About GTPS (Greater Trochanter Pain Syndrome)
This is a debilitating, chronic, painful condition around the hip. Pain is experienced below the pelvic bone over the bony prominence at the outer aspect of the top of the thigh (greater trochanter). This is caused by irritation to the soft tissues (muscles/tendons/bursa) overlying this area. Most people mistake this pain as hip osteoarthritis, however this a separate clinical entity. GTPS is a collective terminology that encompasses – lateral hip pain, gluteal tendinopathy, and trochanteric bursitis.
The pain is classically aggravated by lying down or sleeping on your side, crossing legs, bending, squatting, prolonged sitting, walking, cycling, and running. It limits your walking distance secondary to pain, tightness and stiffness experienced over the bony prominence over the side of your hip joint. It may also be perceived as a deep ache or a burning sensation at the top of your thigh in the vicinity of the hip joint, which may radiate down the outer aspect of the thigh. Pain is aggravated by pressure over this bony prominence.
About your GTPS treatment
Many people are treated successfully by physiotherapy and lifestyle changes – which includes posture training, activity modification, weight management, stopping smoking, stretches, and exercise programmes. One must be patient and positive with physiotherapy, as it takes a considerable amount of time to experience the benefits.
I can offer you targeted injections of corticosteroid and local anaesthetic into the affected area. This works very well in conjunction with on-going physiotherapy. In most cases injection therapy will accelerate your time taken to recover from this painful debilitating condition. This is done as a X ray guided day-case procedure. Steroid and local anaesthetic will be infiltrated into the affected area. You can walk straight after your injection and go home the same day.
Highly Experienced
I am an experienced Consultant Orthopaedic Surgeon with 23 years of experience working as an NHS doctor and as a consultant since 2018.
Qualified Surgeon
I attained my higher surgical training in Trauma and Orthopaedic Surgery and have also done two prestigious fellowships in lower limb arthroplasty.
Hi-Tech Equipment
All my operations are carried out at first class facilities with hi-tech equipment so you can rest assured you are receiving the highest quality treatment.
Ongoing Patient Care
All my patients receive the best care possible, including consultations with myself before and after the operation and care from our healthcare team on the day.
I am 7 weeks and 6 days post op, for a complicated left hip replacement. Essentially I had no socket for my left hip. Mr Magra virtually reconstructed my whole upper leg. The chronic pain beforehand meant I was unable to walk much more than 100m without intense pain. Post op I have completed in excess of 2 miles with 2 crutches and 1 mile with a single crutch and I am now starting tingling confidence to lose the crutches altogether. I honestly cannot tell you how much of a difference Mr Magra and his team have made to my life.
I consider myself very fortunate to have been under the care of Mr Magra for two knee replacement operations. Recovery from my recent left knee replacement operation on 29th November 2022 has been amazing. Within a couple of weeks I was comfortably managing to walk unaided. Seven weeks later and I can walk for some distance without any pain. The level of care and expertise I experienced was exceptional. Mr Magra and following support from staff ensured I gained a positive and speedy recovery.
I can’t speak highly enough of Mr Magra’s skill. I’m in mid-recovery (7 weeks) after total hip replacement following severe osteoarthritis, and despite my age (82!) I’m absolutely delighted. Mr Magra is a charming and empathetic surgeon, who treats his patients with the utmost care and professionalism. I’m particularly impressed with his use of very accurate X-rays to pre-plan his operations, which has certainly paid off in my case. After nearly two years of pain, eventually almost unable to climb or descend stairs, I’m rediscovering the delights of walking freely, easily and with pleasure. Heartfelt thanks!
I have been in the care of Mr Magra now for a year and he has been amazing. I’ve had 2 hip replacements – one in April and the other in November – the first was great the second more complicated but throughout Mr Magra has been very informative and caring. He’s never in a rush and answers all your questions to put you at ease. I am looking forward to returning to my active life now I am pain-free and mobile due to his skill. I only accept the best which is why I chose Mr Magra as he is excellent and would highly recommend him.