How do you treat gluteus medius tendonitis?

Answered by Ricardo McCardle

To treat gluteal tendinopathy, there are several approaches that can be effective. It’s important to note that treatment may vary depending on the severity of the condition and individual circumstances. Here are some strategies that can help alleviate symptoms and promote healing:

1. Rest and activity modification: Giving the affected area time to heal is crucial. Avoid activities that exacerbate pain, such as prolonged sitting, running, or jumping. It may be necessary to modify your daily activities and avoid movements that put excessive strain on the gluteal tendons.

2. Physical therapy: Working with a physical therapist who specializes in treating hip and gluteal conditions can be highly beneficial. They can guide you through exercises and stretches that target the gluteal muscles and tendons, improving their strength, flexibility, and overall function. They may also use techniques like manual therapy or ultrasound to help alleviate pain and promote healing.

3. Pain management: Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. However, it’s important to consult with a healthcare professional before taking any medication. They can provide guidance on appropriate dosage and potential side effects.

4. Heat and ice therapy: Applying heat to the painful area, such as using a heating pad or warm towel, can help relax the muscles and promote blood flow. Ice packs or cold compresses, on the other hand, can help reduce inflammation and alleviate pain. It’s generally recommended to alternate between heat and ice therapy, but individual preferences may vary.

5. Assistive devices: Using assistive devices like crutches or a cane can help offload weight from the affected side, reducing strain on the gluteal tendons. This can be particularly useful during periods of acute pain or when engaging in activities that worsen symptoms.

6. Lifestyle modifications: Making certain changes in your daily routine can also contribute to the management of gluteal tendinopathy. For example, avoiding low chairs or seats that require excessive hip flexion can help reduce strain on the tendons. Minimizing stair climbing, not crossing your legs, and sleeping with a pillow between your knees can also help alleviate symptoms.

7. Activity and movement modifications: While complete rest is important initially, gradually introducing low-impact activities can help maintain joint mobility and prevent muscle atrophy. Walking on flatter surfaces, when possible, can be preferable to walking on uneven terrain or uphill, as it puts less strain on the gluteal tendons.

It’s important to consult with a healthcare professional or specialist in musculoskeletal conditions for an accurate diagnosis and personalized treatment plan. They can assess your specific situation and provide guidance tailored to your needs. Remember, everyone’s experience with gluteal tendinopathy may be different, so finding the right combination of treatments may involve some trial and error.