gluteal tendinopathy with tendon and muscle tears

Hi, dlydailyhope and arcuri24 -

I'm sorry you folks are also dealing with this pesky affliction.
For me, it came on immediately after my first bout of COVID last October. If one Googles, "Musculo-skeletal sequelae of CoviD, up pop lots of tendon and muscle issues. I can't prove that this waas a long COVID phenomenon for me, but the timing is surely suspicious: COVID 19-27 October, 2024, and my first trochanteric pain, in early November. By Thanksgiving, I couldn't climb stairs without excruciating pain.
I recently had an L-S MRI, which showed only mild degeneration at L5-S1, so I don't think that's contributing much to my leg pain, except perhaps to the lateral lower leg when I walk.
It's important to find a knowledgeable physical therapist and a good physical medicine doc (physiatrist), who ideally is also a sports medicine doc. Though I have an acupucturist whom I adore, I'm not sure how much acupuncture helps. Deep tissue massage may help, though really, who knows?
I just finished my second round of "shock therapy" (EPAT: Extracorporeal Pulse Activation technology), which in the UK has an 80% efficacy rate. It's also done at Mayo and Cleveland Clinics. I had mine at Stanford in Emeryville, CA. Six weeks after the first round (3 app'ts, each separated by a week) I was able to walk much farther with no or minimal pain. Having finished my second round, I'm having to wait a few more weeks to see if there will be further improvement.
Next step will be PRP, Platelet Rich Plasma injections. There's a regenerative M.D. in Phoenix whom I might see if all that fails to improve. Since I'm a hiker (had even gone to Mt. Everest Base Camp in my younger days), not being able to walk around my block in the hills is depressing.
It's really important to do strengthening exercises for the gluts: single leg bridges, side lying leg raises, squats, curtsies, side lunges. But be careful! Don't overdue and be patient. This will not go away in a few weeks. Find a knowledgeable, compassionate physical sports therapist.
Good luck and let me know how you're progressing.

@spillihped I have been diagnosed with a gluteal tendon full thickness tear in September 25. I had 3 orthopedic surgeons give me three different treatment plans. I have been doing PT for 9 months. 2 months ago I got a PRP injection. Sometimes I’m able to walk without a crutch on flat surfaces. Walking long distance is hard. I go back to the surgeon in 2 weeks to recheck a new mri and determine if surgery is the best route. I see that the outcome if you have fatty infiltration will decrease your chances completed recovery. I wish we knew what caused this so other women do not have to suffer
Is it lack of hormones after menopause, increased cortisol levels, I also have scoliosis. My pain used to just be in my glut and hip , however now it radiates to my knees and ankles. I don’t know anyone who had a gluteal tendon repair surgery. I look forward to hearing from anyone who is recovering, or has recovered from a moderate tear .

@scaler1986
Before you resort to surgery, which can have "iffy" results with a difficult rehab, have you tried shock therapy such as EPAT (Extra Corporeal Pulse Activation Technology)? That and specific, vigilantly focused exercises have allowed me to not only walk on flat surfaces, but unaided on stairs and inclines (That's great since I live in the hills).
Good luck and keep me posted!

@spillihped
Hi
I have been doing pt once a week for 9 months and I do it at home daily. It’s strange because some days it feels better and I can walk without a crutch and other days it feels like one leg is longer than the other. I feel as though my pelvis is tilted. I have scoliosis which may contribute as well. My right rotator cuff is torn as well. Do you have a full thickness tear? My mri showed a median tear about 2/3 torn. I never tried the stimulation. I already feel numbness in the glute somedays

@scaler1986
I'm not sure about a "ful thinkness" tear, but I have a "high grade tear" of my glut medius tendon and a less severe tear of my glut minimus, plus hamstring tendon tears and a partial labral tear. A few weeks after my first set of shock therapy treatments, I could walk on flat surfaces well, and after my second set (5 months after the first), I could walk stairs and hills easily. It's worth trying - or at least being evaluated for that.