Gluteal tendinopathy is a common condition that causes pain on the outside of the hip and often the upper thigh. Like Peter said in the previous blog, often pain arises due to a reduction in tolerance of the tendon to perform certain activities. This often includes going up or down stairs, walking, sitting with crossed legs, lying on your side or even standing on one leg. Why then does the gluteal tendon become less tolerant to certain loading, well there are a few risk factors.
Risk factors for developing gluteal tendinopathy
- Female (especially post-menopausal)
- Middle aged
- Increased body weight (obesity)
- Back pain
- Certain biomechanics and strength deficiencies
Often we find that gluteal tendinopathy evolves in certain at risk people who are then overdoing things when it comes to activity, such as excessive walking, or, in those people who have suddenly changed/increased activity levels. Once pain evolves, it can be difficult to manage and can have significant activity limitations.
Tips to manage a Gluteal tendinopathy
- Modify activity, but stay active within pain limits
- Reduce aggravating activities, eg. stairs
- Postural changes: avoid crossing legs, sleeping with a pillow between legs
- Structure up a strengthening program to improve the tolerance of the tendon and allow activities to be performed pain free
Here at the clinic, we are involved in a study investigating the effects of hormone therapy, exercise or a combination of both in post-menopausal women who have gluteal tendinopathy. If you feel you may be eligible, or would like further information regarding the condition, please contact [email protected]/csc