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Greater Trochanteric Pain Syndrome (GTPS) after Lumbar Spinal Injections:ACase Series

Binod Shah, Stephanie Rand*, Sikha Guha and Stanley Wainapel

Subjects: Five patients with low back pain and radicular symptoms.

Case description: Five patients presented with low back pain radiating to the lower extremity, which correlated with pathology identified on MRI. After undergoing the appropriate spinal injection, each patient complained of severe back pain, difficulty in ambulation and lateral hip pain with maximum tenderness at the ipsilateral greater trochanteric area. All experienced complete pain relief with injection of the greater trochanteric bursa.

Discussion: After undergoing a Spinal interventional procedure, patients may complain of acute onset of severe pain in the back, hip, and leg. Prior to proceeding with costly investigations, it is important to rule out GTPS. 20% of patients referred to spine specialists with back pain/sciatica have been found to have GTPS.

Conclusion: This report highlights the importance of ruling out other possible causes of low back pain/sciatica before and after interventional spinal injection therapy