Greater Trochanteric Pain Syndrome in the UK National Health Service: A multi-centre service evaluation.

Purpose

Greater Trochanteric Pain syndrome (GTPS) is a debilitating condition causing lateral hip pain. A recent randomised controlled trial (LEAP) demonstrated that exercise interventions for GTPS provided superior outcomes, compared to cortico-steroid injection and wait and see approaches.

However, participants were not patients seeking care and therefore may not represent the typical patient seen within the National Health Service.

This service evaluation aimed to provide data on the characteristics of patients with GTPS presenting to NHS physiotherapy services to enable consideration of the applicability of the findings of the LEAP trial to patients seeking care within the NHS.

 

 

Approach

Four NHS sites provided anonymised data on patients presenting to their service with a primary complaint of GTPS.

Outcomes

The data from 162 patients synthesised and reported in this evaluation suggests that the typical patients presenting to the NHS with GTPS, are female (76%), overweight (BMI 28.5) and experiencing a 12-month or longer history of lateral hip pain (56.8%). Patients reported high levels of pain (VAS 6.5), low health related quality of life (EQ5D 0.6), co-existing medical conditions (79.0%) and high medication use (82.7%).

Patients presenting to the NHS with GTPS appear to have complex, multi-factorial issues with high levels of pain and disability and are often medicated for multiple co-existing conditions. These characteristics differentiate them from patients recruited to the LEAP trial. Hence, it is unclear whether the findings of the LEAP trial are applicable to patients with GTPS consulting physiotherapy services in the NHS. Further research is warranted to evaluate this.

Implications

Further research is necessary to investigate the effects of pragmatic physiotherapy interventions for patients presenting to the NHS with GTPS.

Funding acknowledgements

This work was undertaken as part of a HEE funded West Midlands Masters to Doctoral Bridging Programme awarded to the lead author.

Additional notes

This work was presented at Physiotherapy UK 2019