Gluteal tendinopathy is the most common cause of lateral hip pain. In fact, this condition is very common in some sports, as in the case of hockey. How to recognize it and treat it?
Of course, this condition weakens athletes and sportsmen, especially runners and hockey players. It manifests itself as a pain in the large trochanter that can extend down towards the lateral muscle.
As in other painful conditions, the effective treatment of gluteal tendinopathy is to make a correct diagnosis. Improved prevention and future results for sufferers are supported by advances in diagnostic tests, improved understanding of risk factors and recovery programs.
Making a diagnosis of gluteal tendinopathy can be difficult. In fact, a thorough analysis of the hip, back, and pelvis must be performed to determine whether the root cause of the pain is located in the large trochanter or away from it. Symptomatic local pathology can coexist with more distant sources.
Studies consider that gluteal tendinopathy is the main cause of hip pain. This condition prevails in menopausal women and has a considerable negative influence on the quality of life.
Gluteal tendinopathy in hockey players
Generally, gluteal tendinopathy occurs when the tendon responds to a rapid increase in load. In hockey players, it can take place following a considerable increase in distance, a reduction in rest days or a change in the type of training performed.
The tendons of the buttock are the resistant fibers that connect the gluteal muscle with the bone of the hip. A tendon injury may appear to occur suddenly; nevertheless, in general, it is the result of many small tendon injuries that have occurred over time.
Tendons are designed to withstand a large and repetitive load. Despite this, if the load applied to the tendon is too large, the area begins to stress.
When this happens, the tendons from small lesions that promote inflammation and can be treated quickly.
Thus, if the load is continuously applied to the tendon, these injuries can exceed their repair rate. The damage will progressively worsen, causing pain and dysfunction. The result then will be tendonitis or tendinopathy.
For this, it is recommended to let the painful area rest and avoid any activity that makes the pain worse. Furthermore, it is advisable to do gentle hip and stretching exercises to avoid stiffness.
How to do
Sporting activity, for the most part, can continue to play in some way, as long as movements that can cause more pain are avoided or minimized.
However, for hockey players who suffer from gluteal tendinopathy, this can mean the temporary suspension of long-distance races, the decrease in the pace of the race, avoid running on a slope or doing some exercises.
In addition to the limitations of the case, you can always carry out alternative activities such as water exercises or cycling.
Traction and compression control is likely to be a key component in recovering quickly. Establishing a restorative load, through an early tensile load program that includes minimal adduction positions of the hip, will reduce pain and improve the tensile load-bearing capacity.
The strengthening exercises, along with the specific work to incorporate what has been gained in functional movement and to re-educate movement and posture difficulty levels appropriate level for the individual, will probably be the key to rehabilitation.
Before finishing, we remind you that it is always very important to evaluate the functional limitation and the levels of discomfort. Patients report pain with unique loading activity, such as walking and climbing or going downstairs.
As you may have observed, each person may suffer a tendon injury; however, those who perform the same movements several times in their work, sport or daily activity are more likely to damage it. If you believe you can suffer from this problem, consult your doctor as soon as possible for a precise diagnosis.