GTPS therapies: Efficiency, perspective, and additional insights
In the realm of musculoskeletal conditions, Greater Trochanteric Pain Syndrome (GTPS) is a common issue that causes discomfort in the hip area. This condition can be managed with a variety of treatments, each with its own set of benefits and potential risks.
GTPS can be challenging to live with, but with appropriate management, recovery is possible for many individuals. A person might take several months to regain their mobility and alleviate the pain.
One treatment option for GTPS is the use of corticosteroid injections, which can provide temporary relief from pain for several months. However, these injections carry potential long-term side effects such as thinning and atrophy of the skin and soft tissues at the injection site, permanent skin discoloration (hypopigmentation), weakening or damage to tendons and ligaments, and an increased risk of tendon or ligament rupture if injections are repeated too frequently in the same area. Repeated corticosteroid injections can also accelerate cartilage wear and contribute to joint damage [1][4][5].
Other less common but serious risks include infection, nerve damage, local bleeding, and anaphylactic reactions, although these complications are rare [2]. For diabetic patients, corticosteroid injections can cause a temporary elevation in blood glucose levels, lasting up to a month, and require careful monitoring [1][2].
Prolonged or cumulative exposure to corticosteroids can result in psychiatric side effects, such as mania or psychosis, especially with long-term steroid therapy extending beyond several weeks. These neuropsychiatric symptoms may last even after stopping corticosteroids and warrant long-term follow-up [3].
To minimize these risks, clinicians generally recommend spacing corticosteroid injections by several months and avoiding multiple injections in the same tissue area within short intervals [1][5].
An alternative treatment approach is the use of platelet-rich plasma injections, which involve using a person's blood cells to promote healing in the affected area.
Physical therapy can also help minimize pain, improve hip strength, and increase flexibility for those with GTPS. Initial sessions should focus on strengthening the gluteal muscles [6]. Low energy extracorporeal shockwave therapy (ESWT) may deliver results in those with GTPS and involves applying shockwaves to the affected area to promote healing. A 2018 study found ESWT beneficial for pain relief over a 2-year period, but the long-term side effects are unknown [7].
In some cases, surgery may be necessary, particularly if other treatments fail. Surgeons may use arthroscopy for the removal of the bursa, which is less invasive and requires less recovery time compared to open surgery [8]. The AAOS states that removing the bursa does not harm the hip, and the hip will function without it [9].
Treatment options for GTPS also include pain management with nonsteroidal anti-inflammatory drugs (NSAIDs) and home management strategies such as applying hot or cold therapy, using assistive devices, avoiding repetitive activities that stress the hips, maintaining hip flexibility and strength, getting a fitted shoe insert if legs are not the same length, and adopting proper sitting positions [4][6].
It's essential for a person with GTPS to consult a doctor or physical therapist for guidance on which exercises may be best for them and to limit physical activities and avoid intense exercise until recovery. However, gentle walks or low-intensity exercise may be beneficial [10].
While the success rate for treating GTPS is high, with an estimated 6 out of 10 individuals recovering within 1 year, it's crucial to consider the potential risks associated with each treatment option [11]. With careful consideration and appropriate management, it's possible to effectively manage GTPS and return to a pain-free lifestyle.
- In the realm of musculoskeletal conditions, chronic diseases like Chronic Kidney Disease, COPD, and Type-2 Diabetes also require management, with mental-health conditions and nutritional considerations being crucial in their overall health and wellness.
- In addition to GTPS, other musculoskeletal disorders often require therapeutic interventions, such as rheumatoid arthritis, which may involve various pharmacy treatments and rehabilitation exercises.
- For effective pain management, alternatives to corticosteroid injections can be considered, such as anesthetics and over-the-counter pain relievers like acetaminophen or ibuprofen.
- Rehabilitation often plays a significant role in recovering from musculoskeletal surgeries, requiring a regimen of fitness and exercise tailored by healthcare professionals to facilitate healing and maintain overall strength and flexibility.
- Fitness and exercise, under the guidance of a physical therapist, can be beneficial in the management of musculoskeletal conditions like GTPS, as well as chronic diseases like Chronic Kidney Disease, COPD, and Type-2 Diabetes.
- The use of platelet-rich plasma for musculoskeletal conditions, including GTPS, can promote healing in the affected area, with potential benefits outweighing the risks in some individuals.
- Be mindful of potential drug interactions when taking multiple medications, including pain relievers like NSAIDs and drugs used to manage chronic diseases like beta-blockers or insulin for Type-2 Diabetes.
- Consulting a healthcare professional for personalized advice and guidance is essential, as each treatment option carries its own set of benefits, potential risks, and interactions.
- In the pursuit of overall health and wellness, it's important to address both physical and mental well-being, incorporating healthy lifestyle choices such as balanced nutrition, regular exercise, and stress management into the daily routine.
