Koszela Kamil, Woldańska-Okońska Marta, Słupiński Michał, Gasik Robert
Department of Neuroorthopedics and Neurology Clinic and Polyclinic, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.
Department of Internal Medicine, Rehabilitation and Physical Medicine, Medical University of Lodz, Poland.
Reumatologia. 2025 Apr 1;63(2):131-137. doi: 10.5114/reum/196810. eCollection 2025.
Greater trochanter pain syndrome (GTPS) occurs in a large group of patients. This problem can affect patients of any age and is associated with a sedentary, overloading, and non-ergonomic lifestyle/work with a concomitant lack of regular physical activity. The literature to date describes the effectiveness of various therapies. Glucocorticosteroid injections and physical therapy are used. One of the new methods is injection collagen therapy using collagen type I (COL-I), a protein of porcine origin, which aims, among other things, to regenerate inflammation-changed tendon. Various repair mechanisms are activated, including the induction and proliferation of fibroblasts, as well as their migration to the pathological site. This is followed by stimulation and synthesis of COL-I, secretion, and maturation. Ultimately, a regenerative effect is achieved. This article aims to discuss the role of COL-I in the injectable treatment of GTPS as a new therapeutic approach.
大转子疼痛综合征(GTPS)在大量患者中出现。这个问题可影响任何年龄的患者,并且与久坐、负荷过重和不符合人体工程学的生活方式/工作以及缺乏规律体育活动有关。迄今为止的文献描述了各种疗法的有效性。使用了糖皮质激素注射和物理治疗。新方法之一是使用I型胶原蛋白(COL-I)进行注射胶原蛋白治疗,COL-I是一种猪源蛋白,其目的之一是使炎症改变的肌腱再生。激活了各种修复机制,包括成纤维细胞的诱导和增殖以及它们向病理部位的迁移。随后是COL-I的刺激和合成、分泌以及成熟。最终实现再生效果。本文旨在讨论COL-I作为一种新的治疗方法在GTPS注射治疗中的作用。