Gluteal Tendinopathy

Question 1

Age, sex, race and ethnicity of someone with a gluteal tendinopathy

Comorbidities of someone with a gluteal tendinopathy

Answer 1

Typically female age > 40

Metabolic conditions
History of statins, anabolic steroids potentially, and glucocorticoids or other things that may weaken the tendons- ex fluoroquinalone

Question 2

Symptoms of someone with a gluteal tendinopathy

Answer 2

Lateral hip pain

Pain with higher demand single leg activities- walking up hill, stair climbing, and standing on 1 leg

Pain with compressive loading of the hip- IT band will compress it and can occur with sitting with the legs crossed or sleeping on the painful side or on c/l side

Question 3

Questions to rule up a gluteal tendinopathy

Answer 3

Changes in training load

PAin with stairs/hills or balancing on 1 leg

PAin with sleeping on your side

Question 4

Gluteal tendinopathy examination

Answer 4

+palpation tenderness- +PPV- 78%
+resisted hip abduction- +PPV- 96%
+SLS- pain withing 30 seconds can use finger for support- +PPV- 99%

+FADER Test- Flexion at 90, Adduction and ER - + pain proviocation
+FADER- R test- Same position but add resisted IR at end.

• FADER test- .3 sensitivity, .87 specificity
• FADER-R test - .44 sensitivity, .933 specificity

Rule down hip OA

Question 5

Evidence informed interventions for a gluteal tendinopathy

Answer 5

Education on reducing loading - reduce hill walking or running. Adjust sleep position.

Exercise- Think of progressions of tendon loading- isometric-istotonic and energy storage (plyo phase)