Physical Therapy Management Of A 38-Year-Old Male Marathon Runner Presenting With Greater Trochanteric Pain Synrome: A Retrospective Case Report

Author/ Authors/ Presenter/ Presenters/ Panelists:

Derek Jones, Governors State UniversityFollow

Type of Presentation

Poster Session

Start Date

4-12-2019 4:00 PM

End Date

4-12-2019 6:00 PM

Abstract

Greater trochanteric pain syndrome (GTPS), often diagnosed as lateral hip pain or hip bursitis, is a condition often found in runners and athletes. There currently exists no clinical practice guideline or protocol in the treatment of GTPS, but current trends have shifted towards treating the gluteal tendinous junction of the hip. The purpose of this case report was to examine the outcomes of physical therapy focused on this method of treatment in the case of a 38-year-old marathon runner presenting with left GTPS. The patient completed six outpatient physical therapy sessions over a six-week period. Improvements were seen in lower extremity strength of left hip, reduced pain with sitting and running, and increased pelvic stabilization with movement. The subject made a return to running so as to begin training for an upcoming marathon. This report focused on the use of eccentric hip exercises to promote tendon healing as well as pelvic stabilization in the treatment of hip pain. As this subject presented with recurring hip pain, an emphasis was also placed on patient education for body awareness and self-management of symptoms outside of the clinic while returning to marathon training.

Faculty / Staff Sponsor

Dr. Dale Schuit

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Apr 12th, 4:00 PM Apr 12th, 6:00 PM

Physical Therapy Management Of A 38-Year-Old Male Marathon Runner Presenting With Greater Trochanteric Pain Synrome: A Retrospective Case Report

Greater trochanteric pain syndrome (GTPS), often diagnosed as lateral hip pain or hip bursitis, is a condition often found in runners and athletes. There currently exists no clinical practice guideline or protocol in the treatment of GTPS, but current trends have shifted towards treating the gluteal tendinous junction of the hip. The purpose of this case report was to examine the outcomes of physical therapy focused on this method of treatment in the case of a 38-year-old marathon runner presenting with left GTPS. The patient completed six outpatient physical therapy sessions over a six-week period. Improvements were seen in lower extremity strength of left hip, reduced pain with sitting and running, and increased pelvic stabilization with movement. The subject made a return to running so as to begin training for an upcoming marathon. This report focused on the use of eccentric hip exercises to promote tendon healing as well as pelvic stabilization in the treatment of hip pain. As this subject presented with recurring hip pain, an emphasis was also placed on patient education for body awareness and self-management of symptoms outside of the clinic while returning to marathon training.