Why does it occur?

Gluteal Tendonitis or Trochanteric Bursitis is one of the most common causes of hip pain that we see.  Pain is typically located at the lateral (outside) hip, specifically at the Greater Trochanter.  Gluteal tendonitis is common in runners, especially female runners, but can develop from a number of other reasons.  Bursitis may develop from overuse activity such as running or climbing, but may also occur from direct trauma to the area or even sleeping on one side for a prolonged period. Certain spine problems or leg-length discrepancies can also lead to Gluteal Tendonitis in some cases.

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Symptoms:

Patients with Gluteal Tendonitis typically present with lateral/outer hip pain made worse with activities such as running and with direct pressure on the area (the Greater Trochanter).  Patients often mention that they have pain sleeping on the affected side.

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Diagnostic Testing:

Dr. Lee will usually obtain an X-ray to assess the area.  Some patients develop bone spurs or calcifications associated with the diagnosis.  An MRI may be ordered to assess the hip or possibly the lumbar spine if another pathology is suspected.

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Treatment Options:

Gluteal tendonitis is treated by decreasing the offending activity whether that's running, or even over walking, or sleeping on the affected side.  Icing and NSAIDs such as Advil or Aleve (if not contraindicated) may be advised to reduce inflammation in the area.  Physical Therapy is an important aspect of treatment for Gluteal Tendonitis.  If the pain is severe or does not improve with the above treatment options, a cortisone steroid injection may be discussed.  Theoretically up to 3 cortisone injections may be administered at least a month apart.  Dr. Lee uses an ultrasound to guide the injection during the procedure which can be done during your office visit.

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Surgical Treatment:

 

If your Gluteal Tendonitis pain does not improve with non-operative treatment, surgery may be discussed as an option.  The vast majority of patients with Gluteal Tendonitis are successfully treated without the need for surgery, however.

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*It is important to note that all of the information above is not specific to anyone and is subject to change based on many different factors including but not limited to individual patient, diagnosis, and treatment specific variables. It is provided as an educational service and is not intended to serve as medical advice.  Anyone seeking specific orthopedic advice or assistance should consult Dr. Steven Lee or an orthopedic specialist of your choice.

 

*Dr. Steven Lee is a board certified orthopedic surgeon and is double fellowship trained in the areas of Hand and Upper Extremity Surgery, and Sports Medicine. He has offices in New York City, Scarsdale, and Westbury Long Island.