Gluteal tendon tears involve damage to the tendons that attach the gluteal muscles to the hip bone. These tears can occur gradually over time due to repetitive stress or suddenly from a traumatic event. Gluteal tendon tears are more common in individuals >40 years old (and even more common >65 year old) and are associated with conditions such as tendinopathy and degenerative changes in the tendon. They can cause significant pain and functional limitations, affecting daily activities such as walking, climbing stairs, and standing from a seated position.
The signs and symptoms of gluteal tendon tears can vary depending on the severity of the injury but commonly include:
- Pain and tenderness in the buttock or hip area, which may radiate down the thigh
- Difficulty or pain with activities that involve hip movement, such as walking, running, or sitting for prolonged periods
- Weakness or instability in the hip joint, making it challenging to bear weight on the affected side
- Swelling or inflammation around the hip joint, particularly over the greater trochanter (bony prominence on the side of the hip)
Timely and accurate assessment of gluteal tendon tears is crucial for appropriate management and optimal outcome. A thorough evaluation by an OHL physio is likely to include:.
- Detailed history-taking to understand the onset and nature of symptoms, previous medical history, and any precipitating factors
- Physical examination to assess hip range of motion, strength, and stability, as well as specific tests to elicit pain or weakness associated with gluteal tendon tears
- A discussion of diagnostic imaging to confirm the diagnosis, evaluate the extent of tendon damage, and rule out other hip pathologies
- Further referral if needed for consideration of surgical intervention or advanced treatment options.
Several conditions can mimic the signs and symptoms of gluteal tendon tears, making accurate diagnosis essential. These may include:
- Trochanteric bursitis: Inflammation of the bursa (fluid-filled sac) overlying the greater trochanter, causing pain and tenderness in the hip area
- Hip osteoarthritis: Degenerative changes in the hip joint, leading to pain, stiffness, and decreased range of motion
- Lumbar spine disorders: Nerve compression or disc herniation in the lower back, causing referred pain to the hip or buttock region
- Sacroiliac joint dysfunction: Dysfunction or inflammation of the joint connecting the sacrum (tailbone) to the pelvis, resulting in pain and instability in the hip and lower back region
Your trusty OHL Physiotherapist will play a crucial role in the management of gluteal tendon tears, focusing on pain relief, restoring function, and preventing recurrence. Treatment strategies may include:
- Prehabilitation: Prior to surgical intervention, prehabilitation programs may be prescribed to strengthen the surrounding muscles and improve overall lower limb function, which can facilitate postoperative recovery.
- Pain management techniques such as ice or heat therapy and manual therapy to associated structures like ITB, thigh, glutes and lower back.
- Progressive strengthening exercises targeting the gluteal/hip/core muscles improve hip function and stability
- Biomechanical analysis and activity modification to reduce stress on the gluteal tendons and promote optimal hip mechanic
If you suspect you've sustained a gluteal tear injury, booking an assessment with a passionate Physiotherapists at The Optimal Health Lab. Bookings available via 9431 5955 or you can book via our Client Portal on the website.
