Greater Trochanteric Prominence: Rehabilitation and Treatment Options

Greater trochanteric prominence

Hello Doctor, I recently noticed that the bones on both sides of the front of my pelvis, specifically around the upper thigh area, are particularly prominent.
After researching online, it seems that this could be due to femoral external rotation or greater trochanter prominence.
I used to have poor sitting posture and often crossed my legs, but I have been gradually trying to correct this bad habit and have also been doing some leg strength training.
However, I still feel that I should see a doctor.
If I do see a doctor, will they recommend physical therapy? Is physical therapy effective? Also, will it be very expensive? Additionally, I often come across various corrective exercises online; are those effective? Or does the doctor have any recommended exercises that could improve my condition? Thank you.

Tiffany, 10~19 year old female. Ask Date: 2019/01/30

Dr. Wang Zhaomin reply Rehabilitation

Crossing your legs is indeed detrimental to health, and such postures should be avoided.
It is advisable to seek a medical consultation to assess whether further rehabilitation is necessary.
General rehabilitation treatments are covered by health insurance, but there are still many out-of-pocket treatment options available that can be quite costly.
Strengthening training can aid in posture correction, and enhancing core muscle strength can increase stability.
However, since each individual's condition varies, it is essential to be guided by a professional to achieve effective results and avoid injuries.

Reply Date: 2019/01/30

More Info

Understanding Greater Trochanteric Prominence (GTP) is essential for addressing the discomfort and functional limitations that may arise from this condition. GTP often results from various factors, including anatomical variations, muscle imbalances, and postural habits, such as sitting with crossed legs, which can lead to increased prominence of the greater trochanter of the femur. This prominence can sometimes be associated with conditions like greater trochanteric pain syndrome, which can cause pain and discomfort in the hip and lateral thigh region.

When you notice that the bones at the front of your pelvis, particularly the greater trochanters, are more prominent, it is wise to consult a healthcare professional. A physician, particularly an orthopedic specialist or a physical therapist, will assess your condition through a physical examination and possibly imaging studies to rule out any underlying issues such as bursitis or tendinopathy.

Regarding rehabilitation, it is indeed a common recommendation for individuals experiencing discomfort related to GTP. Rehabilitation can be highly effective in addressing muscle imbalances, improving flexibility, and enhancing overall hip function. A tailored rehabilitation program may include:
1. Strengthening Exercises: Focus on strengthening the hip abductors, glutes, and core muscles. Exercises like side leg raises, clamshells, and bridges can help stabilize the hip joint and reduce the prominence of the greater trochanter.

2. Stretching: Incorporating stretches for the hip flexors, quadriceps, and hamstrings can improve flexibility and reduce tension around the hip joint.

3. Postural Training: Since you mentioned a history of poor sitting posture, working on postural alignment during daily activities is crucial. A physical therapist can provide guidance on maintaining proper posture while sitting, standing, and moving.

4. Activity Modification: Learning to modify activities that exacerbate your symptoms, such as avoiding prolonged sitting in a crossed-leg position, can be beneficial.

5. Manual Therapy: Techniques such as massage or myofascial release may help alleviate tightness in the surrounding muscles and improve mobility.

As for the costs associated with rehabilitation, it can vary widely depending on your location, the specific services required, and whether you have health insurance that covers physical therapy. Many insurance plans do cover rehabilitation services, so it is advisable to check with your provider regarding your coverage.

You also mentioned finding corrective exercises online. While some of these exercises can be beneficial, it is crucial to ensure they are appropriate for your specific condition. Not all exercises are suitable for everyone, and some may even exacerbate your symptoms if performed incorrectly. Therefore, it is best to consult with a healthcare professional who can provide personalized recommendations based on your assessment.

In summary, seeking medical advice for your concerns about greater trochanteric prominence is a prudent step. Rehabilitation can be an effective treatment option, focusing on strengthening, stretching, and correcting postural habits. While online resources can provide helpful information, working with a qualified professional will ensure that you engage in safe and effective exercises tailored to your needs.

Similar Q&A

Understanding Greater Trochanteric Bursitis: Causes and Solutions

Hello Doctor: I have a large protrusion on the outer side of my thigh (near the buttocks). After researching online, I found out that it is likely a greater trochanteric prominence, possibly due to poor sitting posture during childhood. I heard that it's best not to sit afte...

Dr. Chen Yongxue reply Orthopedics
Hello, the prominence of the greater trochanter is a phenomenon that occurs in every normal individual, so there is no need to worry. What is important to note is the pathological prominence, which may cause prolonged friction on the tendons, leading to the occurrence of fasciiti...

Understanding Hip Joint Pain: Causes, Treatments, and Rehabilitation Insights

Hello Director Chen! I have severe hip pain and often try self-massage, heat therapy, and topical ointments, but nothing seems to alleviate the pain. Could it be due to hip dislocation? Is there a possibility of leg length discrepancy? Can rehabilitation therapy help explain this...

Dr. Chen Xianchang reply Rehabilitation
1. The most common conditions are inflammation of the piriformis muscle or gluteus minimus, followed by hip joint inflammation or avascular necrosis (the most severe). 2. It is recommended to visit an orthopedic or rehabilitation specialist for an X-ray to rule out avascular necr...

Effective Rehabilitation Exercises for O-Type Legs: A Guide

Hello Dr. Wang, thank you for taking the time to review my situation: When I forcefully bring my feet together, only my ankles can touch, while there is a noticeable gap from my thighs through my knees to my calves. Although I have a smaller physique (160 cm / 46 kg), there is st...

Dr. Wang Zhaomin reply Rehabilitation
Exercise therapy can indeed improve bow legs (genu varum). The exercises mentioned in your letter each have their own benefits, but individual conditions vary, making it impossible to generalize. Moreover, effective assessment cannot be made through online consultations and respo...

Managing High Arches and Calf Pain: Effective Treatment Options Explored

At the age of 25, I had an ankle sprain, and prior to that, I had no discomfort from my high arches. I was able to engage in various intense sports such as basketball, badminton, and rock climbing without any issues. However, after a right ankle sprain, I developed compensatory p...

Dr. Wang Zhaomin reply Rehabilitation
The management of high arches primarily involves the use of orthotic insoles, along with physical therapy that focuses on stretching exercises and strength training. Other options such as analgesics and injection therapies can help alleviate discomfort. If symptoms persist or wor...