From the Research
Right insertional gluteal tendinopathy and enthesopathy is a painful condition affecting the attachment site of the gluteal muscles to the greater trochanter of the hip, involving inflammation and degeneration of the gluteal tendons and inflammation at the specific attachment site itself. This condition is characterized by inflammation and degeneration of the gluteal tendons where they attach to bone (tendinopathy), along with inflammation at the specific attachment site itself (enthesopathy) 1.
Causes and Risk Factors
The causes of right insertional gluteal tendinopathy and enthesopathy include overuse, biomechanical issues, or age-related degeneration, causing microscopic tears in the tendon fibers and subsequent inflammatory response 2.
Symptoms and Diagnosis
Symptoms of this condition include pain and dysfunction in the lateral hip region, particularly with activities involving repetitive hip movement or prolonged sitting 3.
Treatment and Management
Treatment typically includes an active approach with education, load management, progressive exercise, and optimization of general health, rather than traditional anti-inflammatory treatments like rest and corticosteroid injections 1. Physical therapy focusing on gentle stretching and progressive strengthening of the gluteal muscles, as well as exercises like clamshells, bridges, and side-lying leg raises, can help reduce pain and inflammation 4. Some key points to consider in the management of right insertional gluteal tendinopathy and enthesopathy include:
- Avoiding activities that cause pain, particularly those involving repetitive hip movement or prolonged sitting
- Using ice application for 15-20 minutes several times daily to reduce pain and inflammation
- Performing physical therapy exercises 3-4 times weekly for 6-8 weeks
- Considering platelet-rich plasma injections for grades 1 and 2 tendinopathy, as supported by good evidence 3