VISA-G

An index of the severity of greater trochanteric pain syndrome

Instructions:

Answer each question about your hip pain during your typical activities. Consider any limitations you face and select the response that best describes your experience.

Main Assessment (Questions 1-6)

1. My usual hip pain is...

Worst pain

No pain

2. I can lie on my sore hip

I am unable to lie on my sore side at all

For 5-15 minutes, then I have to move

For 15-30 minutes, then I have to move

For 30 minutes to 1 hour, then I have to move

For longer than 1 hour

3. Walking up or down one flight of stairs

I cannot use stairs at all because of hip pain

I use stairs one step at a time and holding onto a banister because of hip pain

I can use stairs normally holding onto a banister because of hip pain

I can use stairs normally with some hip pain

I can use stairs normally with no hip pain

4. Walking up or down a ramp or slope

I cannot walk up or down a slope or ramp because of hip pain

I have significant difficulty negotiating slopes or ramps because of hip pain

I have some difficulty walking up and down a slope or ramp because of hip pain

I can walk normally up and down a slope or ramp with slight hip pain

I can walk normally up and down a slope or ramp with no hip pain

5. After sitting for 30 minutes, moving to standing and then walking is...

I have to stand still for more than 20 seconds before I walk

I have to stand still for less than 20 seconds before I walk

I have to stand still for a moment or two before I walk

Difficult for a few steps

Not a problem

6. Work about the house or garden (or similar activity)

Because of hip pain, I do not do any work in my house or garden

Because of hip pain, I do limited work in my house but I do not garden

Because of hip pain, I do very limited work in my house and garden

Because of hip pain, I can work in my house and/or garden in 30 to 60 min bursts

I can work in my house and/or garden for an hour or more

Activity Level (Questions 7-8)

7. Are you currently taking part in regular exercise, physical activity or sport?

No – I am unable to exercise, I don't want to or I don't have time

Significantly less than I used to

Somewhat less than I used to

Yes – I can exercise as I used to

8. Do you have pain undertaking weight bearing activities?

8. Please complete EITHER A, B or C in this question. If you have no pain while undertaking weight bearing activities please complete Q8a only. If you have pain while undertaking weight bearing activities but it does not stop you from completing the activity, please complete Q8b only. If you have pain that stops you from completing weight bearing activities, please complete Q8c only.

I do not undertake any extra activity on my legs - I only move about the house.

I do less than 10 minutes.

I do 10 – 19 minutes.

I do 20 – 29 minutes.

I do more than 30 minutes.

I do not undertake any extra activity on my legs - I only move about the house.

I do less than 10 minutes.

I do 10 – 19 minutes.

I do 20 – 29 minutes.

I do more than 30 minutes.

I do not undertake any extra activity on my legs - I only move about the house.

I do less than 10 minutes.

I do 10 – 19 minutes.

I do 20 – 29 minutes.

I do more than 30 minutes.

Patient Watch Form - 4/2/2026