Brazilian Journal of Pain
Brazilian Journal of Pain
Review Article

Evaluation and physiotherapeutic management of the greater major trochanteric pain syndrome: integrative review

Avaliação e manejo fisioterapêutico na síndrome da dor trocantérica maior: revisão integrativa

Kamilla Maria Sousa de Castro; Erislane Natália de Oliveira Silva

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BACKGROUND AND OBJECTIVES: The greater trochanteric pain syndrome is a painful condition that involves changes in the gluteus medius and gluteus minimus, which can interfere with the performance of functional tasks. The study aimed to analyze the conservative treatment strategies for pain management, the instruments, and provocative tests used in the evaluation of this syndrome.

CONTENTS: A systematic search for articles published in indexed journals in the Medline, Scielo, PEDro, Cochrane Library, VHL Regional Portal, ScienceDirect database was conducted, using AND and OR Boolean operators for the primary “Gluteal tendinopathy” crossing with the secondary descriptors “AND conservative treatment; AND rehabilitation; AND physiotherapy; AND management; AND physiotherapy treatment; OR greater trochanteric pain; OR trochanteric syndrome”, in English and Portuguese, from 2014 to 2019. The primary outcome aimed to identify the conservative treatment and/or combined for pain management, and the secondary outcome aimed to outline the instruments and tests to assess the greater trochanteric pain syndrome.

CONCLUSION: Given the lack of studies and the difficulty of consensus among authors, it was not possible to reach conclusions about the efficacy of the protocols.


Conservative treatment, Femur, Pain, Physical therapy, Rehabilitation


JUSTIFICATIVA E OBJETIVOS: A síndrome da dor trocantérica maior é um quadro doloroso com alterações nos glúteos médio e mínimo, podendo interferir no desempenho de tarefas funcionais. O objetivo foi analisar as estratégias do tratamento conservador para o manejo da dor, e os instrumentos e testes provocativos para a avaliação dessa síndrome.

CONTEÚDO: Foi realizada busca sistemática por artigos publicados em revistas indexadas nas bases de dados Medline, Scielo, PEDro, Cochrane Library, Portal Regional da BVS, ScienceDirect, utilizando operadores booleanos AND e OR, para o descritor primário “Gluteal tendinopathy” cruzando com os descritores secundários “AND conservative treatment; AND rehabilitation; AND physiotherapy; AND management; AND physiotherapy treatment; OR greater trochanteric pain; OR trochanteric syndrome”, em inglês e português, de 2014 a 2019. O desfecho primário visou identificar o tratamento conservador e/ou combinados no manejo da dor, e o desfecho secundário visou delinear os instrumentos e testes para a avaliação da síndrome da dor trocantérica maior.

CONCLUSÃO: A escassez de estudos e a dificuldade de consenso entre autores, inviabilizou conclusões acerca da eficácia dos protocolos.


Dor, Fêmur, Fisioterapia, Reabilitação, Tratamento conservador


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