Gluteus medius syndrome

What is Gluteus Medius Syndrome?

Gluteus medius syndrome, or trochanteritis, is an inflammatory condition that affects the tendons of the gluteus medius muscle, a key stabilizer of the pelvis. It is characterized by pain in the buttock and lateral hip, which often worsens when walking, running, climbing stairs, or standing for prolonged periods. Inflammation occurs when the tendon becomes worn or injured due to overuse or poor movement mechanics.

What are the symptoms of Gluteus Medius Syndrome?

• Pain in the lateral hip: Usually in the buttock and can extend down the thigh to the knee.
• Pain that worsens with activity: Especially when walking, running, climbing stairs, standing for prolonged periods, or even sitting with the legs crossed.
• Pain while sleeping: Particularly if weight is put on the affected side.
• Limp when walking: Due to muscle pain or weakness.
• Muscle weakness: In the gluteal region, affecting stability and balance.
• Trigger points: Hypersensitive, palpable nodules in the muscle that cause pain when pressed and can refer pain to other areas.

What causes Gluteus Medius Syndrome?

Gluteus Medius Syndrome can be caused by a variety of factors:

• Muscle overload: For example, due to poor exercise technique, a sudden increase in the intensity of physical activity, or repetitive movements.
• Tendon or muscle injuries or tears: Whether partial or complete, these can occur from stretching the muscle beyond its capacity or from overexertion.
• Trauma: Direct blows or repeated microtrauma (such as running on hard terrain).
• Muscle weakness: If the core and hip muscles are weak, the gluteus medius can become overworked.
• Biomechanical problems: Leg length discrepancies (leg discrepancies) or spinal problems (such as herniated discs or degenerative scoliosis) can alter the way the gluteus medius works, leading to overuse.
• Improper footwear or lack of rest: These contribute to the risk of developing the condition.

How is gluteus medius syndrome diagnosed?

The diagnosis of gluteus medius syndrome is based on a combination of medical history, physical examination, and imaging studies. During the physical exam, the doctor will look for pain and weakness in the gluteus medius muscles, as well as limited hip mobility. Imaging studies, such as X-rays and MRIs, can help rule out other causes of hip pain, such as arthritis or bone injuries. Additional tests, such as nerve blocks or anesthetic injections into the gluteus medius, may be necessary to confirm the diagnosis.

How is gluteus medius syndrome treated?

Treatment for gluteus medius syndrome may include several options, such as:

• Physical therapy: Specific exercises to strengthen the hip, gluteus medius, and lower back muscles, as well as stretches to improve flexibility and mobility.
• Activity modification: Tips for pain management and modifying daily activities to avoid overloading the gluteus medius.
• Drug treatment: The use of anti-inflammatory drugs, analgesics, and muscle relaxants can help relieve pain and inflammation.
• Ultrasound-guided injections: Ultrasound-guided injections of corticosteroids or local anesthetics can help relieve pain and inflammation.
• Surgery: In severe cases of gluteus medius syndrome, surgery may be necessary to release or repair the affected tendon or muscle.

It is important to note that each case is different, and treatment must be individualized and tailored to the patient's needs.

Make an appointment with Dr. Jordi Jiménez. He will assist you in the center of Palma and help you regain your quality of life.