Does anyone have gluteal tendinopathy? Any successful treatments?

Posted by bunstuffer @bunstuffer, Mar 11, 2025

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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Profile picture for heisenberg34 @heisenberg34

I fell while skiing ten years ago, landing very hard on my buttocks. I caused a deep, black band to develop across my lower back. I have had just about every treatment known to man. The only effective ones were a cocktail of meds and a spinal cord stimulator. Those stopped working five years ago. I feel as if all that original pain has returned, leaving me in terrible pain. I had a pain pump implanted three years ago, but it has not provided any relief. I am wondering which doctor might give me a real evaluation not just a cursory once over. I just had a visit to a pain specialist who gave me the standard "I don't know what else can be done" spiel. I know that this partially idiopathic neuropathy, but there has to be a correlation to my injury years ago. Thoughts?

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@heisenberg34
Have you had an MRI? If so, of what - your lumbar spine?
Where’s your pain currently?

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Profile picture for puffinmum @puffinmum

@jakedduck1
Thank you Jake. I know everyone reacts differently to medication and what works for some may not work for others.
I do find it hard to deal with the side effects, which can feel worse than the original problem - but equally- I would really love to get to a point where, on balance, the medication is allowing me to lead some sort of normal life.

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@puffinmum
I would recommend seeing a physiatrist (i.e., physical medicine doc) is you haven’t already. (S)he may may have good recommendations.
You shouldn’t have nerve pain after SI injections unless the doc hit the nerve - which is a “no-no.”
Good luck! 🤞

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Profile picture for kathymrowse @kathymrowse

Based on one of your recommendations, I i have an appointment next friday to be evaluated for shop wave.Therapy for my glut med rupture

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@kathymrowse
I so hope the shock therapy will help you, Kathy. I didn’t think my three treatments had helped, but finally, after about 6 or 8 weeks post treatment, I had less pain and better mobility.
A few months later, I had another set of 3 and improved (again, after several weeks) so that now I can climb stairs and walk in hills pretty easily.
Let me know how it goes for you. 🤞

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Profile picture for spillihped @spillihped

@puffinmum
I would recommend seeing a physiatrist (i.e., physical medicine doc) is you haven’t already. (S)he may may have good recommendations.
You shouldn’t have nerve pain after SI injections unless the doc hit the nerve - which is a “no-no.”
Good luck! 🤞

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@spillihped Thank you for. Yes, many MRIs… lumbar, cervical, etc. I have seen so many docs that I’ve lost track. One of them said that I have the spine of a forty year old. So, what to do? I am so tired of having docs dismissing me and my pain. “It’s neuropathy. There’s nothing else that can be done “. Maybe that’s true. Lower back and buttocks pain radiating down my legs to my feet.

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Profile picture for spillihped @spillihped

@kathymrowse
I so hope the shock therapy will help you, Kathy. I didn’t think my three treatments had helped, but finally, after about 6 or 8 weeks post treatment, I had less pain and better mobility.
A few months later, I had another set of 3 and improved (again, after several weeks) so that now I can climb stairs and walk in hills pretty easily.
Let me know how it goes for you. 🤞

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@spillihped good to know. I'll keep you posted

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Profile picture for spillihped @spillihped

@puffinmum
I would recommend seeing a physiatrist (i.e., physical medicine doc) is you haven’t already. (S)he may may have good recommendations.
You shouldn’t have nerve pain after SI injections unless the doc hit the nerve - which is a “no-no.”
Good luck! 🤞

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@spillihped I have a horrible feeling this is what has happened as I felt the injection at the time and there was a new pain as I left the hospital. It’s been agony ever since.

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Sciatic Nerve Hydrodissection at the Ischial Tuberosity (ultrasound-guided)

What it does:
• Gently separates the sciatic nerve from the hamstring tendon
• Breaks adhesions that formed over years
• Reduces nerve “burning” almost immediately
• Restores sliding of the nerve during walking and sitting
• Often improves car sitting and forward bending the same day or within a few days

Hydrodissection targets:
• Burning (nerve)
• Deep ache (tendon)
• Radiation down thigh (nerve)
• Pain bending forward (nerve tension)
• Pain getting out of car (nerve adhered)
• Localized pain at sit bone (tendon origin)

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Profile picture for spillihped @spillihped

@kathymrowse
I so hope the shock therapy will help you, Kathy. I didn’t think my three treatments had helped, but finally, after about 6 or 8 weeks post treatment, I had less pain and better mobility.
A few months later, I had another set of 3 and improved (again, after several weeks) so that now I can climb stairs and walk in hills pretty easily.
Let me know how it goes for you. 🤞

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@spillihped
Hello... I have had the pain (glutes and hips... it radiates down my leg to just above my knee) for years now. It is definitely depressing to have these limitations. I've also had several steroid shots--one helped and the last one was incredibly painful afterwards (I had to use a cane for several days!). I won't do that again. I've done PT multiple times which provides a little help... until it doesn't. I take Mobic daily, which is an arthritis medication. This helps me tolerate the pain, usually, but it's never gone. I have Tramadol for emergency use, like when I am traveling and cannot rest for two days! I'm very interested in the shock therapy treatment you've had. How did you get the treatment (who prescribed this for you)? I am on Medicare and have a Plan G supplement--was your treatment covered? Who actually does the treatment? I appreciate, very much, any additional info. Thank you.

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Profile picture for heisenberg34 @heisenberg34

@spillihped Thank you for. Yes, many MRIs… lumbar, cervical, etc. I have seen so many docs that I’ve lost track. One of them said that I have the spine of a forty year old. So, what to do? I am so tired of having docs dismissing me and my pain. “It’s neuropathy. There’s nothing else that can be done “. Maybe that’s true. Lower back and buttocks pain radiating down my legs to my feet.

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@heisenberg34
I am sorry you have this terrible pain. I have it as well and after an MRI last fall, I have been diagnosed with spinal stenosis.
I found a PT who does dry needling which targets the trigger points of pain in the areas that are affected and it although the day after it is still sore a few days after that I do get some relief until the next session.
Hope this helps.

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Profile picture for jpeach @jpeach

@heisenberg34
I am sorry you have this terrible pain. I have it as well and after an MRI last fall, I have been diagnosed with spinal stenosis.
I found a PT who does dry needling which targets the trigger points of pain in the areas that are affected and it although the day after it is still sore a few days after that I do get some relief until the next session.
Hope this helps.

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@jpeach Thanks. I tried dry needling back in 2017 a year after my initial pain started. Unfortunately, it did not help.

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