Does anyone have gluteal tendinopathy? Any successful treatments?

Posted by bunstuffer @bunstuffer, Mar 11 5:20pm

I have gluteal tendinopathy and am getting to the point that I can hardly walk. I've been to 8 doctors and had injections of several kinds to no benefit. I've been to physical therapy at least 10 times with very little benefit (I must have done 10,000 "clam shells" and "bridges").
The only thing that helps some and gives me a few hours of reduced pain is hydrocodone. I don't know if there's any point in pursuing more treatment.

Interested in more discussions like this? Go to the Chronic Pain Support Group.

Profile picture for pm56 @pm56

I just had an MRI which showed gluteal tendinopathy! I have an autoimmune disease that targets my spine and hips (Non-Radial Axial Spondyloarthopathy), and my muscles in that area hurt 24-7. Immune suppressants have made a huge difference in my life. It took 25 years to get a diagnosis, but all I know is that during those years nobody ever made the connection about how much better I felt on anti-inflammatories or steroids - they worked like magic when I was on them, but my symptoms returned fairly quickly once I stopped the course of treatment. Has anyone ever run blood work looking for inflammation markers?

Also, I'm not sure of your sex or age, but I remember seeing something recently about post-menopausal women and gluteal tendinopathy. There seems to be a correlation between the two due to the decrease in estrogen. I found the following (obviously not relevant for you if you're a guy!):
https://bsmfoundation.ca/menopause-a-pain-in-the-butt/
Hope you're able to find something that works.
Best, Pauline 🙂

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How is Non-Radial Axial Spondyloarthropathy diagnosed?

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Profile picture for loyd1957 @loyd1957

Well, that sounds interesting. They have the RA and I have done it on my own. My C-Reactive protein is up and down. Can be high and can be normal. I do have Hashimoto's Thyroiditis which is an autoimmune and have always just associated all the pain to it, but as time goes on, wonder if Fibromyalgia. Did do testing for Polymyositis but again inflammation markers weren't high enough even though they were high. My symptoms tend to be not consistent. I do notice if I don't move for very long, I can hardly get up. After getting up and moving around, it is better. If I try and do too much it gets painful. Bending, getting on the floor etc. are painful. Mainly in areas around the joints, tops of glutes, all around hip bones (ilium), down legs and muscles in thighs.

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That sounds like me - if I sit for a while, I have great difficulty getting up, but it does get better once I’m up which is pretty consistent with spondyloarthopathy. Also like me - if I overdo it, I pay for it with more pain and worsening stiffness. My rheumatologist told me if you have one autoimmune disease, you often acquire another as time goes on, so it wouldn’t be unusual to start out with Hashimoto's and then find yourself a few years later with something else too. Fibromyalgia has a specific set of criteria but unfortunately no blood work. IMHO it’s somewhat a catchall diagnosis of exclusion when you have widespread pain, fatigue and brain fog and they can’t find anything else wrong with you.

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Profile picture for loyd1957 @loyd1957

How is Non-Radial Axial Spondyloarthropathy diagnosed?

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So there is a genetic marker they can look for - HLA-B27 - but lots of people have the marker who don’t go on to develop the condition, and there are people (like me!) who have the diagnosis but are negative for the marker.
In my case, I started out with a diagnosis of RA of the hips and spine as my back and hips hurt constantly, I had elevated inflammatory markers, persistent low grade fevers, and I had terrible morning stiffness, but I then developed uveitis and inflammation where my tendons attach to the bones in my shoulders so my diagnosis changed.

This might be helpful:
https://spondylitis.org/about-spondylitis/overview-of-spondyloarthritis/non-radiographic-axial-spondyloarthritis-nr-axspa/diagnosis/

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I don't have arthritis in all areas but mild in hips. It is more tendon issues throughout the body. I want to do genetic testing but don't think my doctor will okay it. I know you can do it on your own, but I am sure it is expensive. Still, I think it would be helpful. I also read the link supplied on this forum about PRP. That isn't covered under insurance but seems promising.

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My comment is directed to anyone living with chronic pain. I recently read a report in the Journal of the American Medical Association often referred to as JAMA. referencing the treatment of Chronic Pain. In this Journal it is reported that the use of a compounded drug called NALTREXONE used in low dose amount can relieve chronic pain in people! This a new discovery folks!! Also when used at a low dose (4,5 mg) there are relatively no side effects! It is also non-addictive! After reading the article I called and made a appointment with a pain specialist. He advised me that this drug has previously been used to treat patients who were coming off of drugs and it was only recently found that it relieves chronic pain. He said it's the best finding since he has been practicing medicine! My orthopedic doctor was totally unaware of the JAMA report and had never heard of NALTREXONE being used to treat pain. I encourage everyone in pain to bring this information to the attention of your treating physician. NALTREXONE is a compounded drug so it is not available at your local drug store. It is made by Compounding (Apothecary) Pharmacy. I hope this new information is helpful in your journey to relieve chronic pain. It sure has been a game changer for me.

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Boy do I know how you feel! I've had glute pain for over 3 years! Now I am taking a new drug called NALTREXONE and the pain is soooo much better! I have posted a comment on this medication. Please read.

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Profile picture for denisejones00 @denisejones00

My comment is directed to anyone living with chronic pain. I recently read a report in the Journal of the American Medical Association often referred to as JAMA. referencing the treatment of Chronic Pain. In this Journal it is reported that the use of a compounded drug called NALTREXONE used in low dose amount can relieve chronic pain in people! This a new discovery folks!! Also when used at a low dose (4,5 mg) there are relatively no side effects! It is also non-addictive! After reading the article I called and made a appointment with a pain specialist. He advised me that this drug has previously been used to treat patients who were coming off of drugs and it was only recently found that it relieves chronic pain. He said it's the best finding since he has been practicing medicine! My orthopedic doctor was totally unaware of the JAMA report and had never heard of NALTREXONE being used to treat pain. I encourage everyone in pain to bring this information to the attention of your treating physician. NALTREXONE is a compounded drug so it is not available at your local drug store. It is made by Compounding (Apothecary) Pharmacy. I hope this new information is helpful in your journey to relieve chronic pain. It sure has been a game changer for me.

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Yes, thank you

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Thank you! I have an appointment with my pain specialist in two days and will talk to her about this drug.

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Profile picture for denisejones00 @denisejones00

Boy do I know how you feel! I've had glute pain for over 3 years! Now I am taking a new drug called NALTREXONE and the pain is soooo much better! I have posted a comment on this medication. Please read.

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I've been on LDN/low dose Naltrexone for 2 years. It saved my life. I'm not 100% pain free and never will be but it has reduced my unrelenting pain level of 8 to a 6 and that is huge. After being treated for chronic lumbar and sacroiliac joint pain for over ten years now, I've been diagnosed with gluteal tendinopathy too. I have found that very few MDs know about the latest LDN protocol, or they've never even heard of this use of Naltrexone. I have had no side effects from 4mg Naltrexone. I urge anyone reading this who is experiencing chronic high level (or low level) pain to talk to you doctor about LDN. Good luck to all of you.

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THANK YOU! I talked to my pain specialist about this and she said she had heard of it but their practice did not have anyone being treated with it. She said she will investigate and get back to me. In the mean time she wants to do another epidural if I agree. I've had 2 before with no results. I think I will decline the epidural.

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