Does low back pain or leg pain in gluteus medius syndrome contribute tolumbar degenerative disease and hip osteoarthritis and vice versa? A literaturereview

摘要

[Purpose] Gluteus medius syndrome is one of the major causes of back pain or leg painand is similar to greater trochanteric pain syndrome, which also presents with back painor leg pain. Greater trochanteric pain syndrome is associated with lumbar degenerativedisease and hip osteoarthritis. The objective of this review was to demonstrate gluteusmedius syndrome as a disease entity by reviewing relevant articles to elucidate thecondition. [Methods] Gluteus medius syndrome was defined as myofascial pain syndromearising from the gluteus medius. We performed a search of the literature using thefollowing keywords: “back pain”, “leg pain”, “greater trochanteric pain syndrome”,“degenerative lumbar disease”, “hip osteoarthritis”, and “gluteus medius”. We reviewedarticles related to gluteus medius syndrome and described the findings in terms ofdiagnosis and treatment based on the underlying pathology. [Results] A total of 135articles were included in this review. Gluteus medius syndrome is similar as a diseaseentity to greater trochanteric pain syndrome, which presents with symptoms of low backpain and leg pain. Gluteus medius syndrome is also related to lumbar degenerative disease,hip osteoarthritis, knee osteoarthritis, and failed back surgery syndrome. [Conclusion]Accurate diagnosis of gluteus medius syndrome and appropriate treatment could possiblyimprove lumbar degenerative disease and osteoarthritis of the hip and knee, as well aship-spine syndrome and failed back surgery syndrome.