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Treatment

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Explain the patient that the condition is usually self limiting and tends to respond to conservative therapy such as:

  • rest
  • nonsteroidal anti inflammatory drugs
  • application of ice and heat to the affected area
  • stretching and strengthening
  • weight loss if appropriate
  • physical therapy
  • behavior modification - aimed at improving flexibility, muscle strength and joint mechanics while decreasing pain
  • low energy shock wave therapy (SWT)

Patients who continue to have pain despite the initial conservative methods should be treated with local anaesthetic and corticosteroid injections to provide intermediate-term relief (1)

  • the response rate ranges from 60-100%
  • inject the point of maximal tenderness (1)

Surgical interventions are reserved for patients with refractory disease, non-respondent to conservative treatments. Surgery usually incorporates a combination of interventions which include:

  • bursectomy
  • iliotibial band (ITB) release
  • trochanteric reduction osteotomy
  • gluteal tendon repair (2)

Reference:

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