International Journal of Research in Physical Medicine & Rehabilitation
Open AccessEducational Guidelines for the Rehabilitation of Individuals with Greater Trochanteric Pain Syndrome
Authors: Tatiane Morelati Rosa, Anderson Freitas, Paulo José Barbosa Gutierres Filho.
Abstract
Greater trochanteric syndrome is a term used to describe the specificity of a synovial tissue located between the gluteus medius tendon and the greater trochanter of the femur. However, three pathologies may coexist: lateral snapping hip, trochanteric bursitis, and gluteal tendinopathy. It frequently affects women over forty years of age and presents as persistent chronic pain that worsens during activities of daily living. It is believed that the mechanism of action occurs through a combination of tension and stress that results in shear and friction when the hip moves in adduction, leading the iliotibial complex to compress the tendons over the greater trochanter of the femur. The objective of this article is to discuss the educational approach, its beneficial effects for the rehabilitation of GTPS, and to offer educational guidelines for cases of conservative treatment of GTPS. Educational guidelines were developed for patients with gluteal tendinopathy based on recent studies that used this practice to reduce irritability of the peritrochanteric tissues and improve pain and functionality in patients with GTPS. The PubMed, EmBase, Cochrane, and PEDro databases were searched. Six articles addressing the management of conservative pathology were included. The studies affirm that an educational approach is a cost-effective strategy that contributes to patient self-efficacy, as it is important for reducing tissue irritability and not delaying tendon healing, and should be considered a relevant rehabilitation strategy.
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