From the Research
Bracing is not a primary treatment for gluteus minimus and medius tendinopathy, and instead, a comprehensive approach including physical therapy exercises, activity modification, and pain management is recommended. The most recent and highest quality study, 1, suggests that platelet-rich plasma injections can be effective in treating gluteal tendinopathy, especially in patients with chronic symptoms.
Key Points to Consider
- Gluteal tendinopathy typically results from overload and altered biomechanics rather than joint instability that would benefit from external support 2.
- A comprehensive approach including rest from aggravating activities, progressive strengthening exercises, and proper biomechanical training is more effective than bracing alone 3.
- Some patients may find temporary relief with compression shorts or hip stabilizing belts, but these should be considered adjunctive rather than primary treatments.
- Recovery typically requires addressing the underlying movement patterns and strength deficits through targeted rehabilitation.
Treatment Options
- Physical therapy exercises targeting hip abductor strengthening, activity modification, and pain management are the primary treatment options for gluteus medius or minimus tendinopathy.
- Platelet-rich plasma injections can be effective in treating gluteal tendinopathy, especially in patients with chronic symptoms 1.
- Corticosteroid injections may provide short-term relief, but their effect is limited compared to platelet-rich plasma injections 4.
- Surgical options, such as bursectomy or tendon repair, may be considered in severe cases or when conservative measures fail 4, 5.