Gluteal Tendinopathy: Integrating Pathomechanics And Clinical Features In Its Management

 Alison Grimaldi, PhD1,2  ,  Angela Fearon, PhD3-5

1Physiotec Physiotherapy, Tarragindi, Australia. 2School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia. 3Hip Physio, Watson, Australia. 4Trauma and Orthopaedic Research Unit, Australian National University, Canberra City, Australia. 5School of Physiotherapy, University of Canberra, Bruce, Australia.

SYNOPSIS

Gluteal tendinopathy is now believed to be the primary local source of lateral hip pain, or greater trochanteric pain syndrome, previously referred to as trochanteric bursitis. This condition is prevalent, particularly among post-menopausal women, and has a considerable negative influence on quality of life. Improved prognosis and outcomes in the future for those with gluteal tendinopathy will be underpinned by advances in diagnostic testing, a clearer understanding of risk factors and comorbidities, and evidence-based management programs. High-quality studies that meet these requirements are still lacking. This clinical commentary provides direction to assist the clinician with assessment and management of the patient with gluteal tendinopathy, based on currently limited available evidence on this condition and the wider tendon literature and on the combined clinical experience of the authors.

Published in Journal of Orthopaedic & Sports Physical Therapy November 2015, Volume 45, Issue 11, pp 910-922.

Link:  http://www.jospt.org/doi/abs/10.2519/jospt.2015.5829?journalCode=jospt

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