Trochanteric Pain

Do you suffer from pain on the side of your hip? Is it painful walking up stairs or when you run? Do you get pain going down to your knee? Is it [aimful lying on your side at night? You could have “Greater Trochanteric Pain Syndrome” sometimes called Trochanteric Bursitis.

This problem can be a cause of significant pain and irritability and can go on for many months or years without the diagnosis and targeted treatment.

Commonly there can be tendinitis of the muscles attaching to the prominent hip bone (the Greater Trochanter) and pressure on this area causes hip pain that can be difficult to resolve.

Pain may progressively worsen over time and be triggered or exacerbated by sudden unaccustomed exercise, falls, prolonged weightbearing, or sporting overuse (commonly long-distance running).

It is important to accurately diagnose GTPS early, as delay and mismanagement can worsen prognosis due to progression to recalcitrant symptoms. The condition can be mistaken for common causes of hip pain including osteoarthritis of the hip, lumbar spine referred pain, and pelvic pathology.

The aim in managing this often-debilitating condition is to treat the discomfort effectively and guiding the muscles and tendons back to their normal functional state with controlled exercise. Fundamentally getting the correct diagnosis allows us to use a targeted approach to pain management. I have experts in radiology on hand to rapidly image your hip and a team of specialists to take you through rehabilitation. Depending on your history and previous treatments some people maty undergo image guided injection or Extra-corporeal Shock Wave Lithotripsy, before moving on to rehabilitation.

All cases of Trochanteric pain are different and you treatment will be tailored to your needs with a thorough discussion of treatment options.

FAQs

How do I make an appointment?

Please call Angela my secretary on 02074869323

Do I need private medical insurance to be seen?

No.

We are happy to discuss options for you to self–fund. This will include fixed fee for different treatment options as required.

Do I need a GP referral?

If you are paying for your own treatment, then a referral is not necessary. The majority of insurers will require a GP referral before authorising a consultation, investigations or any treatment. Many of my referrals come from physiotherapists and some insurers will now accept that mode of referral. Please contact me if you are unsure!

First Appointment

I will endeavor to see you as soon as possible and I will allow ample time to discuss your symptoms and organise investigations as needed. These can often be carried out on the same day.

I appreciate that face to face appointments at this time are more challenging and I am happy and experienced in carrying out video consultations if preferred. This can reduce travel and exposure in public if you are shielding or concerned.

Virtual Appointments?

I appreciate that face to face appointments at this time are more challenging and I am happy and experienced in carrying out these initial consultations virtually if that is your preferred option.

Covid-19

I work in several hospital and clinic sites. There are new higher standards of hygiene and infection control in all these facilities.

To minimise the risk of infection, it will be necessary to follow proven guidelines: on arrival for face-to-face appointments or surgery you will be questioned about symptoms of Covid and recent exposure to people who are ill. You will have a temperature check and will be required to wear a mask. Sensible hand sanitisation and keeping your distance in the clinic or hospital is required.

For surgical treatments more formal Covid testing is carried out in the preceding days and it is sensible to self-isolate to avoid exposure to infection in the pre-surgery period. Surgery is carried out through a “Green pathway” where all staff and patients are screened, and movement is controlled to minimise risk of infection. You will receive all information specific to your journey to help you understand these procedures.