[Andy Reed]

Good morning

Thanks for your question. I have a few additional questions, and if you wish to take this to a less public forum, Evoke does offer phone consultations and I would be happy to discuss this with you.
First off, you are correct that this was probably a case of ‘too much too soon. ‘ When tendons become sore, they have almost always been subject to excessive overload. Our cardiovascular system adapts rather quickly to training but our tendons, muscles, joints and ligaments take much longer, so it’s not uncommon to be ramping up the training load then wham, an injury hits.

My questions: 1) can you describe the symptoms? Usually the pain in this condition is over the outer aspect of the hip – at the bony prominence (greater trochanter). It’s often sore to lie on, and getting  up from sitting can cause pain.  2) Have you had any imaging? I find X-rays are useful to rule out other problems that can mimic gluteal tendinopathy. Ultrasound can also help with diagnosis.

Assuming the diagnosis is correct, then physical therapy is the first line treatment with exercises designed to progressively strengthen the hip abductors and rotators. Shockwave treatments can also be very helpful. The good news is that you can often continue to train through this – at a modified and reduced load – and you will certainly be in the gym.

Sometimes these do become persistent but I find this is much more common in older postmenopausal females.

Lastly, we do sometimes do injections but only if the problem becomes very severe or persistent.

Hope that’s helpful.