Conservative treatments have a 90% success rate and can include any or a combination of the following:<unk>  relief medication, NSAIDs, physiotherapy, shockwave therapy (SWT) and corticosteroid injection. Surgery is usually for cases that are non-respondent to conservative treatments and is often a combination of bursectomy, iliotibial band (ITB) release,<unk>  reduction osteotomy or gluteal tendon repair. A 2011 review found that traditional nonoperative treatment helped most patients, low-energy SWT was a good alternative, and surgery was effective in refractory cases and superior to corticosteroid therapy and physical therapy. There are numerous case reports in which surgery has relieved GTPS, but its effectiveness is not documented in clinical trials as of 2009. The primary treatment is rest. This does not mean bed rest or immobilizing the area but avoiding actions which result in aggravation of the<unk> . Icing the joint may help. A non-steroidal anti-inflammatory drug may relieve<unk>  and reduce the inflammation. If these are ineffective, the definitive treatment is steroid injection into the inflamed area. Physical therapy to strengthen the hip muscles and stretch the iliotibial band can relieve tension in the hip and reduce friction. The use of point ultrasound may be helpful, and is undergoing clinical trials. In extreme cases, where the<unk>  does not improve after physical therapy, cortisone shots, and anti-inflammatory medication, the inflamed bursa can be removed surgically. The procedure is known as a bursectomy. Tears in the muscles may also be repaired, and loose material from arthritic degeneration of the hip removed. (At the time of bursal surgery, a very close examination of the gluteal tendons will reveal sometimes subtle and sometimes very obvious degeneration and detachment of the gluteal tendons. If this detachment is not repaired, removal of the bursa alone will make little or no difference to the symptoms.) The bursa is not required, so the main potential complication is potential reaction to anaesthetic. The surgery can be performed arthroscopically and, consequently, on an outpatient basis. Patients often have to use crutches for a few days following surgery up to a few weeks for more involved procedures.
Greater trochanteric pain syndrome
Hip fracture
Facet syndrome
Patellofemoral pain syndrome
Heel pad syndrome
Back strain
Snapping hip syndrome
Anterior compartment syndrome