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- Trigger Finger & Trigger Thumb Injections in South London | Insight Msk
Trigger Finger & Trigger Thumb Injections in South London What is a Trigger finger/thumb ? Trigger finger, also known as stenosing tenosynovitis, is a condition that affects the tendons in the fingers or thumb, causing them to catch or "lock" as they bend. This condition is characterized by difficulty in straightening or bending the affected digit, and it may be associated with a snapping or popping sensation. Key features of trigger finger include: Catching or Locking : Individuals with trigger finger may experience a catching or locking sensation in the affected finger or thumb, especially when trying to straighten it. Pain and Tenderness : Pain and tenderness at the base of the affected digit, particularly when pressure is applied. Nodule or Bump : A nodule or bump may be felt in the palm at the base of the affected finger or thumb. This is often the result of inflammation or swelling in the tendon. Stiffness : Stiffness in the affected digit, particularly in the morning or after periods of inactivity. Popping Sensation : Some individuals may notice a popping or snapping sensation when the finger is moved. What causes Trigger finger/thumb ? The primary cause of trigger finger is inflammation of the tendon sheath, which surrounds the tendons that control finger movement. This inflammation can lead to the development of nodules or bumps that interfere with the smooth gliding of the tendons through the tendon sheath. What are the risk factors ? The risk factors for trigger finger include: Repetitive Hand Movements : Activities that involve repeated gripping or grasping motions can contribute to the development of trigger finger. Certain Medical Conditions : Conditions such as diabetes, rheumatoid arthritis, and gout may increase the risk of developing trigger finger. Age and Gender : Trigger finger is more common in individuals over the age of 40, and women are affected more often than men. What is the best treatment for Trigger finger ? Treatment options for trigger finger may include: Rest and Activity Modification: Resting the affected hand and avoiding activities that aggravate symptoms. Splinting: Wearing a splint to keep the affected finger or thumb in a straightened position may help reduce irritation. Anti-Inflammatory Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended to reduce pain and inflammation. Corticosteroid Injections : Injecting corticosteroids into the tendon sheath can help alleviate inflammation. Physical Therapy: Stretching and strengthening exercises may be prescribed to improve finger mobility and strength. In cases where conservative measures are not effective or if there is persistent pain and functional impairment, surgical intervention may be considered. The surgical procedure involves releasing the affected tendon sheath to allow for smoother tendon movement. Early intervention can help prevent the progression of symptoms and improve long-term outcomes. Do book an appointment with our consultant Maxence Legout if you suspect you have trigger finger. Book a free consultation Request a call back
- De Quervain Tenosynovitis Injections in South London | Insight Msk
De Quervain Tenosynovitis Injections in South London What is a De Quevrain tenosynovitis? De Quervain's tenosynovitis, also known as De Quervain's syndrome or De Quervain's disease, is a painful condition that affects the tendons on the thumb side of the wrist. It involves inflammation of the sheath (tenosynovium) that surrounds two tendons that control movement of the thumb. Activities that involve repetitive thumb and wrist movements, as well as forceful grasping or pinching, can aggravate the symptoms. How does the De Quervain's tenosynovitis feel ? Pain and Tenderness : Individuals with De Quervain's tenosynovitis typically experience pain and tenderness along the thumb side of the wrist, near the base of the thumb. The pain may radiate into the thumb or forearm. Swelling : Swelling may be present over the thumb side of the wrist, and a noticeable "snapping" sensation may occur when moving the thumb. Thumb Movement Difficulty : The condition can make it difficult to move the thumb and grasp objects, especially when pinching or grasping with the thumb and fingers. What can cause De Quervain's tenosynovitis ? The primary cause of De Quervain's tenosynovitis is irritation and inflammation of the tendons that run through a tunnel-like structure called the first dorsal compartment on the thumb side of the wrist. The tendons involved are the abductor pollicis longus and the extensor pollicis brevis. Wh at is the best treatment for De Quervain's tenosynovitis ? Treatment options for De Quervain's tenosynovitis may include: Rest and Immobilization: Avoiding activities that exacerbate symptoms and using a splint or brace to immobilize the thumb and wrist may help reduce irritation. Ice: Applying ice to the affected area can help reduce inflammation. Anti-Inflammatory Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended to alleviate pain and inflammation. Corticosteroid Injections : Injecting corticosteroids into the sheath around the affected tendons can provide significant relief of inflammation and symptoms. Physical Therapy: Specific exercises and stretches may be prescribed to improve thumb and wrist mobility and strength. Modification of Activities: Adjusting or avoiding activities that strain the affected tendons. In cases where conservative measures are not effective, or if there is persistent pain and functional impairment, surgical intervention may be considered. Surgery involves releasing the sheath around the affected tendons to provide more space and alleviate pressure. If you suspect you have De Quervain's tenosynovitis or are experiencing symptoms, book an appointment with Insight MSK to consult with our expert for a proper diagnosis and appropriate management. Book a free consultation Request a call back
- Injections for Meniscal Tears in South London | Insight Msk
Injections for Meniscal Tears in South London What is a Meniscal tear ? A meniscal tear is a common knee injury that involves damage to one or both of the menisci, which are C-shaped pieces of cartilage located in the knee joint. Each knee has two menisci—one on the inner side (medial meniscus) and one on the outer side (lateral meniscus). The menisci play a crucial role in stabilizing the knee, absorbing shock, and distributing load. Meniscal tears can be post traumatic (after an injury) or degenerative (often age related). Tears can occur in different parts of the meniscus, and the location can influence the type of symptoms experienced. The medial meniscus (inside the knee) tends to be more often injured. How can meniscal tears happen ? Meniscal tears often result from twisting or rotating the knee while bearing weight, particularly during activities that involve pivoting or sudden stops. Athletes, especially those participating in sports that involve cutting or sudden changes in direction, are at an increased risk. Meniscal tears can also develop over time due to degenerative changes, especially in older individuals. What are the symptoms? Common symptoms of a meniscal tear include pain, swelling, stiffness, and difficulty fully extending or bending the knee. Some individuals may also experience a popping or clicking sensation at the time of injury. What is Locking or Catching? In some cases, a torn piece of the meniscus may move into the joint space, causing the knee to lock or catch during movement. What are the different types of meniscal tears ? There are several types of meniscal tears, including: Radial Tear : Extends from the outer edge of the meniscus toward the center. Bucket-Handle Tear : A large tear in the middle of the meniscus that can displace and cause the knee to lock. Flap Tear : A partial-thickness tear where a portion of the meniscus is lifted or flipped. How are meniscal tears diagnosed? Diagnosis of a meniscal tear typically involves a combination of: Physical Examination: A healthcare professional will assess the range of motion, stability, and tenderness of the knee. Imaging Studies: Magnetic resonance imaging (MRI) is often used to visualize the menisci and confirm the presence and extent of a tear. What is the best treatment for meniscal tears ? Treatment options for meniscal tears may include: Rest and Ice: Resting the knee and applying ice can help reduce pain and swelling. Physical Therapy: Rehabilitation exercises to improve strength and flexibility. Anti-Inflammatory Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended to reduce pain and inflammation. Corticosteroid Injections : Injections into the knee joint to alleviate inflammation and pain. Arthroscopic Surgery: In some cases, particularly when conservative measures are not effective, arthroscopic surgery may be considered to trim or repair the torn meniscus. The appropriate treatment depends on factors such as the type and location of the tear, the individual's age, and the overall health of the knee joint. If you suspect you have a meniscal tear or are experiencing knee symptoms, contact us and consult with a professional expert, Maxence Legout , for a proper diagnosis and appropriate management. Book a free consultation Request a call back
- Cubital Tunnel Syndrome Injections in South London | Insight Msk
Cubital Tunnel Syndrome Injections in South London What is ulnar nerve entrapment ? Ulnar nerve entrapment, also known as cubital tunnel syndrome, is a condition where the ulnar nerve becomes compressed or irritated as it passes through the cubital tunnel—the bony tunnel on the inner side of the elbow. The ulnar nerve is one of the major nerves in the arm and is responsible for providing sensation to the little finger and part of the ring finger, as well as controlling some small muscles in the hand. What are the causes of ulnar nerve entrapment ? Ulnar nerve entrapment can occur for various reasons, and common causes include: Compression : Prolonged or repeated compression of the ulnar nerve can lead to entrapment. This compression may be due to leaning on the elbow for extended periods, such as during sleep, or consistently keeping the elbow bent. Anatomical factors : Some individuals may have a natural predisposition to ulnar nerve compression due to their anatomy, such as a prominent bony ridge or a shallow cubital tunnel. Repetitive motion : Certain occupations or activities that involve repetitive bending and straightening of the elbow can contribute to ulnar nerve entrapment. What are some symptoms of ulnar entrapment? Symptoms of ulnar nerve entrapment may include: Pain : Pain along the inner side of the elbow. Numbness and tingling : Numbness and tingling in the little finger and part of the ring finger. Weakness : Weakness in the hand, particularly in gripping or pinching activities. Difficulty straightening the fingers : In severe cases, difficulty straightening the fingers may occur. What is the best treatment for ulnar nerve entrapment? Treatment for ulnar nerve entrapment depends on the severity of the condition. Conservative measures may include avoiding activities that exacerbate symptoms, using a brace or splint to keep the elbow straight, and physical therapy. In more severe cases or if conservative measures are ineffective, a healthcare professional may recommend surgical intervention to release the pressure on the ulnar nerve. Early diagnosis and intervention are essential to prevent long-term nerve damage and to improve the likelihood of successful treatment. Individuals experiencing symptoms of ulnar nerve entrapment should seek medical attention for a proper evaluation and appropriate management. Get specialist help and book a free consultation now with Maxence Legout. Book a free consultation Request a call back
- Plantar Fasciitis Injections in South London | Insight Msk
Plantar Fasciitis Injections in South London What is plantar fasciopathy? Plantar fasciopathy, also commonly referred to as plantar fasciitis, is a condition that involves pain and inflammation of the plantar fascia, a thick band of tissue that runs along the bottom of the foot. The plantar fascia connects the heel bone to the toes and supports the arch of the foot, acting like a shock absorber. When does plantar fasciopathy occur? Plantar fasciopathy occurs when the plantar fascia is overstressed or strained, leading to microtears in the tissue. What does fasciopathy feel like ? This condition is often characterized by sharp, stabbing heel pain, particularly with the first steps in the morning or after periods of rest. The pain may improve with continued activity but can return after prolonged periods of standing or walking. What is the best treatment for plantar fasciopathy ? Treatment for plantar fasciopathy typically involves conservative measures, including: Rest: Giving the foot time to heal and avoiding activities that worsen symptoms. Ice: Applying ice to the affected area to reduce inflammation. Stretching exercises: Stretching the calf muscles and the plantar fascia to improve flexibility. Supportive footwear: Wearing shoes with proper arch support and cushioning. Orthotic inserts: Custom or over-the-counter shoe inserts to provide additional support. In more severe cases or when conservative measures do not alleviate symptoms, medical interventions such as physical therapy, corticosteroid injections , or orthopedic devices may be considered. It's important for individuals experiencing persistent heel pain to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan. Book an appointment now at our clinic with our expert Maxence Legout . Book a free consultation Request a call back
- Baker's Cyst Injections in South London | Insight Msk
Baker's Cyst Injections in South London What is a Baker's cyst? A Baker's cyst, also known as a popliteal cyst, is a fluid-filled swelling that develops at the back of the knee. It forms when synovial fluid, which is a lubricating fluid that normally resides within the knee joint, accumulates and bulges out from the back of the knee through a natural opening. How does it feel to have Baker's cyst ? Some k ey features of a Baker's cyst include: Swelling : The most noticeable symptom is a bulging or swelling at the back of the knee. The cyst may vary in size. Pain : Individuals with a Baker's cyst may experience discomfort or pain at the back of the knee, especially when bending or straightening the leg. Stiffness : Some people may notice stiffness in the knee joint, particularly when attempting to fully bend or extend the leg. Visible Lump : In some cases, the cyst may be visible as a lump at the back of the knee. What knee conditions Baker's cysts are often associated with ? Baker's cysts are often associated with underlying knee conditions, such as: Osteoarthritis : Degeneration of the knee joint cartilage can lead to increased production of synovial fluid. Rheumatoid Arthritis : Inflammatory arthritis can result in synovial fluid accumulation. Meniscal Tears : Tears in the meniscus, which are cartilage structures in the knee, can contribute to cyst formation. Inflammatory Joint Conditions : Conditions causing inflammation of the knee joint, such as synovitis, can lead to Baker's cysts. While Baker's cysts are generally benign, they can cause discomfort and affect knee function. In some cases, the cyst may rupture, leading to pain and swelling in the calf. How is a Baker's cysts diagnosed ? The diagnosis of a Baker's cyst is often based on a physical examination and imaging studies, such as ultrasound or magnetic resonance imaging (MRI), to visualize the cyst and assess the underlying knee structures. Treatment options for Baker's cysts may include: Rest and Elevation: Resting the leg and elevating it can help reduce swelling. Ice: Applying ice to the affected area may help alleviate pain and inflammation. Anti-Inflammatory Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended. Aspiration : Draining the fluid from the cyst with a needle, especially if the cyst is large or causing significant symptoms. Corticosteroid Injections : Injections of corticosteroids into the knee joint to reduce inflammation. Physical Therapy: Exercises to improve knee strength and flexibility. Addressing the underlying knee condition contributing to the cyst is crucial for long-term management. In some cases, surgical intervention may be considered, especially if there is an associated structural problem in the knee. If you think you may be experiencing symptoms of a Baker's cyst or persistent knee pain, book an appointment with our expert clinician, Maxence Legout , for an accurate diagnosis and appropriate management. Book a free consultation Request a call back
- Tendonitis Injections in South London | Insight Msk
Tendonitis Injections in South London What is tendinopathy? Tendinopathy refers to a condition that involves damage, degeneration, or dysfunction of a tendon. Tendons are tough, flexible bands of fibrous tissue that connect muscles to bones. They play a crucial role in transmitting the force generated by muscles to the bones, enabling movement. Tendinopathy can occur as a result of overuse, aging, repetitive stress, or a sudden injury. What are the main types of tendinopathy? Tendonitis : This is inflammation of the tendon. It often occurs as a result of acute injury or overuse of the tendon, leading to pain, swelling, and tenderness. Tendinosis: This is a chronic condition characterized by degeneration of the tendon without significant inflammation. Tendinosis is often associated with long-term overuse, aging, or failure of the tendon to heal properly after an injury. It may result in pain, stiffness, and a gradual loss of function. What areas can be affected ? Common areas affected by tendinopathy include the shoulder, elbow, wrist, hip, knee, and ankle. Some well-known examples include Achilles tendinopathy, tennis elbow (lateral epicondylitis), and rotator cuff tendinopathy. What is the best treatment for tendinopathy? Treatment for tendinopathy typically involves a combination of rest, physical therapy, anti-inflammatory medications, and in some cases, interventions such as corticosteroid injections or surgery. The specific approach depends on the severity of the condition, the location of the affected tendon, and the underlying causes. What should I do if I think I suffer from a tendinopathy? It's important for individuals experiencing symptoms of tendinopathy to seek medical advice for an accurate diagnosis and appropriate management. Ignoring the condition or continuing activities that aggravate the tendon can lead to worsening symptoms and potentially more severe damage over time. Do not wait further and book an appointment at our specialist clinic. Book a free consultation Request a call back
- Morton's Neuroma Injections in South London | Insight Msk
Morton's Neuroma Injections in South London What is Morton's neuroma ? Morton's neuroma, also referred to as intermetatarsal neuroma, is a common foot condition that involves the thickening of the tissue around a nerve leading to the toes, usually between the third and fourth toes. Although it's called a "neuroma," Morton's neuroma is not a true tumor or cancer; it's a benign growth of nerve tissue. What are the key features of Morton's neuroma ? Key features of Morton's neuroma include: Location : Morton's neuroma typically occurs between the third and fourth toes, but it can also affect the nerves between other toes. Symptoms : The condition often causes pain, burning, tingling, or numbness in the ball of the foot and may radiate into the toes. Some individuals describe the sensation as having a pebble or a fold in their sock, even when there is nothing in the shoe. Footwear Aggravation : Symptoms may be exacerbated by wearing tight or high-heeled shoes, which can compress the forefoot and increase pressure on the affected nerve. Walking or Standing : Pain and discomfort are often experienced during weight-bearing activities, such as walking or standing. Risk Factors : Factors that may contribute to the development of Morton's neuroma include wearing tight or narrow shoes, participating in high-impact activities, and having certain foot deformities or conditions that increase pressure on the forefoot. How to diagnose and treat Morton's neuroma? Diagnosis and treatment of Morton's neuroma may involve: Clinical Examination : A healthcare professional, often a podiatrist or orthopedic specialist, will conduct a physical examination of the foot, checking for tenderness and the Mulder's sign (a maneuver that elicits a click between the metatarsal heads). Imaging Studies : Ultrasound or other imaging studies may be ordered to rule out other foot conditions and confirm the diagnosis. Conservative Measures : Initial treatment typically involves conservative measures, such as changing footwear, using orthotic inserts, and avoiding activities that aggravate symptoms. Corticosteroid Injections : In some cases, corticosteroid injections may be recommended to reduce inflammation and provide temporary relief. Physical Therapy : Stretching and strengthening exercises may be prescribed to improve foot mechanics and alleviate symptoms. Surgery: If conservative measures are not effective, surgical options such as nerve decompression or removal may be considered. If you experience persistent foot pain or discomfort, especially in the ball of the foot or between the toes, you should seek medical attention for a proper diagnosis and appropriate management. Book a consultation with our expert Maxence Legout and get help now . Book a free consultation Request a call back
- Carpal Tunnel Syndrome Injections in South London | Insight Msk
Carpal Tunnel Syndrome Injections in South London What is a Carpal tunnel syndrome ? Carpal tunnel syndrome (CTS) is a common condition that occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes compressed or squeezed as it passes through the carpal tunnel—a narrow, rigid passageway of ligaments and bones at the base of the hand. What are the symptoms of the carpal tunnel syndrome ? Individuals with carpal tunnel syndrome may experience symptoms such as pain, numbness, tingling, or weakness in the hand and fingers, particularly the thumb, index finger, middle finger, and part of the ring finger. The symptoms often occur on the palm side of the hand. Nighttime Symptoms : Many people with carpal tunnel syndrome report that symptoms are more pronounced at night, often leading to disrupted sleep. Activities that Aggravate Symptoms : Certain activities, such as typing, gripping objects, or activities that involve prolonged wrist flexion, may exacerbate symptoms. Sensory Changes : Some individuals may notice a feeling of swelling (even though there may be no visible swelling), and they may have difficulty distinguishing between hot and cold sensations. What the causes of the carpal tunnel syndrome ? Several factors contribute to the development of carpal tunnel syndrome: Repetitive Hand Use: Repeated and forceful movements of the hand and wrist can contribute to inflammation and swelling in the carpal tunnel. Anatomic Factors: Some individuals may have a naturally smaller carpal tunnel or other anatomical variations that make them more prone to compression of the median nerve. Medical Conditions: Conditions such as diabetes, rheumatoid arthritis, and hypothyroidism may increase the risk of developing carpal tunnel syndrome. Pregnancy: Hormonal changes and fluid retention during pregnancy can lead to swelling and increased pressure on the median nerve. What is the best treatment for carpal tunnel syndrome ? Treatment options for carpal tunnel syndrome may include: Wrist Splinting: Wearing a splint to keep the wrist in a neutral position, especially at night, may help alleviate symptoms. Activity Modification: Avoiding or modifying activities that worsen symptoms. Anti-Inflammatory Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended to reduce pain and inflammation. Corticosteroid Injections : Injecting corticosteroids into the carpal tunnel to reduce inflammation. Physical Therapy: Stretching and strengthening exercises may be prescribed to improve wrist and hand function. In cases where conservative measures are not effective or if symptoms are severe, surgical intervention, known as carpal tunnel release surgery, may be considered. This procedure involves cutting the ligament that forms the roof of the carpal tunnel to relieve pressure on the median nerve. If you suspect you have carpal tunnel syndrome or are experiencing symptoms, it's important to consult with a healthcare professional for a proper diagnosis and appropriate management. Early intervention can help prevent the progression of symptoms and improve long-term outcomes. B ook a free initial appointment and meet our experienced clinician Maxence Legout . Book a free consultation Request a call back
- Tibialis Posterior Injections in South London | Insight Msk
Posterior Tibial Tendonitis Injections in South London What is a Posterior Tibial dysfunction? The tibialis posterior is a muscle located in the deep posterior compartment of the leg. It plays a crucial role in supporting the arch of the foot and inverting the foot (turning the sole inward). The primary function of the tibialis posterior is to invert the foot, meaning it helps turn the sole of the foot inward. This action is important for maintaining the stability of the foot and supporting the arch during walking and other weight-bearing activities. The tibialis posterior is particularly important for the support of the medial arch of the foot. Weakness or dysfunction of this muscle can contribute to conditions like flat feet (pes planus) or overpronation, where the foot excessively rolls inward during walking. Injuries or inflammation of the tibialis posterior tendon can occur, leading to a condition known as tibialis posterior dysfunction or tendonitis. This condition can cause pain, swelling, and difficulty with weight be aring activities. How can an ultrasound guided injection help? Injections can be used as a therapeutic intervention for conditions involving the tibialis posterior. Cortisone injections can help when there is severe pain caused by inflammation on an intact tendon. In case of tear or advanced degenerative changes we recommend to inject hyaluronic acid such as Ostenil Tendon. Contact us to book a free initial consultation . Book a free consultation Request a call back
- Hoffa’s Fat Pad Impingement in South London | Insight Msk
Hoffa's Fat Pad Impingement Injections in South London What is a Hoffa's fat pad impingement ? Hoffa's fat pad, also known as the infrapatellar fat pad, is a soft tissue structure located below the kneecap (patella) and within the knee joint. It consists of adipose (fat) tissue and is part of the joint capsule and synovium. Hoffa's fat pad has various functions, including providing cushioning and support to the knee joint. Impingement of Hoffa's fat pad refers to a condition in which this structure becomes irritated, inflamed, or compressed, leading to pain and discomfort in the front of the knee. This impingement can result from various factors, including trauma, overuse, or underlying knee conditions. How does it feel to have Hoffa's fat pad impingement ? Anterior Knee Pain : Pain is typically felt at the front of the knee, just below or behind the kneecap. Swelling : Inflammation of Hoffa's fat pad can lead to localized swelling in the front of the knee. Aggravation with Activity : Pain may worsen with activities that involve bending or straightening the knee, such as walking, running, climbing stairs, or kneeling. Tenderness : Tenderness may be present upon palpation of the infrapatellar fat pad. What is a potential Cause for Hoffa's fat pad impingement ? Hoffa's fat pad impingement can be caused by direct trauma to the knee, repetitive stress on the fat pad (as seen in activities like jumping or squatting), or underlying conditions such as patellar maltracking or arthritis. How is Hoffa's fat pad impingement diagnosed ? The diagnosis of Hoffa's fat pad impingement typically involves: Clinical Examination: A healthcare professional will assess the patient's symptoms, examine the knee, and check for tenderness and swelling. Imaging Studies: X-rays, magnetic resonance imaging (MRI), or ultrasound may be used to visualize the structures within the knee and assess the condition of Hoffa's fat pad. What is the best treatment for Hoffa's fat pad impingement ? The t reatment options for Hoffa's fat pad impingement may include: Rest and Activity Modification: Avoiding activities that exacerbate symptoms and allowing time for the fat pad to heal. Ice and Elevation: Applying ice to the affected area and elevating the leg to reduce swelling. Anti-Inflammatory Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended to alleviate pain and inflammation. Physical Therapy: Specific exercises and stretches to improve knee mechanics, strength, and flexibility. Corticosteroid Injections: Injections of corticosteroids into the fat pad to reduce inflammation. In cases where conservative measures are not effective, or if there is an underlying structural issue contributing to the impingement, further interventions, such as arthroscopic surgery, may be considered. Individuals experiencing persistent knee pain or symptoms consistent with Hoffa's fat pad impingement should seek evaluation and guidance from a healthcare professional for an accurate diagnosis and appropriate management. Book an appointment with our expert Maxence Legout to get one of the most comprehensive care in South London . Book a free consultation Request a call back
- Greater Trochanteric Pain Syndrome Injections in South London | Insight Msk
Greater Trochanteric Pain Syndrome Injections in South London What is Greater Trochanteric Pain Syndrome ? Greater Trochanteric Pain Syndrome (GTPS) refers to a condition characterized by pain and tenderness over the greater trochanter, which is a bony prominence on the outer side of the hip. This syndrome encompasses a range of conditions that involve the soft tissues around the greater trochanter, including the tendons and bursa. Key features of Greater Trochanteric Pain Syndrome include: Pain at the Lateral Hip : Individuals with GTPS typically experience pain on the outer side of the hip, specifically over the greater trochanter. The pain may extend down the outer thigh. Tenderness : Tenderness over the greater trochanter is a common finding during physical examination. Pain with Activities : Pain is often aggravated by activities that involve hip movement, such as walking, climbing stairs, or lying on the affected side. Prolonged standing or sitting may also exacerbate symptoms. Possible Clicking or Snapping : Some individuals may report clicking or snapping sensations around the hip. What are the two main components of Greater Trochanteric Pain Syndrome ? Trochanteric Bursitis : Inflammation of the bursa (fluid-filled sac) located over the greater trochanter. Bursitis can occur due to friction between the bursa and the iliotibial band (IT band), a fibrous band of tissue that runs along the outer thigh. Tendon Disorders : Disorders involving the tendons around the greater trochanter, such as gluteal tendonitis or tears. What are the risk factors for Greater Trochanteric Pain Syndrome ? Overuse or Repetitive Activities: Activities that involve repeated hip movements, such as running or cycling, may contribute to the development of GTPS. Trauma: Previous hip injuries or trauma can increase the risk. Muscle Weakness or Imbalance: Weakness or imbalance in the muscles around the hip may contribute to abnormal biomechanics and increased stress on the greater trochanter. What is the best treatment for Greater Trochanteric Pain Syndrome ? The treatment options for Greater Trochanteric Pain Syndrome may include: Rest and Activity Modification: Avoiding activities that aggravate symptoms and allowing time for rest. Physical Therapy: Stretching and strengthening exercises to improve hip muscle strength and flexibility. Anti-Inflammatory Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended to reduce pain and inflammation. Corticosteroid Injections : Injecting corticosteroids into the trochanteric bursa to reduce inflammation. Biomechanical Assessment: Evaluating and addressing any biomechanical issues, such as gait abnormalities or muscle imbalances. In cases where conservative measures are not effective, surgical intervention may be considered in certain situations, particularly if there is significant tendon pathology. If you suspect you have Greater Trochanteric Pain Syndrome or are experiencing symptoms, it's advisable to consult with a healthcare professional for a proper diagnosis and appropriate management. Book a consultation with Insight MSK for a first opinion and a comprehensive care. Book a free consultation Request a call back

