Effectiveness of physical rehabilitation for female patients with greater trochanteric pain syndrome

Abstract

Greater trochanteric pain syndrome (GTPS) is a leading cause of chronic hip disorders, particularly affecting middle-aged and elderly women. The challenge in diagnosing GTPS and the lack of consensus on optimal physical rehabilitation strategies highlight the urgency of addressing this condition. Purpose. To review and analyze the latest scientific evidence on effective diagnostic methods and physical rehabilitation techniques for women with GTPS. Materials and methods. A comprehensive review of publications from 2020 to 2025 was performed, encompassing systematic reviews, network meta-analyses, original research, and qualitative studies focused on diagnosis, functional status evaluation, and physical rehabilitation approaches for GTPS. Current clinical tests and functional scales allow an objective evaluation of GTPS severity; however, a standardized, unified assessment system is lacking. Results. Physical exercise programs that emphasize strengthening and stabilization of the hip abductor muscles, combined with eccentric and mixed training and supported by patient education, yield the most favorable medium- and long-term results. Additionally, shockwave therapy may offer short-term benefits, but its effectiveness appears limited to a small subset of patients. Effective management of GTPS depends on a comprehensive, multidisciplinary approach that includes standardized diagnostics, tailored physical exercises, and attention to patients' psychological characteristics. Current evidence highlights the benefits of personalized physical rehabilitation. Conclusions. The most effective treatment strategies for GTPS involve individualized, multilevel programs combining physical exercises and behavioral interventions, with instrumental methods applied as needed. Future research will focus on establishing criteria to evaluate recovery effectiveness and on further personalizing rehabilitation strategies.