We have developed an exercise protocol that we plan to evaluate in a future randomized controlled trial in combination with a corticosteroid injection. In accordance with the MRC Framework of Complex Interventions, which reccomends stepwise development of interventions and testing of feasibility before applying them to a trial, we aim to evaluate the feasibility of our intervention before initiating further trials.
The purpose of this non-randomized feasibility study is to test the feasibility and acceptability of this exercise protocol with addition of a corticosteroid injection with no aim of evaluating effects.
All participants in this study will receive the following interventions:
* An ultrasound-guided corticosteroid injection superficial to the insertion of the gluteus medius and minimus tendons on the greater trochanter of the hip. * A home exercise program including 3 exercises, scalable to 3 different difficulty levels. * A patient information leaflet containing relevant information on managing lateral hip pain.
35 years of age
Self-reported pain on the outside of the hip for at least 12 weeks with an average intensity of present pain over the last week of at least 4/10 on a numeric rating scale 0-10 (0 being no hip pain and 10 being worst hip pain imaginable)
Access to a computer, smartphone or tablet with internet connection
Tenderness on palpation of the greater trochanter
Corticosteroid injection in the affected hip or other new treatment by a health professional within the last 3 months
History of systemic inflammatory diseases, e.g. rheumatoid arthritis, spondyloarthritis
Weekly intake of oral glucocorticoids
History of other hip conditions, e.g. clinically significant hip osteoarthritis, hip dysplasia, prior hip surgery