gluteal tendinopathy with tendon and muscle tears

I been dealing with tendinitis throughout the years. I have taking steroids, physical therapy, just two years ago had PRM Tenex Tentomy Procedure. With physical therapy. Staying off the leg for 12 weeks it took a full year to heal. Should tell you this was in behind. Some days the pain was so bad, I’d come home and cry. Nothing would work on the pain. I have notice for years or should say since menopause my hips have been gradually increasing pain from walking. I’d would have to sit down. Finally got answer gluteal tendinopathy through ultrasound. Now been doing exercises. No changes and been doing them for six weeks. Will discuss when I see the doctor on Tuesday.

Have you had an MRI yet? If not, that would be an important imaging modality.Have you tried "shock therapy" (EPAT: Extracorporeal Pulse Activation Technology) or PRP (Platelet Rich Plasma)? These can help tremendously to decrease pain. I had two sessions of EPAT (each a 15-minute weekly treatment for three weeks) with mitigation of pain and better function six to eight weeks later. After not having been able to walk without severe left leg/hip pain for thirteen months, I'm now hiking the hills in my neighborhood.
Good luck!

Hello dear. Yes this can happen either from a fall an accident stress or an inflammed bursa or spontaneously. Once a Glute tear occurs, it can detach, retract, and become fatty atrophy and basically die. It's a huge surgery and I recommend you get an MRI. I had 8 DR refuse to do an MRI. By the a lowly female PA ordered the MRI, the Surgeon was in shock when he read the report & saw if & said " I can't do anything with this -I have to refer you out" I don't know where you live but the fact that we are middle-aged women, most orthopedic surgeons do not -I repeat do not-know how to treat this! One told me he use to try to do repair surgery but was never very successful so doesn't do it any more. I have been dealing with a Glute tear for 9 years and been gaslighted by a number of doctors to the point that now it is so bad that the muscle has died and I'm looking at a muscle otransfer and the pain is agonizing, please private message me through this system and I will tell you what doctors I've tried depending on where you live. I don't want you to go through what I have. I just turned 72 and this happened 10 years ago I was extremely active and a part-time Alpine ski coach and Social Tango dancer and I can barely walk now

I would definitely like to try the Softwave or Shockwave therapy. I understand it rejuvenates the cells in the collagen and brings life back to the tendons. I have mild tear in both glutes but not sure after 3 years if they have gotten bigger or more tears. No one seems to want to do another MRI to compare. I wish I could just order one myself and pay cash which I hear sometimes less than using insurance.

Hi, Lloyd -
I'm a physician and don't think there's any reason for you to have another MRI. Why not just go with your symptoms? MRI's don't necessarily correlate with those. I feel 90-95% better after my two EPAT sessions, but if I were to have another MRI, it may look worse, not better. Go with how you feel, not with what another MRI might show.

@pamglutemedius
I’ve been dealing with gluteal tendinopathy for 5 years now. Same experience, PT, acupuncture, dry needling, chiropractor, massage, 4 cortisone shots, Durolane injection. Then finally a hip replacement in February. Now my hip is trying to heal and my tendinopathy has become bilateral and into the hamstrings. I am convinced that it is menopause ( hormone ) related as mine started right at that time. The sad thing is, like you nobody knows how to treat me and I’ve been tossed around from doctors, PT, 3 surgeons, 2 physiatrists it makes me feel like this is it. I will never be active and pain free again. I’m 53 , I still work. Sitting is torture , standing is torture. It’s so deflating. I’m going to be talking to a clinic tomorrow about shock therapy in hopes I can get back to the office … thank you for your post

Ouch. Wow that's definitely cruddy. Feel for ya.
At least we're not alone & that is a very good feather in our caps so to speak. I have never considered that type of therapy. Interesting...!!
Please let me know how tomorrows stuff goes ok?

Nice to hear from you. Chat later. On your team.!! \*

@hjabs I am sorry for all you have been going through. Please update us about shock therapy experience,

@snu thank you so much. I will for sure. Consultation tomorrow!

@spillihped

Hi. Do you know if we can have it if we have had both hips replaced. I have a gluteus medius tear.