Fri: 9:00 AM to 7:00 PMTue & Thu: 9:00 AM to 6:30 PMSaturday: 8:00 AM to 12:00 PM
(603) 875-4000
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