March 2020

This blog will be discussing treatment for gluteal tendinopathy, trochanteric bursitis or Greater Trochanteric Pain Syndrome (GTPS).

If you are not sure what these conditions are and what the difference is between these diagnoses, click here to read our blog on this topic. You might also like to click here to read our blog that discusses the usual symptoms and how they are diagnosed.

Best Treatment for Gluteal Tendinopathy: Your Options

The most common treatments for this condition are cortisone injection and physiotherapy (physical therapy). Simple advice around controlling tendon irritation associated with activity can help. Avoiding complete rest but controlling how much and how often vigorous activity (hill and stair walking or running) is done may help to settle the condition. Research has shown that about 50% of people will slowly recover over time, with just some simple advice.

Others will need more assistance to recover, for example, more specific advice about changing postures and movement habits such as walking and stairclimbing patterns. An exercise program that aims to improve condition of the gluteal (buttock) muscles and their tendons is also important. Getting stronger and learning how to move well will usually help reduce pain and improve ability to participate in everyday and recreational activities. A specific education and exercise approach provided by physiotherapists has recently been tested in a high-quality university research trial, called the LEAP Trial. It showed a success rate of approximately 80% in both the short term (8 weeks) and longer term (12 months).

 

Typical area of pain described by those with symptoms relating to gluteal tendinopathy or hip bursitis
Hip pain professional teaching lady to squat

Physiotherapy (Physical Therapy) versus Coritsone

People with this problem will usually be offered a cortisone injection by their doctor. Studies have shown that a cortisone injection, while providing short term relief for about 60% of people, is no more successful in managing this problem in the longer term, than a wait-and-see approach. There are also concerns that cortisone injections may have negative effects on tendon tissue, particularly multiple injections, so if you have not tried any treatments yet, try an Education & Exercise Approach with a Hip Pain Professional first.

Best Treatment for Gluteal Tendinopathy: LEAP Study Findings
Best Treatment for Gluteal Tendinopathy: LEAP Study Findings

Key features of this successful education and exercise programme for best treatment of gluteal tendinopathy

While you may have tried physiotherapy (physical therapy) before, research has shown that different treatment programs are not equally helpful.

Passive treatments such as massage and electrotherapy (machines) may provide some short-term relief.

However, only exercise can improve the health of muscles and tendons.

For gluteal tendinopathy, the particular program used in the LEAP Trial has shown the most successful results.

Visit a Hip Pain Professional to start your program based on the latest research today.

Best Treatment for Gluteal Tendinopathy: LEAP Key Components
Best Treatment for Gluteal Tendinopathy: LEAP Key Components
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