![]() Many issues affect this wear and repair process such as exercise loads, fitness levels, body fat, hormonal changes, stress, postures and limb alignment, and previous injuries. If the rate of wear becomes faster than the rate of repair, then healthy tendons can start to become weaker, until the point they become painful. Put simply, the body is constantly being strained (causing wear) with activity and repaired during rest. Most experts accept that the problem is degenerative, which sounds scary, however for most people it is a rectifiable issue. This explains why the typical approach of rest and anti-inflammatory medication fails to resolve the issue in many cases. In this condition the tendons are not normally inflamed. Gluteal Tendinopathy is a term that describes any problem with the Gluteal Tendons. They also play a major role in activities such as squatting, climbing stairs and getting out of a chair. The deep gluteal muscles lift your leg out to the side (Figure 1) and stop your pelvis dropping when walking and running (Figure 2). The gluteal tendons transfer the force produced by your gluteal muscles to the thigh. ![]() The condition is therefore sometimes referred to as Greater Trochanteric Pain Syndrome (GTPS). The Gluteal tendons are a tough band of tissue that connects the deep buttock muscles (gluteus medius and minimus) to the hip bone at a site, known as the greater trochanter.
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