Gluteal Tendinopathy

Pathophysiology

Gluteus Medius is a muscle of the buttock which attaches to a bony prominence on the outside of the hip. There are also two bursa (fluid filled sacs) which lie in this area with the role of preventing friction, able to expand and swell to do so. Irritation of the Gluteus Medius tendon (attaching muscle to bone) can lead to tendinopathy and cause you the following symptoms to the outside of your hip.

Symptoms

  • Pain on the outside of the hip which may radiate towards the knee
  • Pain when lying on either side in bed
  • Pain with crossing legs, getting out of a car or climbing stairs
  • Pain with pressure onto the outside of the hip

Management

  • Activity modification and offloading e.g avoiding sitting cross legged and using a pillow between knees to sleep at night
  • Ice or heat
  • Pain relief
  • Physiotherapy including range of movement exercises and a graded strengthening programme
  • Orthopaedic options- If pain and function is limited in severe cases steroid injection may benefit

Investigations

  • Not generally indicated

Helpful Documents

Exercises to try:

Glute

Side Lying Abduction

Lying on your side with the symptomatic hip on top

Bend the underneath knee to keep you stable

Keep the top leg straight and slightly behind the underneath leg 

Slowly lift the leg up towards the ceiling and return to starting position


Hip exercises

Bridging

Lie on your back with your knees bent and your feet flat on the bed

Keeping hands by your side, squeeze your bottom cheeks together before lifting your bottom up as high as you can

Hold for 10 seconds before gently lowering your bottom and relaxing and repeat as able

close
Select font size
Site colour