gluteal tendinopathy with tendon and muscle tears

@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.

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.

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.

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

@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!

@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.

@spillihped I really appreciate your reply. I got a cortisone injection in my pfl tendon sheath for diagnostic purposes. I walk out of the dr office smiling ear to ear , no pain! That was 2 days ago pain has subsided but not gone completely. I’m thinking it will take some time to take effect. I had glute minimus and medius surgery to repair partial tears , cleared out the greater trochanter bursa and poked my IT band. Tough recovery. It’s been 3 months since the surgery. Still got the pain in the hip, but I was told it will take 2 year full recovery. I’m grateful I’m finally able to walk with out crutches. The knee and shin problem was baffling but it’s good to here I’m not the only one suffering from pain there, best of luck to you!

What exactly was your surgery and at what facility and with which surgeon did you have it? I'm curious since I'm a physician and often receive queries about where to go, since glut surgery isn't easy or always successful. Sounds as though yours was.
What is the "pfl" tendon you mention?
Thank you!

@spillihped I’ve done 4 sessions now and next one next week ( shockwave ) at the highest setting starting at the insertion point at the side of my hip and then down to the knee. Are you saying you did six sessions in total ? I’m just curious because you said 8 weeks after the set you could walk. I’ve started to lose hope after the 4 sessions each one week apart. The physiotherapist said we should try up to 6 and if it’s not helping then maybe not going too. It’s also my understanding that the focused shockwave is basically creating micro damage to the tendons and getting your body to activate a healing response . All this to ask, would the healing not possibly continue after my sessions ? Like weeks out ? Sorry just read your response and got a little hopeful based on what you had experienced and wanted to make sure I understood what you meant. Thanks so much !

I had one shockwave session a week for three weeks - that's how Stanford does it. After those I felt no relief for about six to eight weeks, after which I could walk on flat surfaces relatively easily (after not being able to walk at all for 13 months from intense pain). I still could not climb stairs (which I have at home) or hills (where I live) without pain.
Therefore, a few months later I signed up for three more weekly shockwave sessions. Again, several weeks after the last one, I was able to climb stairs and walk in the hills.
I hope that clarifies things for you; let me know if not. Neither Shockwave nor PRP creates an instantaneous change. Gotta be patient and then some.