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Development of a successful program for painful gluteal tendinopathy

In my clinical practice I noticed that we were treating many with lateral hip pain, most commonly post-menopausal women. These patients reported pain levels and impacts on their lives as marked as those with hip osteoarthritis. Their sleep and physical activity levels were substantially affected and together with the psychological distress caused by more severe presentations, the impact on general health and quality of life was marked. Long symptom duration, with delayed or mis-diagnosis was frequently reported, sometimes resulting in unnecessary interventions. Those identified as having a local soft tissue pathology had usually been diagnosed with trochanteric bursitis and given a corticosteroid injection (CSI) as the first line medical treatment and bursectomy for those with pain that did not settle. Previous failed physiotherapy had commonly included passive therapies such as therapeutic ultrasound to the ‘inflamed bursa’ and stretches for the iliotibial band or buttock.

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