Gluteal Tendinopathy - A real pain in the butt!

April 2023

Gluteal Tendinopathy: Causes, Symptoms, and Treatment

Gluteal tendinopathy is a common condition that affects the tendons in the buttocks, specifically the gluteus medius and gluteus minimus tendons. These tendons play a crucial role in stabilizing the hip joint and supporting the movement of the hip and thigh. When these tendons become damaged or irritated, it can result in pain and discomfort in the hip and buttocks area, which can significantly impact a person's daily activities. In this blog, we will explore the causes, symptoms, and treatment options for gluteal tendinopathy.


Gluteal tendinopathy is commonly caused by overuse or repetitive stress on the tendons, leading to degeneration and weakening of the tendon tissue. Some of the common causes of gluteal tendinopathy include:

  1. Repetitive Activities: Engaging in repetitive activities that involve repetitive hip movements, such as running, jumping, or squatting, can strain the gluteal     tendons over time, leading to tendinopathy.
  2. Aging: As we age, the tendons in our body naturally become less resilient and more prone to degeneration. This can also affect the gluteal tendons, leading to tendinopathy.

    3.  Poor Biomechanics: Poor posture, improper gait, or abnormal hip mechanics can increase the stress on the gluteal tendons, leading to tendinopathy.

     4. Trauma: A direct blow or impact to the hip, such as a fall or accident, can result in damage to the gluteal tendons and cause tendinopathy.


The most common symptom of gluteal tendinopathy is pain, which is typically localized to the outer hip or buttocks region. The pain may worsen with activities that involve hip movement, such as walking, climbing stairs, or sitting for long periods. Other symptoms of gluteal tendinopathy may include:

  1. Tenderness:  The outer hip or buttocks may be tender to touch, and pressing on the area may cause discomfort.
  2. Stiffness: Some individuals with gluteal tendinopathy may experience stiffness or limited range of motion in the hip joint.
  3. Weakness: Weakness in the hip muscles, particularly the gluteal muscles, may be observed due to pain and inflammation in the tendons.
  4. Pain at Night: Pain may also disrupt sleep, particularly when lying on the affected side, which can affect the overall quality of life.

Diagnosis and Physiotherapy Treatment:

Diagnosing gluteal tendinopathy typically involves a thorough physical examination by a healthcare professional, including a review of the individual's medical history and a detailed assessment of the hip joint and surrounding muscles. Imaging studies, such as X-rays, ultrasound, or MRI, may also be used to confirm the diagnosis and rule out other possible conditions.

Physiotherapy plays a crucial role in the management of gluteal tendinopathy. It is a conservative and non-invasive approach that aims to reduce pain, improve hip stability, and restore normal hip function. A physiotherapist can design an individualized treatment plan based on the severity and stage of gluteal tendinopathy.

Here are some ways in which physiotherapy can help in the management of gluteal tendinopathy:

  1. Education and Activity Modification: A physiotherapist can educate the patient about gluteal tendinopathy and provide guidance on modifying daily activities and avoiding aggravating movements or positions. This may involve recommendations on posture, gait, and proper body mechanics to reduce stress on the gluteal tendons and promote healing.
  2. Exercise Prescription: Specific exercises and stretches can help strengthen the hip muscles, improve hip stability, and restore normal biomechanics. A physiotherapist can prescribe a tailored exercise program that may include strengthening exercises for the gluteal muscles, core stability exercises, and flexibility exercises to improve hip range of motion.
  3. Manual Therapy: Manual therapy techniques, such as joint mobilizations, soft tissue mobilizations, and trigger point releases, may be used by a physiotherapist to address any joint stiffness, muscle imbalances, or soft tissue restrictions that may contribute to gluteal tendinopathy.
  4. Modalities: Physiotherapists may also use various modalities, such as shock wave therapy, to manage pain associated with gluteal tendinopathy and promote     tissue healing.
  5. Functional Rehabilitation: As the patient progresses in their recovery, a physiotherapist may focus on functional rehabilitation, which involves exercises and activities that mimic the patient's specific daily or recreational activities. This helps ensure that the patient can return to their normal activities with reduced pain and improved hip function.
  6. Home Exercise Program: A physiotherapist may prescribe a home exercise program for the patient to continue their exercises and stretches independently. This promotes self-management and empowers the patient to take an active role in their recovery process.

If you are experiencing symptoms of gluteal tendinopathy, it is advisable to seek the expertise of a qualified physiotherapist who can design an appropriate treatment plan to help you on your road to recovery. Always consult with your healthcare provider for proper diagnosis and treatment recommendations.