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Greater Trochanteric Syndrome

 Poster: A snowHead
Poster: A snowHead
Does anyone know how you find the best specialist, with the most up to date information, on diagnosis and treatment?
After 10 years of pain and disability, injections, anti-inflammatories, pain killers, osteopathy etc I would really like to find out what is causing the problem. Sad
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 Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
Anyone? Any advice?
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 Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
CaravanSkier, sorry no-one has come back to you - I've never heard of it, had a quick google and thought ouch Sad
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Same as holidayloverxx, . For what it's worth, commiserations Sad .
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 Anyway, snowHeads is much more fun if you do.
Anyway, snowHeads is much more fun if you do.
http://www.consultant-search.co.uk/diagnosis/trochanteric-bursitis

Failing that, go to the library and see if they have access to searchable BMJ journals (some do, or you may have to go to a larger central library) Search your condition and see who's writing the articles - email them and get recommendations.

You could try contacting the British Orthopaedic Association directly too.
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Quote:

I've never heard of it, had a quick google and thought ouch

+1. My knowledge of physiology is such that I vaguely thought it would be something to do with shoulders. Embarassed
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 Then you can post your own questions or snow reports...
Then you can post your own questions or snow reports...
Thank you for your replies, and Richard library access to articles may well be the way to go. I had found your online link but it is very difficult to asses capabilities! I know what it says but ...... After many years I am a tad cynical lol Those writing in the BMJ would be of interest, I tried to find info online but kept hitting a wall, however I do know our local library has subscriptions to many things so trying there is worth a go.!
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 After all it is free Go on u know u want to!
After all it is free Go on u know u want to!
Not much help but I got bursitis in the shoulder following an over enthusiastic day water skiing. Carried it for a year, then the GP cured it with a couple of steroid injections. He said at the time this will be a miracle cure or won't work at all. I understand more qualified doctors now do this targeting the site with scans.
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You'll get to see more forums and be part of the best ski club on the net.
jbob, Steroid injections have helped. One in each hip bursa has enabled me to do some skiing, but sadly the effect is limited and wears off in a few weeks. rolling eyes
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Ski the Net with snowHeads
A quick update just in case anyone else searches this subject and is as at a loss as I was!

I finally had the right sort of mri scan done at the end of last year, of the right areas, and it turns out the big ligaments that hold everything in place in the pelvis are knackered! lol not the technical term! They are a mass of scar tissue and have lost their elasticity. Therefore muscles have to compensate and do the job the ligaments are supposed to do. Hence the pain and inflammation!

The reason osteopathy has helped is that by untwisting my spine and making sure my pelvis was correctly aligned the muscles had the chance to work optimally!

I am now supposed to do an hour of non load bearing exercise every day, such as aquarobics, pilates or cycling, and avoid long walks, running and going up and down stairs, carrying shopping etc as much as possible. Not easy to achieve, but it was made very clear to me that my long term prospects in respect of mobility and pain would not be good if I do not work on keeping the muscles strong.

My specialist did not think there would be any surgical remedy but I will be keeping an eye on ligament repair research!
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snowHeads are a friendly bunch.
Have you had your thyroid levels checked? Bursitis can be worsened by being hypothyroid. Jut an idea - it sounds like you have a convincing diagnosis anyways.
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 And love to help out and answer questions and of course, read each other's snow reports.
And love to help out and answer questions and of course, read each other's snow reports.
@robertsnerys, Yes thank you for the suggestion, I have had thyroid function tested several times. I am content the diagnosis is correct now just unhappy that there is no quick surgical fix rolling eyes Very Happy Smile
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 So if you're just off somewhere snowy come back and post a snow report of your own and we'll all love you very much
So if you're just off somewhere snowy come back and post a snow report of your own and we'll all love you very much
CaravanSkier wrote:
@robertsnerys, Yes thank you for the suggestion, I have had thyroid function tested several times. I am content the diagnosis is correct now just unhappy that there is no quick surgical fix rolling eyes Very Happy Smile


Steroids injection are usually very successful.

failing that surgery has a role but it will be a bit hit and miss.

Strengthening the muscles around that hip/pelvis and trunk will be definitely worth it but you will need to find a physio who understands the problem.

Jonathan Bell
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 You know it makes sense.
You know it makes sense.
@Jonathan Bell, Thank you very much. I have had the steroid injections and yes they are very effective for a couple of weeks then wear off over the following weeks. I had them just before our recent ski trip over Xmas and the New Year although I am beginning to wonder if it is worth going skiing, I am not sure how much of the wobbliness is because of the physical damage or because I've been told falling may well cause the tendons to snap its now a psychological issue. rolling eyes I have also been made very aware of the possible side effects of steroid injections and recognise they need to be used with care, ie saved for a ski holiday Smile

My osteopath has been wonderful with general exercise and core strengthening advice, because my spine had been twisted and my pelvis at an angle for so many years, muscles on one side of my body were really strong but some on the other side had become really weak. These are now much closer to being equal. Both my osteopath and my consultant were actually pleasantly surprised at my starting core muscle strength (due to years of dance probably) but there is still work to be done. I have thought about a personal trainer but have not got there yet. Some specific exercises, aquacise 3 times a week along with air cycling on most other days has been the regime so far.

Surgery? Any more information would be much appreciated.
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 Otherwise you'll just go on seeing the one name:
Otherwise you'll just go on seeing the one name:
CaravanSkier wrote:
@Jonathan Bell, Thank you very much. I have had the steroid injections and yes they are very effective for a couple of weeks then wear off over the following weeks. I had them just before our recent ski trip over Xmas and the New Year although I am beginning to wonder if it is worth going skiing, I am not sure how much of the wobbliness is because of the physical damage or because I've been told falling may well cause the tendons to snap its now a psychological issue. rolling eyes I have also been made very aware of the possible side effects of steroid injections and recognise they need to be used with care, ie saved for a ski holiday Smile

My osteopath has been wonderful with general exercise and core strengthening advice, because my spine had been twisted and my pelvis at an angle for so many years, muscles on one side of my body were really strong but some on the other side had become really weak. These are now much closer to being equal. Both my osteopath and my consultant were actually pleasantly surprised at my starting core muscle strength (due to years of dance probably) but there is still work to be done. I have thought about a personal trainer but have not got there yet. Some specific exercises, aquacise 3 times a week along with air cycling on most other days has been the regime so far.

Surgery? Any more information would be much appreciated.


it is very rarely carried out but can be helpful if the tendon has torn.
i dont do it but i have heard of it being carried out.
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 Poster: A snowHead
Poster: A snowHead
My understanding is that the tendons are now scar tissue rather than functioning tissue, from lots and lots of minor damage rather than a particular definitive tear Sad The damage seems fairly equal on both sides which I'm told suggests overuse rather than specific injury.
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 Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
CaravanSkier wrote:
My understanding is that the tendons are now scar tissue rather than functioning tissue, from lots and lots of minor damage rather than a particular definitive tear Sad The damage seems fairly equal on both sides which I'm told suggests overuse rather than specific injury.


The principle of surgery in these conditions is to excise the scar and damaged tendon . thats the easy bit.

Getting a decent repair is very difficult and if it cant be achieved could end up worse off hence why surgery not popular.
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 Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
Ahh I see, I`d guess too that my age (nearer 60 than 50) is against me given what I have read on knee ligament repairs. Sad

May I ask where you have heard of it being done? Is there a centre somewhere that specialises in this type of repair that you know of? If I could find the right person I would value an opinion.
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CaravanSkier wrote:
Ahh I see, I`d guess too that my age (nearer 60 than 50) is against me given what I have read on knee ligament repairs. Sad

May I ask where you have heard of it being done? Is there a centre somewhere that specialises in this type of repair that you know of? If I could find the right person I would value an opinion.


Ill ask around if i find a name ill let you know
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 Anyway, snowHeads is much more fun if you do.
Anyway, snowHeads is much more fun if you do.
Thank you very much @Jonathan Bell,
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