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What Is Gluteal Tendinopathy?
Written by Medicover Team and Medically Reviewed by Dr Sai kishan Sirasala , Orthopedics
Gluteal tendinopathy is a common musculoskeletal condition causing persistent lateral hip pain. It involves degeneration of the gluteus medius and minimus tendons around the greater trochanter of the femur.
Early detection and appropriate treatment are crucial for restoring lost motion, alleviating pain, and preventing lasting disability.
What are the Gluteal Tendinopathy Symptoms and Warning Signs?
Gluteal tendinopathy symptoms often start subtly but can progress to affect mobility and daily activities if left untreated. Recognising signs early helps in managing the condition effectively.
Common Symptoms
- Lateral hip pain, especially when lying on the affected side
- Pain during activities involving hip abduction (e.g., climbing stairs)
- Discomfort after prolonged sitting or standing
- Tenderness over the greater trochanter
Severe Symptoms
- Persistent pain interfering with sleep
- Sharp pain during resisted hip movements
- Limited range of hip motion
- Noticeable limp or altered gait pattern
What are the Different Stages of Gluteal Tendinopathy?
The severity of the tendon damage can define the different stages of gluteal tendinopathy. Knowledge of these would facilitate the management planning.
- Reactive Tendinopathy:
- Early-stage tendon overload response leading to tendon thickening, which is often reversible with rest and activity modification.
- Tendon Dysrepair:
- Represents ongoing failed healing due to overuse, characterised by tendon matrix disorganisation and cellular changes.
- Degenerative Tendinopathy:
- Chronic, often irreversible stage with cell death and structural breakdown; associated with significant pain and dysfunction.
What are the Common Causes and Risk Factors of Gluteal Tendinopathy?
This condition is the result of both lifestyle and anatomical causes. Being aware of these factors helps reduce risk.
Causes
- Overuse from repetitive hip movements
- Sudden increase in exercise intensity or volume
- Improper training techniques
Risk Factors
- Age-related tendon degeneration
- Female gender (due to pelvic structure and hormonal differences)
- Biomechanical issues (e.g., leg length discrepancy, abnormal gait)
- Poor footwear or exercise equipment
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Get Second OpinionHow is Gluteal Tendinopathy Diagnosed?
Early and accurate diagnosis is key to effective treatment. It typically involves both clinical and imaging assessments.
Diagnostic Methods
- Clinical Examination: Focuses on hip strength, mobility, and tenderness at the greater trochanter.
- Ultrasound: Detects tendon thickening and structural abnormalities.
- MRI Scan: Offers detailed visualisation of tendon integrity and helps exclude other hip pathologies.
At Medicover, we use advanced imaging tools and have expert orthopedic specialists to ensure precise diagnosis and tailored treatment plans.
What are the Treatment Options for Gluteal Tendinopathy?
Management involves stepwise intervention starting with conservative therapy and advancing if symptoms persist.
Conservative Treatments:
- Activity Modification: Avoid movements that trigger symptoms.
- Physical Therapy: Customised exercise plans to restore hip stability and strength.
- Pain Relief: NSAIDs may provide short-term relief, but should be used cautiously.
Advanced Therapies
- Corticosteroid Injections: Short-term relief but not a long-term solution.
- Platelet-Rich Plasma (PRP) Therapy: Stimulates tendon healing naturally.
- Extracorporeal Shockwave Therapy (ESWT): Promotes tissue repair using sound waves.
When to See a Doctor?
If symptoms of gluteal tendinopathy persist beyond a few weeks or worsen despite rest, medical evaluation is necessary.
- Seek help if:
- Pain interferes with daily activities
- Symptoms last longer than 14 days
- You are over 40, female, or physically active and experience hip pain
Prompt diagnosis helps prevent progression to chronic tendon degeneration.
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What is the Recovery Process After Gluteal Tendinopathy Treatment?
The recovery is in stages and can take time, varying on the severity and the mode of treatment.
Post-Treatment Care:
- Rehabilitation Exercises: Physiotherapy should be continued to prevent the development of hip disability.
- Follow-Up Visits: You will have regular appointments where the healing process is regularly assessed.
- Lifestyle Changes: Maintain ideal weight and adjust exercise routines.
Long-Term Outlook
With early intervention and adherence to treatment, most patients regain normal function. Chronic cases may require longer rehabilitation, but can still achieve significant improvement.
What Precautions Can Help Prevent Gluteal Tendinopathy?
Adopting proactive measures can lower the risk of developing or recurring gluteal tendinopathy.
Prevention:
- Use proper footwear for exercise
- Gradually increase workout intensity
- Include strength and flexibility exercises
- Address biomechanical issues early (e.g., custom orthotics)
Complications if Untreated:
- Chronic pain and limited mobility
- Tendon rupture or tears
- Reduced quality of life due to activity limitations
Our Experience Treating Gluteal Tendinopathy
At Medicover, we understand the daily challenges of living with hip pain. Our expert teams provide holistic care from precision diagnosis to advanced therapies and personalised rehabilitation plans to help you return to a pain-free, active lifestyle.
