Does anyone have gluteal tendinopathy? Any successful treatments?

Posted by bunstuffer @bunstuffer, Mar 11, 2025

I have gluteal tendinopathy and am getting to the point that I can hardly walk. I've been to 8 doctors and had injections of several kinds to no benefit. I've been to physical therapy at least 10 times with very little benefit (I must have done 10,000 "clam shells" and "bridges").
The only thing that helps some and gives me a few hours of reduced pain is hydrocodone. I don't know if there's any point in pursuing more treatment.

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

I have glute tendinopathy on both sides. I am going to try PRP injections as I’ve heard it can really help

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Hi. I've been taking gabapentin (300mg 3x a day). But after like 7 months of daily pain I am much, much better and I rhink it was the shock wave therapy.
I had 4 treatments about 2 months ago. Physiatrist said it could take 2-3 months to get full benefit.
My problems stem from L5/S1 issue, which may have finally resolved on its own.
But I do recommend the shock wave treatment. I waz icicing hip/buttock constantly. Now rarely if ever.

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Profile picture for emarks @emarks

Hi. I've been taking gabapentin (300mg 3x a day). But after like 7 months of daily pain I am much, much better and I rhink it was the shock wave therapy.
I had 4 treatments about 2 months ago. Physiatrist said it could take 2-3 months to get full benefit.
My problems stem from L5/S1 issue, which may have finally resolved on its own.
But I do recommend the shock wave treatment. I waz icicing hip/buttock constantly. Now rarely if ever.

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@emarks

Yes, shock therapy helped me greatly, too. I'm now able to hike in the hills around my home without pain, whereas I hadn't been able to walk at all without serious pain for 13 months.
Also had an excellent physical therapist, and I'd worked diligently on specific, focused exercises, but the shock therapy started the all rolling.

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Profile picture for bailer71 @bailer71

I have glute tendinopathy on both sides. I am going to try PRP injections as I’ve heard it can really help

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@bailer71
Yes, PRP can really help, but I'd try shock therapy first because it's non-invasive. I'd planned to have PRP, but nixed that plan after two successful series of shock therapy.
All best to you!

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Struggling with SI joint pain, together with Greater Trachonteric Pain Syndrome- glute burning and rebound after pregabalin—any similar experiences?

I’d really appreciate hearing from anyone who’s had something similar.

I had steroid injections into my SI joint and L5/S1 about 4 months ago and since then have had ongoing nerve irritation, especially burning pain in the glutes (worse at night and early morning).

I took pregabalin for a month but had to stop due to dizziness. I’m now about 3 weeks off it and seem to be having rebound nerve pain that’s actually worse at times, especially at night.

I’ve been trying to manage with gentle movement, pacing, ice/heat etc. Some days it feels like it’s easing, then I get a flare (often early morning around 3–5am).

I’m now considering starting gabapentin but feel quite anxious about side effects and withdrawal after my experience with pregabalin.

Has anyone else had:
• Nerve irritation after SI joint injections?
• Worsening pain after stopping pregabalin?
• Early morning flares like this?

And did gabapentin help you—or not?

It’s been quite exhausting and a bit demoralising, so it would really help to hear others’ experiences.

REPLY
Profile picture for puffinmum @puffinmum

Struggling with SI joint pain, together with Greater Trachonteric Pain Syndrome- glute burning and rebound after pregabalin—any similar experiences?

I’d really appreciate hearing from anyone who’s had something similar.

I had steroid injections into my SI joint and L5/S1 about 4 months ago and since then have had ongoing nerve irritation, especially burning pain in the glutes (worse at night and early morning).

I took pregabalin for a month but had to stop due to dizziness. I’m now about 3 weeks off it and seem to be having rebound nerve pain that’s actually worse at times, especially at night.

I’ve been trying to manage with gentle movement, pacing, ice/heat etc. Some days it feels like it’s easing, then I get a flare (often early morning around 3–5am).

I’m now considering starting gabapentin but feel quite anxious about side effects and withdrawal after my experience with pregabalin.

Has anyone else had:
• Nerve irritation after SI joint injections?
• Worsening pain after stopping pregabalin?
• Early morning flares like this?

And did gabapentin help you—or not?

It’s been quite exhausting and a bit demoralising, so it would really help to hear others’ experiences.

Jump to this post

@puffinmum stay far away from gabapentin. Nasty drug. PT is recommended. Exercise/stretching are options. No more shots.

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Why is gabapentin so awful?

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@jnjstein13
Gabapentin is a very effective seizure medication for many people. Many of whom have no side effects from taking it. The same as true for patients who take it for neuropathy.
I'm sorry if you had a bad experience, but that doesn't mean the drug is "awful." It dys lot of good for millions.
Jake

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Profile picture for denisejones00 @denisejones00

@puffinmum stay far away from gabapentin. Nasty drug. PT is recommended. Exercise/stretching are options. No more shots.

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@denisejones00
Thanks, Denise. I’ve been trying exercise/stretching, under the direction of a physio, but the pain keeps getting in the way and knocking me back. I dislike taking medication but I’m pretty desperate to try one last time to see if it helps but I’ll try the lowest dose possible for the shortest time possible!

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Profile picture for Jake @jakedduck1

@jnjstein13
Gabapentin is a very effective seizure medication for many people. Many of whom have no side effects from taking it. The same as true for patients who take it for neuropathy.
I'm sorry if you had a bad experience, but that doesn't mean the drug is "awful." It dys lot of good for millions.
Jake

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@jakedduck1
Thank you Jake. I know everyone reacts differently to medication and what works for some may not work for others.
I do find it hard to deal with the side effects, which can feel worse than the original problem - but equally- I would really love to get to a point where, on balance, the medication is allowing me to lead some sort of normal life.

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