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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Sorry to hear about your injury. I’m also experiencing pain in my left glute that is excruciating when twisting left or bending over. May I ask how you injured yourself? Also, how did they diagnose the tear? My injury came from a lying down hamstring curling machine. They gave me an MRI of my lumbar spine, but that didn’t show anything that would cause my pain. It’s been 9 months with almost no improvement from PT and an SI joint shot.
I understand your apprehension to go through with the surgery, but remember, the people who post on this website are looking for answers because something is wrong. The successful surgeries where people feel good are usually not discussed here because those people are out living their best lives.

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Are there procedures that can reveal damage to the buttocks. I fell hard years ago and have been struggling with the pain ever since. MRIs on lumbar/sacral spine have not shown anything. I thought that perhaps an ultrasound ont the buttocks might real something. So far no doctor has suggested anything. Suggestions?

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My tear of the left gluteus medius tendon and minimus tendon was just diagnosed last week through the MRI. My pain is very specific. It doesn't hurt sitting or lying on my back. It hurts from a sitting position to a standing one and then painful on walking. I have an appointment for a guided injection next week and to start PT. I didn't even know there was surgery. Mine isn't from a particular injury it just happened. This started in February. At 84 my exercise is walking outside a mile or two and now I can't do that at all. Stuck in the house.

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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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At the age of 80 (I'm a very active 85 years old now) I had surgery for a complete tear of the minimus and a partial tear of the medius tendons. It took a year and a change of doctors to finally get a diagnosis. I had to wear a brace for 6 weeks and could not put weight on the foot of my affected leg for the same period of time. Not fun, but as a result of the surgery and a good PT I have not had any issues since. Before the surgery I had a great deal of pain in my hip and leg. I hope you have an outcome that will be as good as mine.

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Profile picture for closer0043 @closer0043

Sorry to hear about your injury. I’m also experiencing pain in my left glute that is excruciating when twisting left or bending over. May I ask how you injured yourself? Also, how did they diagnose the tear? My injury came from a lying down hamstring curling machine. They gave me an MRI of my lumbar spine, but that didn’t show anything that would cause my pain. It’s been 9 months with almost no improvement from PT and an SI joint shot.
I understand your apprehension to go through with the surgery, but remember, the people who post on this website are looking for answers because something is wrong. The successful surgeries where people feel good are usually not discussed here because those people are out living their best lives.

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@closer0043 I was diagnosed from an MRI of my hip. Later they also looked at my lower back, which also isn't great but they said the back issues wouldn't create the pain I have on the side of my hip. (although the torn glutes can create back pain too). I am/was a very active 71 year old. Probably tore it just because of degeneration and playing pickleball. There was no obvious injury event.

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Profile picture for gussie @gussie

My tear of the left gluteus medius tendon and minimus tendon was just diagnosed last week through the MRI. My pain is very specific. It doesn't hurt sitting or lying on my back. It hurts from a sitting position to a standing one and then painful on walking. I have an appointment for a guided injection next week and to start PT. I didn't even know there was surgery. Mine isn't from a particular injury it just happened. This started in February. At 84 my exercise is walking outside a mile or two and now I can't do that at all. Stuck in the house.

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@gussie A cortisone shot gave me some relief but it only lasted 3 weeks or so. I wish I had not done it because it does weaken the tendon. Are you getting cortisone or PRP?

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Profile picture for columbia86 @columbia86

At the age of 80 (I'm a very active 85 years old now) I had surgery for a complete tear of the minimus and a partial tear of the medius tendons. It took a year and a change of doctors to finally get a diagnosis. I had to wear a brace for 6 weeks and could not put weight on the foot of my affected leg for the same period of time. Not fun, but as a result of the surgery and a good PT I have not had any issues since. Before the surgery I had a great deal of pain in my hip and leg. I hope you have an outcome that will be as good as mine.

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@columbia86 That's great that it worked for you, especially a complete tear. How long before you were able to be active again? Are you a woman or man? I'm told women have this issue more often than men. I'd love to know who your doctor is and where they are.

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Profile picture for heisenberg34 @heisenberg34

Are there procedures that can reveal damage to the buttocks. I fell hard years ago and have been struggling with the pain ever since. MRIs on lumbar/sacral spine have not shown anything. I thought that perhaps an ultrasound ont the buttocks might real something. So far no doctor has suggested anything. Suggestions?

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@heisenberg34 I have no idea but you can get an MRI of your full pelvis/hip.

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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.)

Jump to this post

@ennaoj44 I am in the same boat... same diagnosis... I can't even find a surgeon to do a gl med transfer. terrible Trendelenburg gait which has made my already bad back much worse. hip doesn't hurt that bad, back hurts from the limp. Looking at probably fusion L2-3 late this summer.

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