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Review
. 2024 Apr 10;8(2):rkae022.
doi: 10.1093/rap/rkae022. eCollection 2024.

Current and future advances in practice: tendinopathies of the hip

Alison Grimaldi  1   2 , Rebecca Mellor  1   3 , Anthony Nasser  4   5 , Bill Vicenzino  1 , David J Hunter  6
Affiliations
Review

Current and future advances in practice: tendinopathies of the hip

Alison Grimaldi et al. Rheumatol Adv Pract. .

Abstract

Tendinopathy describes persistent tendon pain and loss of function related to mechanical loading. Two common hip tendinopathies seen in practice are gluteal tendinopathy and proximal hamstring tendinopathy. Both conditions can be frustrating for patients and clinicians due to the delay in diagnosis, significant disability caused and lack of response to common treatments. Tendinopathy is a clinical diagnosis and can most often be made using findings from the patient interview and pain provocation tests, without the need for imaging. Specific education and progressive exercise offer a low-risk and effective option for gluteal tendinopathy and result in greater rates of treatment success than corticosteroid injection, both in the short term (8 weeks) and at 1 year. Proximal hamstring tendinopathy is a common, but less researched, and under-recognized cause of persistent ischial pain. As research on proximal hamstring tendinopathy is limited, this review summarizes the available evidence on diagnosis and treatment following similar principles to other well-researched tendinopathies.

Keywords: GTPS; buttock pain; buttocks; gluteal tendinopathy; greater trochanteric pain syndrome; hamstring tendons; lateral hip pain; proximal hamstring tendinopathy.

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Figures

Figure 1.
Figure 1.
Bony features associated with gluteal tendinopathy
Figure 2.
Figure 2.
Patient interview features of three key differential diagnoses for lateral hip pain
Figure 3.
Figure 3.
Diagnostic tests for gluteal tendinopathy
Figure 4.
Figure 4.
Load management strategies for gluteal tendinopathy
Figure 5.
Figure 5.
LEAP clinical trial outcomes for management of gluteal tendinopathy
Figure 6.
Figure 6.
Patient interview features of three key differential diagnoses for buttock pain. (The information in this figure represents a combination of features outlined in the available literature and the authors’ clinical experience.)
Figure 7.
Figure 7.
Diagnostic tests for proximal hamstring tendinopathy
Figure 8.
Figure 8.
Load management strategies for proximal hamstring tendinopathy
See this image and copyright information in PMC

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