Does anyone have gluteal tendinopathy? Any successful treatments?
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.
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@yram Not sure how accessible your MD is. Be a persistent nuisance and ask. My MD prescribed a brand new (don't remember the name) non-narcotic. Only the price was $50/pill and Medicare D obviously does not approve. Still trying. ... sliced Avocado seed in 70% isopropyl alcohol works for some pain including my arthritic messy knee. Used to use 2-3 lidocaine patches because none of the injections worked and I refused surgery. Good luck although it may be that the MD has nothing more. I also see a chiropractor and get acupuncture.
For women, I feel it could be estrogen decline. So many women take estrogen and I haven't pulled the trigger. My estrogen levels are still in normal range but low. My testosterone is high. I have ebb and flow of pain and what triggers the gluteal and hip pain. I also now have pain that radiates across my upper back by shoulder blades and into both sides of the neck. My CR-P which is an inflammation marker was noticed by my cardiologist and said it was very high. He asked me if I had any pain. I just looked at him and said for years. He asked had I been sent to a Rheumatologist. I said no. He left it there. Nobody wants to touch "pain in women" scenario. All therapies do not help. Tens unit and Ibuprofen help me more except for sharp hip pain out of the blue that comes and goes. Thinking about PRP - Platelet Rich Plasma injections.
The top letter sounds like one I would write. Mine started when I took Prolia 2000 which hurt every tendon in my body till it started to wear off. Then I started Fosamax. My lower back was still in pain, so I went to a physical therapist. I did some knee-to-chest movements, etc. Then I went home and after two days a pain in my right side just back of my pelvic bone started to hurt. I went through five procedures too and 30 or more Physical Therapy sessions. I had hip surgery last December which now is ok, but still have the pain in my glute. I thought I was gettig neuropathy, but that turned out pain coming from my knees.
@loyd1957 Tried PRP in June, not covered by insurance, no help for me. (already past 3 months period when they say the impact could occur)
@rrenaut Knew it wasn't covered but did get stats that said 6 out of 10 might get relief. I like hearing from others because that was my last resort or estrogen. No doctors know anything else to say but drugs and PT. I hear functional medicine doctors or homeopathic doctors actually listen to you and recommend treatments and remedies that MDs can't. I might try that.
I am having the tenjet procedure next week for gluteal tendinopathy. Has anyone else had this? BTW pelvic MRI is what diagnoses this condition.
Yes! Shock therapy (EPAT) Extracorporeal Pulse Activation Technology saved me, along with good physical therapy and diligently following a focused exercise regimen. After 14 months I’m now not only walking without pain, but actually am able to walk in the hills where I live.
PRP - Platelet Rich Plasma - is also an option, but is invasive.
I opted for the EPAT, which was effective.
Good luck, and we can communicate further if you’d like.
@windwardjourney1
Please let us know how it goes. I had hoped this would be suggested for me, but I wonder whether the insurance does not want to support this. I did pay for PRP and it did not help.
We don’t know your medical history, what the doctors have said and what you have done in the lead up so I will just say that you should try some cheap shoe inserts from a foot store. If you get relief, then you need to check the quality of the cushion in your hip joints. I ended up having both hips replaced. It didn’t entirely fix things, but then I ended up having lumbar spine fusion and that straightened a small portion of my lumbar spine out. Both of these things ended up taking the pressure off of the glutes and tendons. Then I could start walking and exercising. On top of that I figured out that the muscles had glued together and they needed MFR therapy. That’s myofascial release therapy when your muscle sheets become glued together and they need a professional to give them a deep massage that will help them easily glide over one another and stop tugging on the tendons and throwing things out of whack. I often also have to make sure that I don’t sit too much. So I take breaks through the day to stay active and get around and take walks. It got to the point that the surgeons were going to consider invasive sacroiliac joint surgeries, but after I started the MFR therapy it really did fix things. An MFR therapist will also diagnose you properly. In addition, I have done Botox injections, which also help relieve the muscles going into spasm and pulling on the tendons and throwing the spine out of whack. This took about 30 years. But I learned a lot, and I wouldn’t have worked such long hours in my middle age which weekend my muscles and made them move as units or groups instead of individually. That brought a lot of misdiagnosis.
@windwardjourney1
I think it's extremely important to see a physiatrist, i.e., a physical and regenerative medicine doc.
You may want to try shock therapy before Tenjet since it's less invasive.
All best,
@spillihped