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Greater trochanteric pain syndrome (GTPS), a form of bursitis, is inflammation of the trochanteric bursa, a part of the hip. This bursa is at the top, outer side of the femur, between the insertion of the gluteus medius and gluteus minimus muscles into the greater trochanter of the femur and the femoral shaft. It has the function, in common ...
Ultrasound-guidance is a popular choice for injections, [5] but injections can also be done under CT or MRI-guidance. [4] [6] Controlled studies have found that for patients with suspected piriformis syndrome, botox injections into the piriformis are more effective than a placebo [22] and also more effective than just an anesthetic block alone.
The more common lateral extra-articular type of snapping hip syndrome occurs when the iliotibial band, tensor fasciae latae, or gluteus medius tendon slides back and forth across the greater trochanter. This normal action becomes a snapping hip syndrome when one of these connective tissue bands thickens and catches with motion.
The greater trochanter of the femur is a large, irregular, quadrilateral eminence and a part of the skeletal system. It is directed lateral and medially and slightly posterior. In the adult it is about 2–4 cm lower than the femoral head. [1] Because the pelvic outlet in the female is larger than in the male, there is a greater distance ...
Ultrasound-guided hip joint injection is a joint injection in the hip, assisted by medical ultrasound. Hip and groin pain often presents a diagnostic and therapeutic challenge. The differential diagnosis is extensive, comprising intra-articular and extra-articular pathology and referred pain from lumbar spine, knee and elsewhere in the pelvis.
Injections deliver medication directly to the piriformis muscle through a needle. The needle is placed into the piriformis muscle with image guidance such as fluoroscopy, ultrasound, CT, or MRI. [2] [30] Ultrasound is a popular choice due to a balance of accuracy, accessibility, lack of radiation exposure, and affordability. [29] [2]
The needle size, length and type should be selected based on the site, depth and patient's body habitus. 22–24G needles are sufficed for most injections. [1] As an example, ultrasound-guided hip joint injection [16] can be considered when symptoms persist despite initial treatment options such as activity modification, analgesia and physical ...
Myofascial pain syndrome, idiopathic chronic pain, degenerative disc disease, lordosis, [1] Greater trochanteric pain syndrome: Management: Aerobic exercise, message therapy to desensitize physical contact, occupational therapy, physical therapy, psychotherapy, medication (selective serotonin reuptake inhibitors), [8] procedures and injections ...