Gluteal tendinopathy (GT), Greater Trochanter Pain Syndrome (GTPS) or Trochanteric Bursitis, commonly presents as pain and tenderness along the side of the hip. Gluteal Tendinopathy is a common hip condition in adults, which comprises the glute muscles (buttocks) and surrounding hip muscles on the outside of the hip. Almost all of the buttocks and hip muscles are active in standing/ walking/ specific movements of the lower limb, so are always being used. The causes and onset of (GT) can be due to these muscles being overused and potentially compressed, especially when sitting for long periods or lying on your side. Specific movements that cause the leg to cross our body’s midline, such as sitting with knees together, sitting with knees crossed, and excessive lateral shift during moving single leg tasks can likely contribute to the development of (GT).
Symptoms can include:
- Pain/ tenderness on outside of hip which may or may not refer down the lateral thigh to the knee
- Insidious, gradually worsening pain – worsens with time and different load and tasks
- Pain becomes worse at night and sleeping on affected side worsens symptoms
- Pain after increases load. Eg, travel, walking, gym, ladders
- Pain with weight bearing activities such as climbing stairs, standing, and running
- Pain with prolonged sitting
- Most common in women aged over 40 years
Currently the best evidence for treatment of Gluteal tendinopathy is through a multidisciplinary approach with the aim to decrease pain and increase function. This can be achieved through patient education to reduce load through the hip and other aggravating factors, alongside specific strengthening exercises. Cortisone injections are a popular choice for the reduction in pain in the short term, which have been known to help ease swelling, however in the longterm, research states that best practice is exercise and education. If you are noticing that any of these symptoms are continuing over a month, it is best to have it assessed by a health practitioner.