There are a variety of treatment options for Gluteal Tendinopathy. In addition to injections, treatment may include exercise and a load management program. If you experience pain and stiffness in your hip, MRI imaging may be necessary for a proper diagnosis. Read on to learn more about the treatment options for this condition. Here are a few of the most common. The most important thing to remember when seeking a treatment option is to seek a professional’s opinion.
Your doctor will prescribe exercises for gluteal tendinopathy based on your condition. There are two types of activities: isotonic and isometric. Isotonic exercises work the glutes, while isometric exercises strengthen the muscle tissue. Both types of exercises should be done with caution. It would help if you started with short holds and lower loads. For example, you should perform 10-second holds using leg weight and then progress to higher holds and heavier loads. Heavy strength training should be completed two to three times a week.
Your doctor may order radiography, ultrasound, or MRI for further evaluation. Radiography should be used only if a diagnosis is uncertain, if the condition is long-term, or if the patient has a history of gluteal tendinopathy. Although radiology helps exclude occult lesions, it has some adverse effects due to radiation exposure.
The current nonoperative approach to tendinopathy involves using specific exercises for the muscles affected and load management to reduce the strain placed on the tendons. Although these approaches have yet to be evaluated rigorously in an RCT, the current study compares the effects of these exercises with a wait-and-see practice and CSI. Its primary findings show that exercise and load management significantly reduce pain and swelling, while CSI is not a viable alternative.
Although the concept of load management is not new, its scope is still largely under-understood. While the simplistic relative rest and reload’ approach may be adequate for some cases, it is not appropriate for persistent and debilitating musculoskeletal disorders. Physiological overload differs from primary psychological stressors. In such cases, a comprehensive approach to load management is more likely to produce positive results.
Platelet-rich plasma injections
A randomized controlled trial has been conducted to determine the efficacy of platelet-rich plasma injections in treating gluteal tendinopathy. The researchers injected platelet-rich plasma into a patient’s lumbar region who experienced pain in the gluteus medius/minus tendon. The results were reported in the World J Orthop.
In Italy, research using platelet-rich-plasma injections showed promising results in a large group of patients with gouty arthritis. In one study by Dr. Elise Kon, over 100 patients received the injections. Over one year, all parameters of knee pain and function improved. However, the effects of the injections were short-lived as the patients experienced a decrease in pain and stiffness after a few months. During the experiment, Dr. Kon noted that platelet-rich plasma had a long-term effect on patients, although the injections would lose their product after a few weeks. In contrast, the study concluded that combined platelets and plasma create an environment that can stimulate the body’s natural repair mechanisms.