Gluteal Tendinopathy (GT) is a condition where the tendons of the Gluteus Medius and Minimus muscles becomes irritated where they attach to the bony bump on the outside of the hip (greater trochanter). This causes pain over the outer hip, which may refer down the outside of the leg. Find out more about this condition and how we treat it at Harris & Ross here-

What is tendinopathy?

Tendons function to resist force, and transfer forces from muscle to bone. However, they do not cope well if subjected to compression, or if they are overstressed repeatedly.  If this occurs they can swell and become sensitive. The tendon structure can start to break down. Its structure can alter to the point where it is unable to cope with the loads being placed upon it. This is referred to as tendinopathy.

 

Causes of Gluteal tendinopathy

Common causes include:

  • Overuse
  • Compression
  • Combination of overuse and compression

 

Risk factors

Movements involving increased adduction of the hip (bringing the leg across the body) cause increased stress and compressive force over the tendons, which can lead to Gluteal tendinopathy. This stress and compression can be a result of a number of things, including:

  • Weakness of gluteal muscles
  • Biomechanics
  • Foot mechanics
  • Poor hip and pelvic control
  • Gender – it is more frequent in women than men
  • Can be associated with leg length discrepancy or scoliosis
  • Being overweight is a further risk factor

 

Signs and Symptoms

Common symptoms of Gluteal tendinopathy include:

  • Pain over the outer part of the hip
  • Pain down the outer thigh to the knee
  • Difficulty sleeping
  • Pain sitting cross legged
  • Pain climbing hills or stairs
  • Pain with single leg balance
  • Pain running

 

Treatment

Treatment for gluteal tendinopathy is primarily conservative physiotherapy. In the initial stages it is important to reduce pain. As soon as symptoms allow a large focus of rehab is strengthening the muscles and tendons in order to increase their capacity to tolerate load. Physiotherapy may include:

 

  • Stopping or modifying aggravating activities
  • Advice regards sleeping
  • Graded Strengthening of gluteal muscles
  • Core stability strengthening
  • Re-training good movement patterns
  • Functional rehab
  • Soft tissue therapy to tight muscles and fascia
  • Single leg balance exercises
  • Podiatry
  • Orthotics
  • Graded return to sport

 

In some cases if the pain is not settling with physiotherapy or it is too acute to rehab, then referral for an injection can be useful. In this case injection is used to reduce symptoms enough to provide a window of opportunity to engage with rehabilitation.

To make an appointment for an initial physio assessment at our Wilmslow, Manchester, Altrincham or Wigan clinics, and discuss a treatment plan for your gluteal tendinopathy call Harris & Ross on 0161 832 9000 or click the book now icon below.