Gluteal Tendinopathy

Gluteal tendinopathy is more commonly called as chronic lateral hip pain. It occurs due to degeneration of the tendons of gluteus medius, a deep muscle of the hip, present on the lateral side of the hip. These muscles are important in stabilizing the hip joint and help in bearing weight. Gluteal tendinopathy is more common in middle aged women.

Ptients who had gluteal tendinopathy experience the symptoms such as:

• Pain on the outer side of the hip
  
  
• Pain increases on climbing stairs or walking on an inclined surface
  
  
• Difficulty sleeping on the affected side

Diagnosis does not require any tests. MRI, X-ray or ultrasound may be asked to rule out other cause of hip pain such as osteoarthritis, avascular necrosis and others.

Treatment involves:

• Taking rest and giving some time to the affected muscle to heal by avoiding climbing stairs or long walks
  
  
• Applying ice pack to the affected part
  
  
• Pain medications and anti-inflammatory medicines
  
  
• Physical strengthening exercises for the affected muscle in presence of a trained physiotherapist
  
  
• Steroid injection in the affected area guided by ultrasound or fluoroscopy for acute symptoms
  
  
• Surgery is rarely required and is done only in case of severe tear of the gluteus medius. The torn tendon is reattached to the greater trochanter bone by endoscopic technique.

Recovery takes usually 2 to 3 months but may take more time in certain cases.