Evaluating Hip Pathology in Trochanteric Pain Syndrome; Pain Patterns Shared With Other Conditions Often Complicate the Diagnosis

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Journal of Musculoskeletal Medicine


Patients may have greater trochanteric pain syndrome for years without knowing a defining cause or seeing pain improvement. Pathology within and around the hip joint falls into one of several categories, including acute pain with trauma, overuse and repetitive motion activities, and diseases and degenerative conditions. Pain is described as deep, occasionally sharp aching and stiffness. A unique set of factors contribute to the stability and function of the joint. The differential diagnosis for hip pathology includes many entities; considering referred pain patterns is important to reduce inappropriate testing. A compartmental approach to testing for hip pathology helps organize causes. Plain radiographs are an important first step in imaging; MRI may help delineate the sources of pain.

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