Has anyone had gluteus medius/minimus tendon repair with good outcome?

Posted by skohl @skohl, May 11 12:47am

I have a high grade tear of gluteus minimus and smaller tear of gluteus medius. I am considering surgery but have seen some very discouraging posts for issues after surgery. I've tried PT, ice, modified physical exercise. Still aches while sleeping at night even when sleeping on "good" side with a pillow between my legs. I'm concerned surgery could have a worse outcome. If you have had a good outcome please describe your experience. Thanks in advance.

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Profile picture for ennaoj44 @ennaoj44

Please, if you are counting on a pcp to guide you thru repair, change over to an orthopedic surgeon. A gl tear does not respond to "a guided injection" and PT can exasperate pain. Repair w/ a gl transfer is iffy at best, recovery time is lengthy and while a gl transfer will help balance and keep you from a Trendelenburg gate it will not reduce pain. Take time to do a Google search on gl tears, gl transfers and more. There is so much info available out on the Internet. I, too. live your experience, but elected to forgo a gl transfer after consulting w/ four orthopedic surgeons. One surgeon went so far as to say, "If I was you, I would not have this surgery." I understand why, because there is no absolute predictability for a positive repair/recovery. Aging w/ pain is difficult. I walk w/ a cane, and if by chance I drop it there is often someone who will come to my help, pick it up, hand it back and I can say thank you w/ a smile on my face in my heart, why, because I had just given a kind/caring passerby the chance to be rewarded intrinsically. I wish you well.
(PS: To be fully informed, read up on/research full thickness gl medius tears with fatty infiltration and atrophy.)

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@ennaoj44 I was treated by a rheumatologist for suspected inflammatory arthritis post-Covid diagnosis for 2 years: various meds, many steroids, one shot, turmeric, pineapple extracts, etc. After a particularly painful bout in my left hip I went to the ER where it took IV morphine to relieve me, then big steroids. A subsequent MRI revealed fraying min and med tendons - wear and tear. The Ortho Doc was very solemn in reading and interpreting the MRI, and warned against injections. He stated he did not do the surgery and didn't know anyone professionally who would as good outcomes are so rare. I'm 75 and though I still have some pain, at least I know the source and there is some comfort in that. I, too, have a cane which I use intermittently and I've given up all the OTC pills and elixirs. Doc gave me a steroid pac for emergency use and that also gives some comfort. I was accustomed to walking: 2-3 miles a day...now 1 to 1.5 is a good day. It's a blessing to finally know the source of my issues, despite the fact that there's not much to be done about it all in my case.

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Profile picture for pamglutemedius @pamglutemedius

@ennaoj44 hi i've been off for a while, but was looking for your info.
I'm 72 and injured nine years ago and completely misdiagnosed. So I've seen over 10 doctors maybe it's 12 and the bottom line is I went to New York twice this summer to the HSS hospital for special surgery and met with a top hip preservation. Surgeon takes Medicare and he was so frustrated when he saw my MRI and heard my history. He said my muscle is completely dead. It can't be fixed. It's been injured and misdiagnosed for too long.
He recommended a Glute Max transfer, a trochanter bursectomy, and anything else that he sees during surgery.
He said I don't need a hip replacement. My bones are fine. He said no amount of PT injections or shockwave therapy would help me at this point. now I will always walk with a cane and maybe a walker when outside. He said the pain will improve👍
I have a Specialty Drive, Nitro European style Walker. I took it to Asia last year and I was able to ride a train into New York City and get around using it. I have a folding cane & backpack . I'met a patient in a dr office who had the same walker and they told me they traveled to Africa with it ! so I ordered one from Walmart rather than especially adaptive aid supplier. It's the exact same thing and half the price. Although I have taken it in to a supplier to have the wheel adjusted. I use it every day. It's superior to standard walkers.
I saw Dr. Anil Ranawat @ HSS. This summer. They also have a massive facility in Paramus New Jersey with free parking and easy suburban traffic. The doctors go to both places for appointments and sometimes surgery depending on what you're getting. I live in Cleveland and when I was in Pittsburgh recently, met someone who'd gone to HSS for back surgeries after having surgery somewhere else.
I'll probably have surgery in December or March - working on my schedule since I'll be non-weight-bearing for at leastsix weeks
Best of luck, Pam

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@pamglutemedius Good to have you back in on this blog. I kept looking for updates from you because you and I have same experience. So, you are planning surgery in 2027? Are your scheduling a gl transfer? Please keep us all updated. In an earlier reply I suggested AARP ought to publish an article on gl tears for its magazine. There are hundreds if not thousands of seniors living w/ gl tears with no information or are misdiagnosed and treated for likely bursitis or whatever.... If Dr. Ranawat is your surgeon of choice, do you know how many successful surgeries he has completed for what you are planning? Joanne

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Profile picture for pamglutemedius @pamglutemedius

@gussie hello dear I'm sorry you experiencing this and I understand your concern about having surgery at your age. I'm 72 and I've had friends have shoulder and hip replacement in their mid 80s and done very well.
I had a Glute medius tear and was misdiagnosed as bursitis. It got so bad that it is completely off the bone and the muscle has died. I saw over 10 doctors and did two years of PT often on injections and it just got worse.
I live in Cleveland, Ohio and I've been to NYC and Paramus New Jersey to meet with Dr Anil Ranawat a top a preservation specialist at the HSS- hospital for special surgery.
Had a lot of questions about prior injections and treatment & said nothing but surgery would help my situation. I'm getting a Glute Max transfer and will always need a cane... and maybe my Walker because it's so bad
He did say it was a good thing that I did not have surgery with a particular Dr that I had scheduled last year when they suddenly left. He knew him and said he was a bad surgeon 😳.
It's interesting that a doctor in New York with no doctors in Oh & Pa. I think I saw 12 drs before ending up at HSS.
You could always go for a second opinion they can't hurt, but they may want you to have the MRI done in their system. I would schedule at Paramus New Jersey.
Best of luck I used to hike in Ski all the time I know how important this walks are for yourself and for time with your husband🙏

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@pamglutemedius You're in Cleveland and I guess the first place I would have gone would be the Cleveland Clinic. I can't believe how much you've gone through. How on earth did you find that Dr. Ranawat was the one. I commend you. I live in the San Francisco Bay Area so I either have UCSF or Stanford. I have been going to the orthopedic practice at California Pacific Medical Center for years. Had my hip replacement there. I also thought it was bursitis since I have it on the other side from my hip replacement. Right now if I don't move it doesn't hurt it's when I get up from a sitting position and try to walk is when it's painful. I also have bone on bone on the same leg. I fell off a treadmill over 30 years ago and I have been living with that also. It didn't bother me too much until I went for PT for the tendon problem and the PT gave me an exercise that really hurt my knee so now I have to deal with that.

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Profile picture for ennaoj44 @ennaoj44

@pamglutemedius Good to have you back in on this blog. I kept looking for updates from you because you and I have same experience. So, you are planning surgery in 2027? Are your scheduling a gl transfer? Please keep us all updated. In an earlier reply I suggested AARP ought to publish an article on gl tears for its magazine. There are hundreds if not thousands of seniors living w/ gl tears with no information or are misdiagnosed and treated for likely bursitis or whatever.... If Dr. Ranawat is your surgeon of choice, do you know how many successful surgeries he has completed for what you are planning? Joanne

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@ennaoj44 hi Joanne!
I actually found HSS through other people in this chat group. And then I drilled down to see which dr did open procedures for glute tears and Glute Max procedures.. I believe The Glute Max surgery was developed in Switzerland at the Mueller Institute and Dr. Anil Ranawat did a fellowship there. There are very few doctors that do the surgery, do it well, and HSS is the best orthopedic & research facility in the USA.
So I did not ask him how many of these surgeries he has done because I know he's done a lot of them- more than most people.
One person in the chat went to a doctor AJ LALL in PARAMUS for either that or a similar surgery as outpatient.
I'm not a candidate for outpatient surgery, Plus Dr. Ranawat said this surgery has to be done at the main hospital in NYC and I would stay over at least one night.
I still have questions and will email his PA named "Keegan" (a handsome lad from Buffalo NY.)
Here's a video. https://www.hss.edu/profiles/doctors/anil-ranawat
There are other videos online & he just posted about a knee replacement
Since he told me that I will always have to walk with a cane and probably a walker and it's a long recovery I'm just going live my life & to do some traveling - visit some friends & my son overseas.
Snow starts here in Nov- Dec & we just get buried. 🥶
So the wisdom of having surgery in nyc anytime between Nov-march &
Then coming home & trying to drive & navigate snowy icy parking lots to get into a building for PT just doesn't make any sense.
If he could somehow order Home PT, I could do it- otherwise I have to wait for better weather.
So obviously, there's still questions to ask & at least a telehealth apt.
I need to get my ducks & life in a row before the surgery since I live alone.
Let me know how you're doing so good to hear from you.
I saw some very negative reviews about him, but they were all more than two years old and it was mostly about his receptionistand communication style. He's got new people.. I was very impressed with all my communication since last spring and my OV

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Profile picture for ennaoj44 @ennaoj44

Please, if you are counting on a pcp to guide you thru repair, change over to an orthopedic surgeon. A gl tear does not respond to "a guided injection" and PT can exasperate pain. Repair w/ a gl transfer is iffy at best, recovery time is lengthy and while a gl transfer will help balance and keep you from a Trendelenburg gate it will not reduce pain. Take time to do a Google search on gl tears, gl transfers and more. There is so much info available out on the Internet. I, too. live your experience, but elected to forgo a gl transfer after consulting w/ four orthopedic surgeons. One surgeon went so far as to say, "If I was you, I would not have this surgery." I understand why, because there is no absolute predictability for a positive repair/recovery. Aging w/ pain is difficult. I walk w/ a cane, and if by chance I drop it there is often someone who will come to my help, pick it up, hand it back and I can say thank you w/ a smile on my face in my heart, why, because I had just given a kind/caring passerby the chance to be rewarded intrinsically. I wish you well.
(PS: To be fully informed, read up on/research full thickness gl medius tears with fatty infiltration and atrophy.)

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@ennaoj44 hi joanne. I'm 72 and was a professional Alpine ski coach - superactive until my injuries eight years ago. Yeah, two doctors told me if I don't do the Glute Max transfer that I'll end up in a wheelchair because if wear & tear on the rest of my body compensating.. dr Anil Ranawat said he can get rid of my pain but may not be able to improve gaite, but could improve stability. He said he my prognosis was "guarded"
I would love to know what area of the country you live in and what doctors she saw since you had four opinions.
I did see a different dr @ HSS initially, who was not a Surgeon & she said, " Drs hate to treat lateral hip pain" when I ask why she said there's "no good outcomes"
She gave me recommendations for PRP and shockwave therapy none of which is covered by insurance.
Dr Ranawat said for me, it wouldn't help it would be a waste of money.
Asked me if I'd had any injections and I said yes 4.
He asked if they were hip joint injections, or bursa injections. I was never told so. I didn't know.
He asked me if they were guided with ultrasound for accuracy. I said Noooo
He said he was not impressed with the level of orthopedic care I received in Ohio. He was VERY blunt about it.
Dr Anil Ranawat said that in shoulder surgery there's a procedure called a reverse shoulder replacement. He said if something like that existed for hips, that's what I'd be getting....but it does Not exist.
He apologized to me for the poor care I've received prior to seeing him. He said it was the worst case he'd seen in 10 years.
The surgeon I saw prior said I'd be 85 to 95% fine, wouldn't need a walker & might not need a cane.
Dr Ranawat said paraphrased- it's a good thing you didn't have surgery then & he was a bad Dr & has been fired.'
I'd love to have the names of the other doctor you saw for opinions. Another opinion is always good👍

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Profile picture for pamglutemedius @pamglutemedius

@ennaoj44 hi joanne. I'm 72 and was a professional Alpine ski coach - superactive until my injuries eight years ago. Yeah, two doctors told me if I don't do the Glute Max transfer that I'll end up in a wheelchair because if wear & tear on the rest of my body compensating.. dr Anil Ranawat said he can get rid of my pain but may not be able to improve gaite, but could improve stability. He said he my prognosis was "guarded"
I would love to know what area of the country you live in and what doctors she saw since you had four opinions.
I did see a different dr @ HSS initially, who was not a Surgeon & she said, " Drs hate to treat lateral hip pain" when I ask why she said there's "no good outcomes"
She gave me recommendations for PRP and shockwave therapy none of which is covered by insurance.
Dr Ranawat said for me, it wouldn't help it would be a waste of money.
Asked me if I'd had any injections and I said yes 4.
He asked if they were hip joint injections, or bursa injections. I was never told so. I didn't know.
He asked me if they were guided with ultrasound for accuracy. I said Noooo
He said he was not impressed with the level of orthopedic care I received in Ohio. He was VERY blunt about it.
Dr Anil Ranawat said that in shoulder surgery there's a procedure called a reverse shoulder replacement. He said if something like that existed for hips, that's what I'd be getting....but it does Not exist.
He apologized to me for the poor care I've received prior to seeing him. He said it was the worst case he'd seen in 10 years.
The surgeon I saw prior said I'd be 85 to 95% fine, wouldn't need a walker & might not need a cane.
Dr Ranawat said paraphrased- it's a good thing you didn't have surgery then & he was a bad Dr & has been fired.'
I'd love to have the names of the other doctor you saw for opinions. Another opinion is always good👍

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@pamglutemedius
FYI. There are several orthopedic surgeons @ HSS last name Ranawat.

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