Gluteal Medius Tendinosis and Illiopsoas Bursitis

[nmarman]

You have come up with a reasonable plan the busa would probably benefit from passive release & icing.

Either way you are focusing on MRI results but not why you have this problem.

Really I would be looking at your pelvic tilt you will either have a posteriorly tilted pelvis (tight buttocks and flat tummy) and a reduced lordosis or a anterior tilted pelvics (weak buttocks and weak abs)

My bet is the former.

Either way it's a complicated condition that will require specific massage release, pelvic manipulation, rehab and relearning of a no doubt disturbed gait pattern. All this will need constant guidance and reviews as well as hands on therapy for long term recovery.

Hope that helps

[MickyBee]

Thanks, I agree with the anterior tilted pelvis and my gait is definitely disturbed. I suspect that an Achillies problem on the other leg, has cause me to overuse this side.

I am concentrating on getting rid of the gluteal medius tendinosis, since this is the biggest cause of my pain. I'm just not certain how to do this, at the moment I am trying to load it eccentrically, but not sure the best way to do this, or if this is the correct initial step.

I also suspect my glutes are weak/inactive, so will be working on strengthening/activating them once my tendinosis has improved.

[Kris7iina]

I recommend this article about gluteal tendinopathy: Gluteal Tendinopathy | RunningPhysio

[MickyBee]

Not made any progress with Physio so getting steriod injection in bursa and glute med.

[MickyBee]

Hi,

I am still struggling with this. I still have chronic anterior hip pain as well as adductor pain.

I am not able to walk at all without aggravating my symptoms.

Is there anyone in the UK who can help, or suggest anyone?

Mick