The Key Education messages that we want to get across to our Tendon pain clients are: The results showed that the Education group had better outcomes at 8 weeks and 52 weeks.
Isometric exercises for gluteal tendinopathy plus#
In fact a recent study has highlighted the importance of education as an essential part of Gluteal tendinopathy management.Ģ04 patients with Gluteal tendinopathy were randomly assigned to 3 treatment groups A program of education on load management, plus exercise (14 sessions over 8 weeks), A Corticosteroid injection, and a ‘wait and see’ group. Managing tendon pain is complex and one of our main goals as physiotherapists is to provide our patients with the confidence and the tools to take control of their rehabilitation. Isometric exercise (Holding a static muscle contraction) has been found to reduce pain for up to 45 mins after a single session, and avoid any reduction in muscle strength.
With one of the main goals being to improve and maintain Tendon strength, starting to activate the Gluts in a tolerable way, not only starts the rehab pathway, but also can be relieving.
Research has also shown that low level Gluteal activation exercises can assist with pain. In the short term, you may have to modify the intensity and frequency of these activities, to assist in settling pain. With the Gluteal Tendons these activities are usually walking & running. This is where the tendon behaves like a spring, stretching then shortening to store and release energy. Activities that involve the tendon going through its’ Stretch shortening cycle (SSC) may need to be modified. A reactive response then occurs within the tendon, which leads to pain and inflammation. Tendinopathy is often related to an overload episode, where the load that you are applying to the tendon, outweighs its capacity to cope. Examples of common ‘Compression’ positions are crossing your legs in sitting, Gluteal stretches, Side sleeping with the affected limb upper most and across the body, and standing ‘hanging’ with hip off to the side. It occurs when the hip is brought into positions of Flexion (Knee towards chest), adduction (Leg across the body), or Hip External Rotation (Outward Hip rotation). So our first goal is to decrease time spent in positions that increase this compression. Gluteal Tendinopathy can be provoked by ‘compression’ of the Gluteal tendon insertion point at the bony Greater Trochanter.