GLUTEAL TEARS

The gluteus medius and gluteus minimus are two of the key muscle-tendon units that support the hip. These muscle-tendon units originate in the buttock and attach to the greater trochanter, a bony prominence on the side of the hip. Activation of the gluteal muscles allows one to lift his or her leg to the side (abduct) and extend the hip. Tendonitis or tears of the gluteus medius and/or gluteus minimus can occur after a traumatic injury or with long-term wear and tear.

Symptoms

• Pain radiating along the outer tip of the hip (greater trochanter)
• Weakness with lifting hip to the side (abduction)
• Pain with sleeping on the affected side

Diagnosis And Treatment

Dr. Welch considers each patient’s symptoms, as well as a detailed physical examination, x-rays, and usually and MRI or ultrasound of the hip to make the diagnosis of gluteus medius or minimus tear.

Non-surgical treatment includes rest, activity modification, physical therapy, and non-steroidal anti-inflammatory drugs. Steroid, anesthetic, or PRP injections may also relieve symptoms. If the patient fails non-operative management, then surgical repair of the torn tendon(s) may be the best treatment option.