Conditions associated with greater trochanteric pain syndrome

GTPS is frequently associated with the following conditions:

• hip arthritis - on the affected side and/or on unaffected side
• lumbar spine conditions - such as degenerative osteoarthritis, degenerative disc disease
• low back pain
• rheumatoid arthritis (1)
• osteoarthritis of the knee (2)
• radiculopathy or other neurologic sequelae
• fibromyalgia

Although some suggest that leg length inequality (LLI) contributes to trochanteric pain by adding stress to the area, a study involving 1,430 subjects found no association between GTPS and LLI (3).

Reference:

• 1. Williams BS, Cohen SP. Greater trochanteric pain syndrome: a review of anatomy, diagnosis and treatment. Anesth Analg. 2009;108(5):1662-70
• 2. Shbeeb MI, Matteson EL. Trochanteric bursitis (greater trochanter pain syndrome). Mayo Clin Proc. 1996;71(6):565-9
• 3. Segal NA et al. Greater trochanteric pain syndrome: epidemiology and associated factors. Arch Phys Med Rehabil. 2007;88(8):988-92
• 4. Segal NA et al. Leg-length inequality is not associated with greater trochanteric pain syndrome. Arthritis Res Ther. 2008;10(3):R62