gluteal tendinopathy with tendon and muscle tears

Posted by spillihped @spillihped, Oct 4, 2025

I'm looking for a support group for folks with gluteal tendinopathy with tendon and muscle tears.
This occurred spontaneously (i.e., no trauma) in early November, after my first COVID bout in October 2024.
I've had some relief of pain with two sets of "shock therapy" (EPAT: Extracorporeal Pulse Activation Technology) and physical therapy, acupuncture, specific exercises.
Now I can walk a couple of miles on flat ground, but I live in the hills and still can't walk around the block or climb stairs easily.
I'd be grateful for any discussion/suggestions.
Thank you,
Chiara

Interested in more discussions like this? Go to the Chronic Pain Support Group.

Profile picture for spillihped @spillihped

@madlydancing

Yes, lateral lower leg pain can occur w/glut medius/minimus tendon tears. I had that before doing shock therapy.

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@spillihped I actually went to my hip surgeon and he said that swelling and pain I have in the muscle next to my shin is probably from the way I was walking from the tears. Going to have an MRI of my knee and shin area to see what’s going on, it’s swollen and painful.

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I'm extremely active and have been lifting heavy weights since the 1980's, so was in excellent condition when my glut tendons started acting up. That started Nov 2024 right after my first and only COVID bout in late October, so, as a retired physician I'm convinced that this was a post-COVID affliction. I had NO acute injury, just a darned long COVID problem.
PRP should help.
I don't know what you mean about 100.00/1 application. I'd avoid chiropractors and would go to an MD or DO.

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I also have same issue. Full thickness glute minimus near complete tendon tear with fatty atrophy of minimus muscle . I also have scoliosis in lower back. It could be hip/spine syndrome. Could be the spine causing the pain and tendon tear is secondary . Orthopedic surgeon said this is common and some people have no pain with a tendon tear. Was suggested to try shock therapy as right side is starting to to show signs of tendonopathy. It’s interesting how many people are dealing with with this. It’s quite painful some days and definitely side lines what you can do. It’s been going on sense September 2024 16 months of pt, cortisone shots , dry needling now going to give shockwave therapy a try . Sounds like it may help.

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I have a question for those who tryed shockwave thereapy what kind of therapy did you try , what kind got the glute tendonopathy?

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Profile picture for grandma71 @grandma71

I have a question for those who tryed shockwave thereapy what kind of therapy did you try , what kind got the glute tendonopathy?

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@grandma71
Shockwave therapy (EPAT: Extracorporeal Pulse Activation Technology) helped me go from not being able to walk for 13 months from severe pain to where I'm now able to hike local regional park and walk in the hills where I live. It took two sets of three "zaps" in each set. You need to be patient since it can take 6 to 8 weeks for improvement after completing a set. 8 weeks after the set, I was able to walk on flat ground, and after the 2nd set, I'm where I am now. Go Girl!

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Profile picture for madlydancing @madlydancing

@spillihped I actually went to my hip surgeon and he said that swelling and pain I have in the muscle next to my shin is probably from the way I was walking from the tears. Going to have an MRI of my knee and shin area to see what’s going on, it’s swollen and painful.

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@madlydancing
It's probably not your knee or shin. I had same lateral lower leg pain, and it was from the glut issue. (By the way, I'm a physician.) When pain resolved post-shock therapy, the lower leg pain resolved. Occam's Razor: Go with the simplest explanation.

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