Is hip pain stopping you from doing the things you love? Our minimally invasive regenerative treatments could help you enjoy your life the way you want to.
Gluteal tendinopathy is also known as greater trochanteric tendinopathy. It’s the most common form of hip tendonitis and it is believed to the main cause of lateral hip pain – the wear and tear on the tendons of the muscles around the hip.
According to the NHS, gluteal tendinopathy affects 10% – 25% of the population. While women aged between 40 to 60 are three times more likely to get it than men. This is because women have a greater angle at the top of the hip joint which increases the compressive forces on the tendon.
Gluteal tendinopathy is an overstressing of the gluteal tendons, the tough fibres that connect the gluteal muscle to the hip bone. It causes pain and hip-pelvis instability.
What treatments does the Regenerative Clinic offer?
Our renowned medical team provides a range of treatments, from the traditional to the innovative:
This is an effective and well-researched procedure that’s a potential alternative to surgery. It takes advantage of the blood’s natural healing properties to reduce pain and improve joint function. It uses a specially concentrated dosage of platelets prepared from your own blood to repair damaged cartilage, tendons, ligaments, muscle and bone. Patients usually see their symptoms improve in one to two weeks of having the injections. Read more clinical evidence supporting PRP here.
This treatment involves a selective filtration of your blood which harnesses Monocytes and their reparative properties for sporting injury and soft tissue damage.
In the degenerated tendons, Monocytes contribute to the repair of the damage by promoting the release of enzymes that help remove the damaged parts and consequently help the formation of a new matrix to promote the healing of the tendon. They perform a similar function in muscle injuries and promote the repair of damaged muscle fibres as a result of injury. There is some evidence to show these cells reduce inflammation in joints and have a beneficial effect in inflammatory forms of arthritis. Read more.
A pioneering new treatment using your body’s own stem cells from a combination of Lipogems® and Platelet Rich Plasma Therapy to treat pain and inflammation. It harnesses natural repair cells removed from your body fat to target problems affecting discs, joints, tendons, ligaments and muscles.
The procedure takes around an hour and early results suggest an improvement for 75% of suitable patients. The minimally invasive procedure is a possible alternative to having an operation or can be used after surgery to help healing.
Are sometimes recommended if you’ve not had much success with the first-step approaches of painkillers, rest, stretching and physiotherapy.
What causes gluteal tendinopathy?
It’s not fully known what causes gluteal tendinopathy, but it’s thought that overstressing the gluteal tendons by rapidly increasing your exercise or workout routine could cause the pain associated with gluteal tendinopathy.
A substantial knock to the hip caused by a slip or a fall can also bring on gluteal tendinopathy, so can gaining weight.
What are the symptoms of gluteal tendinopathy?
With gluteal tendinopathy you may experience:
- Muscular stiffness that is worse in the morning or after standing for long periods
- Loss of strength in the hip muscles
- Hip pain that worsens with walking, running or hopping
- Tenderness and swelling of the hip
- Pain and discomfort when crossing your legs
- Pain on the outside of the hip, sometimes stretching down to the knee
How is gluteal tendinopathy diagnosed?
If you are experiencing hip pain, a doctor will examine your hip applying pressure to different areas to see where it hurts. In some cases, the doctor may refer you to have an:
- X-ray – to see if there any other bone problems which could be causing the pain
- MRI – using a magnetic field and radio waves a detailed image of the hip is created which can reveal subtle changes in the gluteal tendon
- Ultrasound – sound waves are used to create an image of your hip which can reveal any abnormal swelling or scar tissue in the gluteal tendon
What are the non-surgical options for gluteal tendinopathy?
Treatment for gluteal tendinopathy aims to relieve symptoms and improve the function of the hip.
Initial treatment may include medications such as analgesics which help reduce the pain, non-steroidal anti-inflammatory drugs – NSAIDS – which reduce the pain and inflammation and steroid injections which reduce inflammation and provide short-term relief.
Lifestyle modifications, such as restricting the amount of exercise you do and getting plenty of rest can help in the treatment of gluteal tendinopathy.
Applying ice to the area can help relieve the pain, particularly after exercise. If you do this, it’s important to place a cloth between the ice and your skin to prevent you getting an ice-burn.
Your doctor may also advise you to carry out a range of exercises and stretches (once the pain has decreased) to strengthen the hip and improve stability.
Our expert team specialises in treating gluteal tendinopathy using advanced non-surgical techniques including, Platelet Rich Plasma (PRP) therapy, Monocytes Therapy and AMPP® Activated Mesenchymal Pericyte Plasma (using Lipogems® technology).
What are the surgical options for gluteal tendinopathy?
Surgery is rarely recommended as a treatment for gluteal tendinopathy, but it may be an option if your symptoms don’t improve with other non-surgical treatments.
If gluteal tendinopathy has caused a tear in the gluteal tendon your surgeon may look to repair the tendon.
While the surgery is a routine procedure, it will involve a period of rehabilitation afterward.
Why have a consultation at the Regenerative Clinic?
Our innovative range of treatments goes beyond what’s available on the NHS. As well as providing a full opinion on your condition that includes all the traditional non-surgical and surgical options, our experienced consultants will also assess your suitability for our alternative biological therapies, Platelet Rich Plasma (PRP), Monocytes Therapy and Activated Mesenchymal Pericyte Plasma (AMPP).
Who will my consultation be with?
Your consultation will be with one of our lower limb specialists, Professor Wilson, Mr. Sam Heaton, Mr. Jamie Arbuthnot, Mr. Arj Imbuldeniya, Mr. Rohit Jain, Mr. Ed Britton or Mr. Amit Kumar and will last approximately 30 minutes. You may be asked to attend for an MRI scan, prior to your appointment.
As well as undertaking an examination, our specialists will take details of your medical history and discuss your symptoms. They will also detail all your treatment options and cover their potential benefits and risks.
Our expert team comprises of highly experienced surgeons, sports medicine doctors and physiotherapists who are committed to delivering a high level of care and the correct treatment option so you can quickly get back to moving around.
What is the autologus biological approach and when should it be considered?
Autologous means ‘from the same person’ rather than from a donor. Essentially, your own cells are used to encourage healing. With this type of treatment, there’s a dramatic reduction in the risks of the rejection, infection or contamination that come with using material from someone else. The innovative therapies we offer are based on this idea. If you’ve found traditional treatments aren’t helping your pain, of if you’re looking for a possible alternative to surgery, then this approach is one to consider.
Biological treatments are pioneering procedures and we’re continuously monitoring and recording its effectiveness. Patients undertaking these treatments are asked to complete pre-operative and post-operative questionnaires.
The information obtained from these questionnaires allows us to monitor your progress and it also contributes to our evidence-based database and other global studies on biological treatments. All information gathered is anonymised.