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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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spillihped | @spillihped | Apr 13 12:37pm
In reply to @meterrilee "@spillihped Hello... I have had the pain (glutes and hips... it radiates down my leg to..." + (show)
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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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@meterrilee
Hi, meterrilee -
NO insurance covers shock therapy or PRP (Platelet Rich Plasma), which is another possible therapy. My physiatrist (physical medicine sports doc) did the shock therapy: 3 fifteen minute sessions, separated by a week, at $300 a pop. Well worth it for me!
Let me know if I can help further, and good luck for relief!

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meterrilee | @meterrilee | Apr 13 1:15pm
In reply to @spillihped "@meterrilee Hi, meterrilee - NO insurance covers shock therapy or PRP (Platelet Rich Plasma), which is..." + (show)
Profile picture for spillihped @spillihped

@meterrilee
Hi, meterrilee -
NO insurance covers shock therapy or PRP (Platelet Rich Plasma), which is another possible therapy. My physiatrist (physical medicine sports doc) did the shock therapy: 3 fifteen minute sessions, separated by a week, at $300 a pop. Well worth it for me!
Let me know if I can help further, and good luck for relief!

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@spillihped
Thanks very much for the information!

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spillihped | @spillihped | Apr 13 2:04pm
In reply to @meterrilee "@spillihped Thanks very much for the information!" + (show)
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@spillihped
Thanks very much for the information!

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@meterrilee
You’re most welcomed.

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denisejones00 | @denisejones00 | Apr 13 3:43pm

The source of butt/hamstring pain might be the piriformus. A good orthopedic surgeon can make a determination.

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yram | @yram | Apr 13 11:51pm

I have the same. I have pain in my right buttock all day every day. PT aggrevates it. I am recovering from fractured hip and can't regain my strength in my legs because of the pain.

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heisenberg34 | @heisenberg34 | Apr 14 10:10am
In reply to @yram "I have the same. I have pain in my right buttock all day every day. PT..." + (show)
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I have the same. I have pain in my right buttock all day every day. PT aggrevates it. I am recovering from fractured hip and can't regain my strength in my legs because of the pain.

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@yram I injured my lower back and buttocks while skiing several years ago. MRIs were inconclusive. I finally found a private practice neurologist who prescribed a cocktail of drugs that really helped me. This was after several ortho docs dismissed me because, as they said, "There is nothing else that can be done". Keep looking!

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braddee | @braddee | May 29 8:12am
In reply to @sash "Sciatic Nerve Hydrodissection at the Ischial Tuberosity (ultrasound-guided) What it does: • Gently separates the sciatic..." + (show)
Profile picture for sash @sash

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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@sash
This sounds great, is this the first time you have done this?

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meg17 | @meg17 | May 30 1:00pm

Yes nothing helps..ice packs give relief for a while at least..

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sash | @sash | May 31 6:40am
In reply to @braddee "@sash This sounds great, is this the first time you have done this?" + (show)
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@sash
This sounds great, is this the first time you have done this?

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Yes. Helped about 60%

Simple procedure

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