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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Trochanteric Pain Syndrome

I am trying to find out about chronic trochanteric pain syndrome. I have suffered since 2001 steroid injections helped but do nothing now. My consultant was considering a trochanteric release but my pain is really chronic and affects my mobility I cant walk far, lifting things is a problem, bending down, if I got on the floor i would not be able to get back up. My consultant says that this would accelerate my pain and there is no easy solution . I am very down as i am only 47 and alot of my independence has been taken away, i cant sleep at nights and dont know what to do. I feel to live with it I need to know more and get support. I really do struggle. Hope you can help thankyou
posted on Thu, 29 May 2014
Twitter Tue, 24 Sep 2019 Answered on
Twitter Sat, 28 Sep 2019 Last reviewed on
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Addiction Medicine Specialist,  's  Response
Hi,

I can only give general outlines of information without being there. Fortunately, that's pretty good in this case since it is like any other pain situation.

First, defining what the problem is. On the one hand, it's done, you know what part is causing the pain, BUT why it is causing the pain is an issue. Mostly, this occurs with MINIMAL JOINT PROBLEMS and it is from the hip cartilage wearing through AND the same way the brakes in the car make the most noise when ONE spot has worn thru, so, the hip pain is the most when there is the FIRST spot wearing through.

The pain decreases paradoxically when the hip become shot; and becomes a good case for hip replacement. So, MRI to see what's gone wrong.

If something is stuck on one edge, removing it works. otherwise surgery doesn't work well. Anti-inflammatories, physical therapy to learn ways to avoid hitting the sore place are some options.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Matt Wachsman, Addiction Medicine Specialist
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Suggest Treatment For Chronic Trochanteric Pain Syndrome

Hi, I can only give general outlines of information without being there. Fortunately, that s pretty good in this case since it is like any other pain situation. First, defining what the problem is. On the one hand, it s done, you know what part is causing the pain, BUT why it is causing the pain is an issue. Mostly, this occurs with MINIMAL JOINT PROBLEMS and it is from the hip cartilage wearing through AND the same way the brakes in the car make the most noise when ONE spot has worn thru, so, the hip pain is the most when there is the FIRST spot wearing through. The pain decreases paradoxically when the hip become shot; and becomes a good case for hip replacement. So, MRI to see what s gone wrong. If something is stuck on one edge, removing it works. otherwise surgery doesn t work well. Anti-inflammatories, physical therapy to learn ways to avoid hitting the sore place are some options. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist