In the frequent hip pain related to tendinitis of the gluteus medius, certain physiotherapy techniques are at least as effective as corticosteroid infiltrations.
Pain on the outer face of the hip related to tendonitis of the gluteus medius muscle is frequent since it affects 10 to 15% of the population and nearly one in 4 women in their fifties.
A new study published in the BMJ, reveals for the first time that physiotherapy and physiotherapy techniques, carried out for at least 8 weeks, are at least as effective as corticosteroid injections, in the short (8 weeks) as in the long term (52 weeks).
A controlled study
The study randomly selected 204 people suffering from tendinitis of the gluteus medius (or “greater trochanter syndrome”), authenticated by a clinical examination followed by an MRI, between 3 treatment groups: rehabilitation focused on discharge of the gluteus medius tendon with physiotherapy, corticosteroid infiltration guided by ultrasound or simple waiting. Assessment was performed independently at 8 weeks and 1 year.
Hip pain
Tendinitis of the gluteus medius corresponds to suffering from the tendon of the muscle which ensures the locking of the pelvis in a horizontal position when one is supported on one foot, for example when one is walking.
Tendinitis appears more frequently in women around the time of peri-menopause and is manifested by pain on the outside of the hip, when walking, going up or down stairs, or even when lying down on the side of tendonitis.
Interesting results
The study reveals that both from the point of view of the overall assessment and that of the pain, rehabilitation does as well if not better than corticosteroid infiltration and much better than if nothing is done. . This is a very interesting result for a technique based on education and physiotherapy for only 8 weeks.
Comparing three approaches to managing gluteal tendinopathy: New randomized clinical trial @Bill_Vicenzino @paulwhodges @KimBennell https://t.co/7112QqjAho @alisongrimaldi pic.twitter.com/qNkUIWpghn
– The BMJ (@bmj_latest) May 7, 2018
1time positive study for rehabilitation
The strength of this study is the strict selection of hip pain related to tendonitis of the gluteus medius, eliminating pain related to hip osteoarthritis or truncated sciatica.
The 2 techniques that work are not, moreover, mutually exclusive with, on the one hand, corticosteroid infiltration to obtain rapid pain relief, sufficient in simple forms, and on the other hand, rehabilitation can be prescribed alone according to the patient’s preferences or in addition to infiltrations to strengthen the quality of the results and prevent recurrence in severe forms.
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