Non Insertional Achilles Tendinopathy
Definition
Inflammation and degeneration of the achilles tendon in the midsubstance 2 - 6 cm from insertion
exercises
Greater trochanter pain syndrome
Greater trochanteric pain syndrome
Definition
Chronic lateral trochanteric pain
- abductor tendon tendonitis
- trochanteric bursitis
Epidemiology
Women 40 - 60 years old
Mechanism
? repetitive friction of iliotibial tract over GT
Symptoms
Pain over upper lateral thigh with activity
- often related to hip flexion
Management
Observation
Curves < 20o observation only at 3-6 month intervals depending on growth rate
Non Operative Management / Bracing
Never brace curves if patient Risser 4 or 5
Indications
1. Risser 0-2 (growth potential)
2. Curve >30o adolescent
3. Curve >25o with progression (5o in six months)