What is Gluteal Tendinopathy?

Gluteal tendinopathy is a breakdown, thickening, or tendinosis of the tendons connecting the gluteus medius and gluteus minimus muscles to the lateral side of the hip bone. It is caused by chronic compression and tensile load on the gluteal tendons, often aggravated by hormonal changes (commonly affecting post-menopausal women), sudden spikes in walking or exercise volume, or weak lateral hip stabilization muscles.

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Clinical Symptoms

Persistent aching or stiffness on the outer buttock and lateral hip joint. Symptoms worsen when compressing the tendon such as lying on the affected side at night, walking up inclines, standing for long periods, or sitting with crossed legs and may cause a temporary limp or difficulty standing on one leg.

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Treatment

Primary rehabilitation relies on load management, isometric gluteal strengthening, and correcting pelvic alignment during daily tasks. In non-responsive cases, an ultrasound-guided injection (such as a targeted corticosteroid or restorative peritendinous injection) is administered around the gluteal tendon insertion to control severe pain, reduce compressive irritation, and facilitate active physical therapy.

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Medical Resource:

For further clinical guidelines on Gluteal Tendinopathy, view the official NHS Tendonitis Resource.

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