https://wikimsk.org/w/index.php?title=Gluteal_Tendinopathy&feed=atom&action=history Gluteal Tendinopathy - Revision history 2024-03-28T20:59:28Z Revision history for this page on the wiki MediaWiki 1.39.4 https://wikimsk.org/w/index.php?title=Gluteal_Tendinopathy&diff=17885&oldid=prev Jeremy at 06:24, 23 April 2022 2022-04-23T06:24:38Z <p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en-GB"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 17:24, 23 April 2022</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l42">Line 42:</td> <td colspan="2" class="diff-lineno">Line 42:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>&lt;gallery widths=&quot;300&quot; heights=&quot;300&quot;&gt;</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>&lt;gallery widths=&quot;300&quot; heights=&quot;300&quot;&gt;</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>File:Posterior Hip Muscles 2.png|gluteus medius shown on the right</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>File:Posterior Hip Muscles 2.png|gluteus medius shown on the right</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>File:<del style="font-weight: bold; text-decoration: none;">Posterior Hip Muscles 1</del>.<del style="font-weight: bold; text-decoration: none;">PNG</del>|gluteus minimus shown on the right</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>File:<ins style="font-weight: bold; text-decoration: none;">Posterior_Hip_Muscles</ins>.<ins style="font-weight: bold; text-decoration: none;">png</ins>|gluteus minimus shown on the right</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>File:Lateral hip illustration and cadaver.jpg|lateral hip with foot prints of gluteus medius, gluteus minimus, and vastus lateralis</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>File:Lateral hip illustration and cadaver.jpg|lateral hip with foot prints of gluteus medius, gluteus minimus, and vastus lateralis</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>File:Greater trochanter anatomy facets insertions and bursae.jpg|Anatomy of the greater trochanter. (a) Three peritrochanteric bursae, (b) osseous facets of the greater trochanter, and (c) insertion sites for the abductor tendons&lt;ref&gt;{{Cite journal|last=Pianka|first=Mark A.|last2=Serino|first2=Joseph|last3=DeFroda|first3=Steven F.|last4=Bodendorfer|first4=Blake M.|date=2021|title=Greater trochanteric pain syndrome: Evaluation and management of a wide spectrum of pathology|url=https://pubmed.ncbi.nlm.nih.gov/34158938|journal=SAGE open medicine|volume=9|pages=20503121211022582|doi=10.1177/20503121211022582|issn=2050-3121|pmc=8182177|pmid=34158938}}&lt;/ref&gt;</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>File:Greater trochanter anatomy facets insertions and bursae.jpg|Anatomy of the greater trochanter. (a) Three peritrochanteric bursae, (b) osseous facets of the greater trochanter, and (c) insertion sites for the abductor tendons&lt;ref&gt;{{Cite journal|last=Pianka|first=Mark A.|last2=Serino|first2=Joseph|last3=DeFroda|first3=Steven F.|last4=Bodendorfer|first4=Blake M.|date=2021|title=Greater trochanteric pain syndrome: Evaluation and management of a wide spectrum of pathology|url=https://pubmed.ncbi.nlm.nih.gov/34158938|journal=SAGE open medicine|volume=9|pages=20503121211022582|doi=10.1177/20503121211022582|issn=2050-3121|pmc=8182177|pmid=34158938}}&lt;/ref&gt;</div></td></tr> <!-- diff cache key msk:diff::1.12:old-17530:rev-17885 --> </table> Jeremy https://wikimsk.org/w/index.php?title=Gluteal_Tendinopathy&diff=17530&oldid=prev Jeremy at 07:22, 17 April 2022 2022-04-17T07:22:51Z <p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en-GB"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 18:22, 17 April 2022</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l3">Line 3:</td> <td colspan="2" class="diff-lineno">Line 3:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|Additional contributors=Jeremy</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|Additional contributors=Jeremy</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|Peer reviewer=Jeremy</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|Peer reviewer=Jeremy</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>|Review complete=<del style="font-weight: bold; text-decoration: none;">No</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>|Review complete=<ins style="font-weight: bold; text-decoration: none;">Yes</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>}}</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>}}</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{Condition</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{Condition</div></td></tr> <!-- diff cache key msk:diff::1.12:old-17528:rev-17530 --> </table> Jeremy https://wikimsk.org/w/index.php?title=Gluteal_Tendinopathy&diff=17528&oldid=prev Jeremy at 07:20, 17 April 2022 2022-04-17T07:20:20Z <p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en-GB"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 18:20, 17 April 2022</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l3">Line 3:</td> <td colspan="2" class="diff-lineno">Line 3:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|Additional contributors=Jeremy</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|Additional contributors=Jeremy</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|Peer reviewer=Jeremy</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|Peer reviewer=Jeremy</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>|Review complete=<del style="font-weight: bold; text-decoration: none;">Yes</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>|Review complete=<ins style="font-weight: bold; text-decoration: none;">No</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>}}</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>}}</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{Condition</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{Condition</div></td></tr> <!-- diff cache key msk:diff::1.12:old-17522:rev-17528 --> </table> Jeremy https://wikimsk.org/w/index.php?title=Gluteal_Tendinopathy&diff=17522&oldid=prev Jeremy at 07:11, 17 April 2022 2022-04-17T07:11:18Z <p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en-GB"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 18:11, 17 April 2022</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l3">Line 3:</td> <td colspan="2" class="diff-lineno">Line 3:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|Additional contributors=Jeremy</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|Additional contributors=Jeremy</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|Peer reviewer=Jeremy</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|Peer reviewer=Jeremy</div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">|Review complete=Yes</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>}}</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>}}</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{Condition</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{Condition</div></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l175">Line 175:</td> <td colspan="2" class="diff-lineno">Line 176:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[https://dralisongrimaldi.com/blog/how-physiotherapists-treat-gluteal-tendinopathy/ How physiotherapists treat gluteal tendinopathy by Dr Alison Grimaldi]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[https://dralisongrimaldi.com/blog/how-physiotherapists-treat-gluteal-tendinopathy/ How physiotherapists treat gluteal tendinopathy by Dr Alison Grimaldi]</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>== References ==</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>==References==</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Pelvis, Hip and Thigh Conditions]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Pelvis, Hip and Thigh Conditions]]</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Tendinopathies]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Tendinopathies]]</div></td></tr> <!-- diff cache key msk:diff::1.12:old-17254:rev-17522 --> </table> Jeremy https://wikimsk.org/w/index.php?title=Gluteal_Tendinopathy&diff=17254&oldid=prev Jeremy: Text replacement - "leg length discrepancy" to "leg length discrepancy" 2022-04-15T11:15:59Z <p>Text replacement - &quot;leg length discrepancy&quot; to &quot;<a href="/wiki/Leg_Length_Discrepancy" title="Leg Length Discrepancy">leg length discrepancy</a>&quot;</p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en-GB"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 22:15, 15 April 2022</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l78">Line 78:</td> <td colspan="2" class="diff-lineno">Line 78:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>The lumbosacral spine should also be examined.  </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>The lumbosacral spine should also be examined.  </div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>'''Leg Length Measurement:''' Gross leg length discrepancy may contribute to GTPS. The examiner stands behind the patient, paces their hands over the iliac crests, and estimates if they are level. Another method is measuring from the ASIS to the tip of the medial malleolus.&lt;ref&gt;{{Cite journal|last=Campbell|first=T. Mark|last2=Ghaedi|first2=Bahareh Bahram|last3=Tanjong Ghogomu|first3=Elizabeth|last4=Welch|first4=Vivian|date=2018-05|title=Shoe Lifts for Leg Length Discrepancy in Adults With Common Painful Musculoskeletal Conditions: A Systematic Review of the Literature|url=https://pubmed.ncbi.nlm.nih.gov/29229292|journal=Archives of Physical Medicine and Rehabilitation|volume=99|issue=5|pages=981–993.e2|doi=10.1016/j.apmr.2017.10.027|issn=1532-821X|pmid=29229292}}&lt;/ref&gt;  </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>'''Leg Length Measurement:''' Gross <ins style="font-weight: bold; text-decoration: none;">[[Leg Length Discrepancy|</ins>leg length discrepancy<ins style="font-weight: bold; text-decoration: none;">]] </ins>may contribute to GTPS. The examiner stands behind the patient, paces their hands over the iliac crests, and estimates if they are level. Another method is measuring from the ASIS to the tip of the medial malleolus.&lt;ref&gt;{{Cite journal|last=Campbell|first=T. Mark|last2=Ghaedi|first2=Bahareh Bahram|last3=Tanjong Ghogomu|first3=Elizabeth|last4=Welch|first4=Vivian|date=2018-05|title=Shoe Lifts for Leg Length Discrepancy in Adults With Common Painful Musculoskeletal Conditions: A Systematic Review of the Literature|url=https://pubmed.ncbi.nlm.nih.gov/29229292|journal=Archives of Physical Medicine and Rehabilitation|volume=99|issue=5|pages=981–993.e2|doi=10.1016/j.apmr.2017.10.027|issn=1532-821X|pmid=29229292}}&lt;/ref&gt;  </div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>'''Ober's test:''' has been shown to lack diagnostic utility for gluteal tendinopathy.&lt;ref name=&quot;:1&quot; /&gt;</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>'''Ober's test:''' has been shown to lack diagnostic utility for gluteal tendinopathy.&lt;ref name=&quot;:1&quot; /&gt;</div></td></tr> <!-- diff cache key msk:diff::1.12:old-17217:rev-17254 --> </table> Jeremy https://wikimsk.org/w/index.php?title=Gluteal_Tendinopathy&diff=17217&oldid=prev Jeremy at 10:11, 15 April 2022 2022-04-15T10:11:31Z <p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en-GB"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 21:11, 15 April 2022</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l19">Line 19:</td> <td colspan="2" class="diff-lineno">Line 19:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>'''Gluteal tendinopathy''', referring to tendinopathy of gluteus medius and/or gluteus minimus tendons, is the most common cause of lateral hip pain and can lead to severe disability. Load management and graded strengthening is primary treatment.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>'''Gluteal tendinopathy''', referring to tendinopathy of gluteus medius and/or gluteus minimus tendons, is the most common cause of lateral hip pain and can lead to severe disability. Load management and graded strengthening is primary treatment.</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>== Terminology ==</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>==Terminology==</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Greater trochanteric pain syndrome (GTPS) is an umbrella term encompassing different musculoskeletal entities that may contribute to chronic lateral hip pain including gluteus medius and minimus tendinopathy/ tears, trochanteric bursitis, and [[Snapping Hip Syndrome|external coxa saltans]].   </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Greater trochanteric pain syndrome (GTPS) is an umbrella term encompassing different musculoskeletal entities that may contribute to chronic lateral hip pain including gluteus medius and minimus tendinopathy/ tears, trochanteric bursitis, and [[Snapping Hip Syndrome|external coxa saltans]].   </div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Any bursal distension (sub-gluteal minimus/medius) is invariably secondary to or co-exists with an underlying gluteal tendinopathy. The tendinopathy is a non-inflammatory condition. Therefore the term &quot;trochanteric bursitis&quot; (and the related terms &quot;trochanteritis&quot;) is generally regarded as a misnomer.&lt;ref name=&quot;:7&quot;&gt;{{Cite journal|last=Grimaldi|first=Alison|last2=Mellor|first2=Rebecca|last3=Hodges|first3=Paul|last4=Bennell|first4=Kim|last5=Wajswelner|first5=Henry|last6=Vicenzino|first6=Bill|date=2015-08|title=Gluteal Tendinopathy: A Review of Mechanisms, Assessment and Management|url=http://link.springer.com/10.1007/s40279-015-0336-5|journal=Sports Medicine|language=en|volume=45|issue=8|pages=1107–1119|doi=10.1007/s40279-015-0336-5|issn=0112-1642}}&lt;/ref&gt; Primary trochanteric bursitis is very rare, and microbiological causes should be considered in those cases.  </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Any bursal distension (sub-gluteal minimus/medius) is invariably secondary to or co-exists with an underlying gluteal tendinopathy. The tendinopathy is a non-inflammatory condition. Therefore the term &quot;trochanteric bursitis&quot; (and the related terms &quot;trochanteritis&quot;) is generally regarded as a misnomer.&lt;ref name=&quot;:7&quot;&gt;{{Cite journal|last=Grimaldi|first=Alison|last2=Mellor|first2=Rebecca|last3=Hodges|first3=Paul|last4=Bennell|first4=Kim|last5=Wajswelner|first5=Henry|last6=Vicenzino|first6=Bill|date=2015-08|title=Gluteal Tendinopathy: A Review of Mechanisms, Assessment and Management|url=http://link.springer.com/10.1007/s40279-015-0336-5|journal=Sports Medicine|language=en|volume=45|issue=8|pages=1107–1119|doi=10.1007/s40279-015-0336-5|issn=0112-1642}}&lt;/ref&gt; Primary trochanteric bursitis is very rare, and microbiological causes should be considered in those cases.  </div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>== Anatomy ==</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>==Anatomy==</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>The peri-trochanteric space is the interval located between the greater trochanter and the [[Gluteus Maximus|gluteus maximus]], [[Tensor Fascia Lata|tensor fascia lata]], and iliotibial band. The peri-trochanteric space contains the hip abductors: [[Gluteus Medius|gluteus medius]], [[Gluteus Minimus|gluteus minimus]], and [[Tensor Fascia Lata|tensor fascia lata]].  </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>The peri-trochanteric space is the interval located between the greater trochanter and the [[Gluteus Maximus|gluteus maximus]], [[Tensor Fascia Lata|tensor fascia lata]], and iliotibial band. The peri-trochanteric space contains the hip abductors: [[Gluteus Medius|gluteus medius]], [[Gluteus Minimus|gluteus minimus]], and [[Tensor Fascia Lata|tensor fascia lata]].  </div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l54">Line 54:</td> <td colspan="2" class="diff-lineno">Line 54:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Three continuous stages of disease have been described: normal to reactive tendinopathy to tendon dysrepair to degenerative tendinopathy.&lt;ref name=&quot;:1&quot; /&gt; Tendon tears can be intrasubstance, partial, or complete. This is explained in more detail in [[Tendinopathy]]. It is difficult to manage because pain is not closely connected to progression of pathology.&lt;ref name=&quot;:2&quot; /&gt;</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Three continuous stages of disease have been described: normal to reactive tendinopathy to tendon dysrepair to degenerative tendinopathy.&lt;ref name=&quot;:1&quot; /&gt; Tendon tears can be intrasubstance, partial, or complete. This is explained in more detail in [[Tendinopathy]]. It is difficult to manage because pain is not closely connected to progression of pathology.&lt;ref name=&quot;:2&quot; /&gt;</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>== Epidemiology and Risk Factors==</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>==Epidemiology and Risk Factors==</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Gluteal tendinopathy is a common condition with a prevalence that is highest in women in their fourth to sixth decades.&lt;ref name=&quot;:1&quot; /&gt; One study reporting 23.5% of females and 8.5% of men between 50-79 years being affected in community-based population.&lt;ref&gt;{{Cite journal|last=Segal|first=Neil A.|last2=Torner|first2=James|last3=Xie|first3=Hui|last4=Felson|first4=David|last5=Curtis|first5=Jeffrey R.|last6=Nevitt|first6=Michael|date=2006-11-01|title=PR_092: Greater Trochanteric Pain Syndrome: Epidemiology and Associated Factors|url=https://www.archives-pmr.org/article/S0003-9993(06)01018-5/fulltext|journal=Archives of Physical Medicine and Rehabilitation|language=English|volume=87|issue=11|pages=e20|doi=10.1016/j.apmr.2006.08.114|issn=0003-9993}}&lt;/ref&gt; A rapid increase in intensity and/or frequency of loads on gluteal tendons puts individuals at risk.&lt;ref name=&quot;:2&quot; /&gt; Both athletes and sedentary individuals are affected.&lt;ref name=&quot;:1&quot; /&gt; Higher body weight is another association.&lt;ref&gt;{{Cite journal|last=Plinsinga|first=Melanie Louise|last2=Ross|first2=Megan Heather|last3=Coombes|first3=Brooke Kaye|last4=Vicenzino|first4=Bill|date=2019-10|title=Physical findings differ between individuals with greater trochanteric pain syndrome and healthy controls: A systematic review with meta-analysis|url=https://linkinghub.elsevier.com/retrieve/pii/S2468781219300074|journal=Musculoskeletal Science and Practice|language=en|volume=43|pages=83–90|doi=10.1016/j.msksp.2019.07.009}}&lt;/ref&gt;  </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Gluteal tendinopathy is a common condition with a prevalence that is highest in women in their fourth to sixth decades.&lt;ref name=&quot;:1&quot; /&gt; One study reporting 23.5% of females and 8.5% of men between 50-79 years being affected in community-based population.&lt;ref&gt;{{Cite journal|last=Segal|first=Neil A.|last2=Torner|first2=James|last3=Xie|first3=Hui|last4=Felson|first4=David|last5=Curtis|first5=Jeffrey R.|last6=Nevitt|first6=Michael|date=2006-11-01|title=PR_092: Greater Trochanteric Pain Syndrome: Epidemiology and Associated Factors|url=https://www.archives-pmr.org/article/S0003-9993(06)01018-5/fulltext|journal=Archives of Physical Medicine and Rehabilitation|language=English|volume=87|issue=11|pages=e20|doi=10.1016/j.apmr.2006.08.114|issn=0003-9993}}&lt;/ref&gt; A rapid increase in intensity and/or frequency of loads on gluteal tendons puts individuals at risk.&lt;ref name=&quot;:2&quot; /&gt; Both athletes and sedentary individuals are affected.&lt;ref name=&quot;:1&quot; /&gt; Higher body weight is another association.&lt;ref&gt;{{Cite journal|last=Plinsinga|first=Melanie Louise|last2=Ross|first2=Megan Heather|last3=Coombes|first3=Brooke Kaye|last4=Vicenzino|first4=Bill|date=2019-10|title=Physical findings differ between individuals with greater trochanteric pain syndrome and healthy controls: A systematic review with meta-analysis|url=https://linkinghub.elsevier.com/retrieve/pii/S2468781219300074|journal=Musculoskeletal Science and Practice|language=en|volume=43|pages=83–90|doi=10.1016/j.msksp.2019.07.009}}&lt;/ref&gt;  </div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l135">Line 135:</td> <td colspan="2" class="diff-lineno">Line 135:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Gluteal tendinopathy for the majority is self limiting. It has been reported that more than 90% of people are responsive to conservative treatment. Those who are not are considered refractory cases.&lt;ref name=&quot;:4&quot; /&gt; Conservative treatment can include patient education, physiotherapy, [[Nonsteroidal Anti-Inflammatory Drugs|NSAIDs]], corticosteroid injections (CSI), shockwave therapy, and PRP injections. There are varying levels of evidence for each of these interventions. Evidence does not support the conservative treatment of deep transverse friction massage, therapeutic ultrasound and acupuncture.&lt;ref name=&quot;:4&quot; /&gt;</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Gluteal tendinopathy for the majority is self limiting. It has been reported that more than 90% of people are responsive to conservative treatment. Those who are not are considered refractory cases.&lt;ref name=&quot;:4&quot; /&gt; Conservative treatment can include patient education, physiotherapy, [[Nonsteroidal Anti-Inflammatory Drugs|NSAIDs]], corticosteroid injections (CSI), shockwave therapy, and PRP injections. There are varying levels of evidence for each of these interventions. Evidence does not support the conservative treatment of deep transverse friction massage, therapeutic ultrasound and acupuncture.&lt;ref name=&quot;:4&quot; /&gt;</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>=== Education ===</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>===Education===</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Patients should be advised to avoid sitting with crossed legs, sit with hips higher than knees, stand evenly on both feet and hip width apart, avoid lying on the painful hip and place a pillow under the top leg if side-lying, sleep on the back if possible, continue exercising as tolerated, but avoid aggravating exercise.&lt;ref name=&quot;:9&quot;&gt;{{Cite journal|last=Mellor|first=Rebecca|last2=Bennell|first2=Kim|last3=Grimaldi|first3=Alison|last4=Nicolson|first4=Philippa|last5=Kasza|first5=Jessica|last6=Hodges|first6=Paul|last7=Wajswelner|first7=Henry|last8=Vicenzino|first8=Bill|date=2018-05-02|title=Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: prospective, single blinded, randomised clinical trial|url=http://dx.doi.org/10.1136/bmj.k1662|journal=BMJ|pages=k1662|doi=10.1136/bmj.k1662|issn=0959-8138}}&lt;/ref&gt;</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Patients should be advised to avoid sitting with crossed legs, sit with hips higher than knees, stand evenly on both feet and hip width apart, avoid lying on the painful hip and place a pillow under the top leg if side-lying, sleep on the back if possible, continue exercising as tolerated, but avoid aggravating exercise.&lt;ref name=&quot;:9&quot;&gt;{{Cite journal|last=Mellor|first=Rebecca|last2=Bennell|first2=Kim|last3=Grimaldi|first3=Alison|last4=Nicolson|first4=Philippa|last5=Kasza|first5=Jessica|last6=Hodges|first6=Paul|last7=Wajswelner|first7=Henry|last8=Vicenzino|first8=Bill|date=2018-05-02|title=Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: prospective, single blinded, randomised clinical trial|url=http://dx.doi.org/10.1136/bmj.k1662|journal=BMJ|pages=k1662|doi=10.1136/bmj.k1662|issn=0959-8138}}&lt;/ref&gt;</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>===Exercise ===</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>===Exercise===</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Physiotherapy that is based around graded exercise has been shown to be effective in other tendinopathies. There is no universally recommended treatment protocol for gluteal tendinopathy.&lt;ref name=&quot;:4&quot; /&gt; The LEAP protocol has shown promise when compared to no treatment and a single corticosteroid injection. The LEAP protocol involves education on load management (e.g. avoiding lying on side of affected leg) and a specific graded exercise programme.&lt;ref name=&quot;:9&quot; /&gt; This study and its results can be found in the resources below and the [[Media:Gluteal tendinopathy va v12.png|infographic]].</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Physiotherapy that is based around graded exercise has been shown to be effective in other tendinopathies. There is no universally recommended treatment protocol for gluteal tendinopathy.&lt;ref name=&quot;:4&quot; /&gt; The LEAP protocol has shown promise when compared to no treatment and a single corticosteroid injection. The LEAP protocol involves education on load management (e.g. avoiding lying on side of affected leg) and a specific graded exercise programme.&lt;ref name=&quot;:9&quot; /&gt; This study and its results can be found in the resources below and the [[Media:Gluteal tendinopathy va v12.png|infographic]].</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>The concept of an activity ladder can be used. The patient should state an activity goal. Start at low tendon load such as swimming with gentle kicking or other water based activities. Progress through medium pace walking or bicycling on the flat, to bicycling with a gradual slope, to faster paced walking or bicycling, to slow running intervals on the flat, to walking up hills and stairs, to running and a medium to high pace, to running up and down hills, finally to plyometrics. The patient stops progressing at their desired goal. Pain can be used as a guide to know if the load is manageable for the tendon, with low levels of pain meaning that the load is not excessive.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>The concept of an activity ladder can be used. The patient should state an activity goal. Start at low tendon load such as swimming with gentle kicking or other water based activities. Progress through medium pace walking or bicycling on the flat, to bicycling with a gradual slope, to faster paced walking or bicycling, to slow running intervals on the flat, to walking up hills and stairs, to running and a medium to high pace, to running up and down hills, finally to plyometrics. The patient stops progressing at their desired goal. Pain can be used as a guide to know if the load is manageable for the tendon, with low levels of pain meaning that the load is not excessive.</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>=== Injections ===</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>===Injections===</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>There is some evidence for injection therapies.&lt;ref&gt;{{Cite journal|last=Ladurner|first=Andreas|last2=Fitzpatrick|first2=Jane|last3=O’Donnell|first3=John M.|date=2021-07-01|title=Treatment of Gluteal Tendinopathy: A Systematic Review and Stage-Adjusted Treatment Recommendation|url=http://journals.sagepub.com/doi/10.1177/23259671211016850|journal=Orthopaedic Journal of Sports Medicine|language=en|volume=9|issue=7|pages=232596712110168|doi=10.1177/23259671211016850|issn=2325-9671|pmc=PMC8330465|pmid=34377713}}&lt;/ref&gt; Common injectates are corticosteroid and leukocyte rich [[Platelet Rich Plasma Injection|platelet rich plasma]] (LR-PRP). The injectate is deposited around the tendon or sometimes into the tendon itself. Ultrasound can be used for needle guidance, however no significant difference between ultrasound guided and blind injection outcomes have been found.&lt;ref name=&quot;:4&quot; /&gt; corticosteroid may provide benefit in the short term but with a high recurrence rate and poorer results in the long term.  </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>There is some evidence for injection therapies.&lt;ref&gt;{{Cite journal|last=Ladurner|first=Andreas|last2=Fitzpatrick|first2=Jane|last3=O’Donnell|first3=John M.|date=2021-07-01|title=Treatment of Gluteal Tendinopathy: A Systematic Review and Stage-Adjusted Treatment Recommendation|url=http://journals.sagepub.com/doi/10.1177/23259671211016850|journal=Orthopaedic Journal of Sports Medicine|language=en|volume=9|issue=7|pages=232596712110168|doi=10.1177/23259671211016850|issn=2325-9671|pmc=PMC8330465|pmid=34377713}}&lt;/ref&gt; Common injectates are corticosteroid and leukocyte rich [[Platelet Rich Plasma Injection|platelet rich plasma]] (LR-PRP). The injectate is deposited around the tendon or sometimes into the tendon itself. Ultrasound can be used for needle guidance, however no significant difference between ultrasound guided and blind injection outcomes have been found.&lt;ref name=&quot;:4&quot; /&gt; corticosteroid may provide benefit in the short term but with a high recurrence rate and poorer results in the long term.  </div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l155">Line 155:</td> <td colspan="2" class="diff-lineno">Line 155:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Summary==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Summary==</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Aetiology and pathophysiology for gluteal tendinopathy remains incompletely known.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Aetiology and pathophysiology for gluteal tendinopathy remains incompletely known.</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>* Prevalence is highest in women over 40 years</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Prevalence is highest in women over 40 years</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Both athletes and sedentary individuals are affected</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Both athletes and sedentary individuals are affected</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>* History of lateral hip pain</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*History of lateral hip pain</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>* Examination of lateral hip pain reproduced on FABER test and 30s single-leg stance test</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Examination of lateral hip pain reproduced on FABER test and 30s single-leg stance test</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*No set diagnostic criteria</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*No set diagnostic criteria</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Diagnosis is typically clinical</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Diagnosis is typically clinical</div></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l175">Line 175:</td> <td colspan="2" class="diff-lineno">Line 175:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[https://dralisongrimaldi.com/blog/how-physiotherapists-treat-gluteal-tendinopathy/ How physiotherapists treat gluteal tendinopathy by Dr Alison Grimaldi]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[https://dralisongrimaldi.com/blog/how-physiotherapists-treat-gluteal-tendinopathy/ How physiotherapists treat gluteal tendinopathy by Dr Alison Grimaldi]</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">== References ==</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Pelvis, Hip and Thigh Conditions]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Pelvis, Hip and Thigh Conditions]]</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Tendinopathies]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Tendinopathies]]</div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">&lt;references /></ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{References}}</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{References}}</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{Reliable sources</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{Reliable sources</div></td></tr> <!-- diff cache key msk:diff::1.12:old-17203:rev-17217 --> </table> Jeremy https://wikimsk.org/w/index.php?title=Gluteal_Tendinopathy&diff=17203&oldid=prev Jeremy: /* Exercise */ 2022-04-15T09:54:39Z <p><span dir="auto"><span class="autocomment">Exercise</span></span></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en-GB"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 20:54, 15 April 2022</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l9">Line 9:</td> <td colspan="2" class="diff-lineno">Line 9:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|caption=The four facets of a right greater trochanter. The [[Gluteus Medius|gluteus medius]] inserts at the superoposterior and lateral facets; [[Gluteus Minimus|gluteus minimus]] inserts at the anterior facet.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|caption=The four facets of a right greater trochanter. The [[Gluteus Medius|gluteus medius]] inserts at the superoposterior and lateral facets; [[Gluteus Minimus|gluteus minimus]] inserts at the anterior facet.</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|epidemiology=Women aged over 40</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|epidemiology=Women aged over 40</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>|pathophysiology=[[Tendinopathy|<del style="font-weight: bold; text-decoration: none;">Degenerative </del>tendinopathy]] of [[Gluteus Medius|gluteus medius]] and/or [[Gluteus Minimus|gluteus minimus]] tendons<del style="font-weight: bold; text-decoration: none;">. Incompletely understood, factors include excessive compressive and tensile loads</del>.</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>|pathophysiology=<ins style="font-weight: bold; text-decoration: none;">Overload </ins>[[Tendinopathy|<ins style="font-weight: bold; text-decoration: none;">degenerative </ins>tendinopathy]] of [[Gluteus Medius|gluteus medius]] and/or [[Gluteus Minimus|gluteus minimus]] tendons.</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|clinicalfeatures=Chronic lateral hip pain that is exacerbated by activity and side-lying. Greater trochanteric tenderness and pain provocation in tests assessing the use of the hip abductors.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|clinicalfeatures=Chronic lateral hip pain that is exacerbated by activity and side-lying. Greater trochanteric tenderness and pain provocation in tests assessing the use of the hip abductors.</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|diagnosis=Clinical diagnosis with no accepted criteria</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|diagnosis=Clinical diagnosis with no accepted criteria</div></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l22">Line 22:</td> <td colspan="2" class="diff-lineno">Line 22:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Greater trochanteric pain syndrome (GTPS) is an umbrella term encompassing different musculoskeletal entities that may contribute to chronic lateral hip pain including gluteus medius and minimus tendinopathy/ tears, trochanteric bursitis, and [[Snapping Hip Syndrome|external coxa saltans]].   </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Greater trochanteric pain syndrome (GTPS) is an umbrella term encompassing different musculoskeletal entities that may contribute to chronic lateral hip pain including gluteus medius and minimus tendinopathy/ tears, trochanteric bursitis, and [[Snapping Hip Syndrome|external coxa saltans]].   </div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>Any bursal distension (sub-gluteal minimus/medius) is invariably secondary to or co-exists with an underlying gluteal tendinopathy. The tendinopathy is a non-inflammatory condition. Therefore the term &quot;trochanteric bursitis&quot; (and the related terms &quot;trochanteritis&quot;) is generally regarded as a misnomer.&lt;ref name=&quot;:7&quot;&gt;{{Cite journal|last=Grimaldi|first=Alison|last2=Mellor|first2=Rebecca|last3=Hodges|first3=Paul|last4=Bennell|first4=Kim|last5=Wajswelner|first5=Henry|last6=Vicenzino|first6=Bill|date=2015-08|title=Gluteal Tendinopathy: A Review of Mechanisms, Assessment and Management|url=http://link.springer.com/10.1007/s40279-015-0336-5|journal=Sports Medicine|language=en|volume=45|issue=8|pages=1107–1119|doi=10.1007/s40279-015-0336-5|issn=0112-1642}}&lt;/ref&gt;  </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>Any bursal distension (sub-gluteal minimus/medius) is invariably secondary to or co-exists with an underlying gluteal tendinopathy. The tendinopathy is a non-inflammatory condition. Therefore the term &quot;trochanteric bursitis&quot; (and the related terms &quot;trochanteritis&quot;) is generally regarded as a misnomer.&lt;ref name=&quot;:7&quot;&gt;{{Cite journal|last=Grimaldi|first=Alison|last2=Mellor|first2=Rebecca|last3=Hodges|first3=Paul|last4=Bennell|first4=Kim|last5=Wajswelner|first5=Henry|last6=Vicenzino|first6=Bill|date=2015-08|title=Gluteal Tendinopathy: A Review of Mechanisms, Assessment and Management|url=http://link.springer.com/10.1007/s40279-015-0336-5|journal=Sports Medicine|language=en|volume=45|issue=8|pages=1107–1119|doi=10.1007/s40279-015-0336-5|issn=0112-1642}}&lt;/ref&gt; <ins style="font-weight: bold; text-decoration: none;">Primary trochanteric bursitis is very rare, and microbiological causes should be considered in those cases. </ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== Anatomy ==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== Anatomy ==</div></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l72">Line 72:</td> <td colspan="2" class="diff-lineno">Line 72:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>'''Resisted abduction test''': performed with the patient in lateral decubitus. It has a 73% sensitivity and 87% specificity. Patients with decreased hip power are more likely to fail non operative management.&lt;ref name=&quot;:6&quot; /&gt;  </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>'''Resisted abduction test''': performed with the patient in lateral decubitus. It has a 73% sensitivity and 87% specificity. Patients with decreased hip power are more likely to fail non operative management.&lt;ref name=&quot;:6&quot; /&gt;  </div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>'''Resisted internal rotation test:''' See figure for picture and instructions. It is more accurate than Trendelenburg gait, greater trochanteric tenderness, and resisted abduction. This test is based on the function of gluteus medius as an internal rotator, with the internal rotation torque increased in a position of hip flexion. It has a sensitivity of 92% and specificity of 85% for the detection of gluteus medius tears. &lt;ref name=&quot;:6&quot; /&gt;  </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>'''Resisted internal rotation test:''' See figure for picture and instructions. It is more accurate than Trendelenburg gait, greater trochanteric tenderness, and resisted abduction. This test is based on the function of gluteus medius as an internal rotator, with the internal rotation torque increased in a position of hip flexion. It has a sensitivity of 92% and specificity of 85% for the detection of gluteus medius tears<ins style="font-weight: bold; text-decoration: none;">. Note, this is different to the external derotation test which has the patient at significantly greater external rotation which is less specific to the hip abductors</ins>.&lt;ref name=&quot;:6&quot; /&gt;  </div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>'''FABER:''' The FABER test is useful in the differential diagnosis as limited range of movement is associated with hip joint pathology but not gluteal tendinopathy.&lt;ref name=&quot;:1&quot; /&gt;  </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>'''FABER:''' The FABER test is useful in the differential diagnosis as limited range of movement is associated with hip joint pathology but not gluteal tendinopathy.&lt;ref name=&quot;:1&quot; /&gt;  </div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>The lumbosacral spine should also be examined.  </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>The lumbosacral spine should also be examined.  </div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">'''Leg Length Measurement:''' Gross leg length discrepancy may contribute to GTPS. The examiner stands behind the patient, paces their hands over the iliac crests, and estimates if they are level. Another method is measuring from the ASIS to the tip of the medial malleolus.&lt;ref>{{Cite journal|last=Campbell|first=T. Mark|last2=Ghaedi|first2=Bahareh Bahram|last3=Tanjong Ghogomu|first3=Elizabeth|last4=Welch|first4=Vivian|date=2018-05|title=Shoe Lifts for Leg Length Discrepancy in Adults With Common Painful Musculoskeletal Conditions: A Systematic Review of the Literature|url=https://pubmed.ncbi.nlm.nih.gov/29229292|journal=Archives of Physical Medicine and Rehabilitation|volume=99|issue=5|pages=981–993.e2|doi=10.1016/j.apmr.2017.10.027|issn=1532-821X|pmid=29229292}}&lt;/ref> </ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>'''Ober's test:''' has been shown to lack diagnostic utility for gluteal tendinopathy.&lt;ref name=&quot;:1&quot; /&gt;</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>'''Ober's test:''' has been shown to lack diagnostic utility for gluteal tendinopathy.&lt;ref name=&quot;:1&quot; /&gt;</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>&lt;gallery widths=&quot;<del style="font-weight: bold; text-decoration: none;">300px</del>&quot; heights=&quot;<del style="font-weight: bold; text-decoration: none;">300px</del>&quot;&gt;</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>&lt;gallery widths=&quot;<ins style="font-weight: bold; text-decoration: none;">300</ins>&quot; heights=&quot;<ins style="font-weight: bold; text-decoration: none;">300</ins>&quot;&gt;</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>File:Gluteus medius tear resisted internal rotation test.jpg|The resisted internal rotation test. Patient is supine with affected hip and knee at 90° flexion and hip at 10° <del style="font-weight: bold; text-decoration: none;">internal </del>rotation. The patient actively internally rotates the hip against resistance (knee away and foot towards examiner in photo). The test is positive with pain reproduction or weakness.&lt;ref name=&quot;:6&quot;&gt;{{Cite journal|last=Ortiz-Declet|first=Victor|last2=Chen|first2=Austin W|last3=Maldonado|first3=David R|last4=Yuen|first4=Leslie C|last5=Mu|first5=Brian|last6=Domb|first6=Benjamin G|date=2019-12-01|title=Diagnostic accuracy of a new clinical test (resisted internal rotation) for detection of gluteus medius tears|url=https://academic.oup.com/jhps/article/6/4/398/5625718|journal=Journal of Hip Preservation Surgery|language=en|volume=6|issue=4|pages=398–405|doi=10.1093/jhps/hnz046|issn=2054-8397|pmc=PMC6990389|pmid=32015892}}&lt;/ref&gt;</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>File:Gluteus medius tear resisted internal rotation test.jpg|The resisted internal rotation test. Patient is supine with affected hip and knee at 90° flexion and hip at 10° <ins style="font-weight: bold; text-decoration: none;">external </ins>rotation. The patient actively internally rotates the hip against resistance (knee away and foot towards examiner in photo). The test is positive with pain reproduction or weakness.&lt;ref name=&quot;:6&quot;&gt;{{Cite journal|last=Ortiz-Declet|first=Victor|last2=Chen|first2=Austin W|last3=Maldonado|first3=David R|last4=Yuen|first4=Leslie C|last5=Mu|first5=Brian|last6=Domb|first6=Benjamin G|date=2019-12-01|title=Diagnostic accuracy of a new clinical test (resisted internal rotation) for detection of gluteus medius tears|url=https://academic.oup.com/jhps/article/6/4/398/5625718|journal=Journal of Hip Preservation Surgery|language=en|volume=6|issue=4|pages=398–405|doi=10.1093/jhps/hnz046|issn=2054-8397|pmc=PMC6990389|pmid=32015892}}&lt;/ref&gt;</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>File:Hip abductor strength testing.jpg|Resisted abduction test. Pain or weakness with resisted abduction in lateral decubitus with the affected side up.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>File:Hip abductor strength testing.jpg|Resisted abduction test. Pain or weakness with resisted abduction in lateral decubitus with the affected side up.</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>File:Trendelenburg test.jpg|Trendelenburg test. The test is positive if the contralateral pelvis tilts downwards when asked to stand on the affected foot.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>File:Trendelenburg test.jpg|Trendelenburg test. The test is positive if the contralateral pelvis tilts downwards when asked to stand on the affected foot.</div></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l137">Line 137:</td> <td colspan="2" class="diff-lineno">Line 139:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>===Exercise ===</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>===Exercise ===</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>Physiotherapy that is based around <del style="font-weight: bold; text-decoration: none;">eccentric exercises </del>has been shown to be effective in other tendinopathies.&lt;ref name=&quot;:4&quot; /&gt; <del style="font-weight: bold; text-decoration: none;">Therefore, eccentric exercise </del>has promise in the <del style="font-weight: bold; text-decoration: none;">treatment of gluteal </del>tendinopathy.</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>Physiotherapy that is based around <ins style="font-weight: bold; text-decoration: none;">graded exercise </ins>has been shown to be effective in other tendinopathies<ins style="font-weight: bold; text-decoration: none;">. There is no universally recommended treatment protocol for gluteal tendinopathy</ins>.&lt;ref name=&quot;:4&quot; /&gt; <ins style="font-weight: bold; text-decoration: none;">The LEAP protocol </ins>has <ins style="font-weight: bold; text-decoration: none;">shown </ins>promise <ins style="font-weight: bold; text-decoration: none;">when compared to no treatment and a single corticosteroid injection. The LEAP protocol involves education on load management (e.g. avoiding lying on side of affected leg) and a specific graded exercise programme.&lt;ref name=&quot;:9&quot; /&gt; This study and its results can be found </ins>in the <ins style="font-weight: bold; text-decoration: none;">resources below and the [[Media:Gluteal </ins>tendinopathy <ins style="font-weight: bold; text-decoration: none;">va v12.png|infographic]]</ins>.</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">There is no universally prescribed treatment protocol</del>.<del style="font-weight: bold; text-decoration: none;">&lt;ref name=&quot;:4&quot; /&gt; However</del>, the <del style="font-weight: bold; text-decoration: none;">LEAP protocol is shown </del>to <del style="font-weight: bold; text-decoration: none;">be promising when compared </del>to <del style="font-weight: bold; text-decoration: none;">no treatment </del>and <del style="font-weight: bold; text-decoration: none;">single corticosteroid injection</del>. The <del style="font-weight: bold; text-decoration: none;">LEAP protocol involves education on load management (e.g. avoiding lying on side of affected leg) and a specific exercise programme</del>.<del style="font-weight: bold; text-decoration: none;">&lt;ref name=&quot;:9&quot; /&gt; This study and its results </del>can be <del style="font-weight: bold; text-decoration: none;">found in </del>the <del style="font-weight: bold; text-decoration: none;">resources below and </del>the <del style="font-weight: bold; text-decoration: none;">[[Media:Gluteal tendinopathy va v12</del>.<del style="font-weight: bold; text-decoration: none;">png|infographic]]</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">The concept of an activity ladder can be used. The patient should state an activity goal. Start at low tendon load such as swimming with gentle kicking or other water based activities</ins>. <ins style="font-weight: bold; text-decoration: none;">Progress through medium pace walking or bicycling on the flat</ins>, <ins style="font-weight: bold; text-decoration: none;">to bicycling with a gradual slope, to faster paced walking or bicycling, to slow running intervals on </ins>the <ins style="font-weight: bold; text-decoration: none;">flat, to walking up hills and stairs, to running and a medium </ins>to <ins style="font-weight: bold; text-decoration: none;">high pace, </ins>to <ins style="font-weight: bold; text-decoration: none;">running up </ins>and <ins style="font-weight: bold; text-decoration: none;">down hills, finally to plyometrics</ins>. The <ins style="font-weight: bold; text-decoration: none;">patient stops progressing at their desired goal</ins>. <ins style="font-weight: bold; text-decoration: none;">Pain </ins>can be <ins style="font-weight: bold; text-decoration: none;">used as a guide to know if the load is manageable for </ins>the <ins style="font-weight: bold; text-decoration: none;">tendon, with low levels of pain meaning that </ins>the <ins style="font-weight: bold; text-decoration: none;">load is not excessive</ins>.</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>=== Injections ===</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>=== Injections ===</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>There is some evidence for injection therapies.&lt;ref&gt;{{Cite journal|last=Ladurner|first=Andreas|last2=Fitzpatrick|first2=Jane|last3=O’Donnell|first3=John M.|date=2021-07-01|title=Treatment of Gluteal Tendinopathy: A Systematic Review and Stage-Adjusted Treatment Recommendation|url=http://journals.sagepub.com/doi/10.1177/23259671211016850|journal=Orthopaedic Journal of Sports Medicine|language=en|volume=9|issue=7|pages=232596712110168|doi=10.1177/23259671211016850|issn=2325-9671|pmc=PMC8330465|pmid=34377713}}&lt;/ref&gt; Common injectates are corticosteroid and leukocyte rich [[Platelet Rich Plasma Injection|platelet rich plasma]] (LR-PRP). The injectate is deposited around the tendon or sometimes into the tendon itself. Ultrasound can be used for needle guidance, however no significant difference between ultrasound guided and blind injection outcomes have been found.&lt;ref name=&quot;:4&quot; /&gt; corticosteroid may provide benefit in the short term but with a high recurrence rate and poorer results in the long term.  </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>There is some evidence for injection therapies.&lt;ref&gt;{{Cite journal|last=Ladurner|first=Andreas|last2=Fitzpatrick|first2=Jane|last3=O’Donnell|first3=John M.|date=2021-07-01|title=Treatment of Gluteal Tendinopathy: A Systematic Review and Stage-Adjusted Treatment Recommendation|url=http://journals.sagepub.com/doi/10.1177/23259671211016850|journal=Orthopaedic Journal of Sports Medicine|language=en|volume=9|issue=7|pages=232596712110168|doi=10.1177/23259671211016850|issn=2325-9671|pmc=PMC8330465|pmid=34377713}}&lt;/ref&gt; Common injectates are corticosteroid and leukocyte rich [[Platelet Rich Plasma Injection|platelet rich plasma]] (LR-PRP). The injectate is deposited around the tendon or sometimes into the tendon itself. Ultrasound can be used for needle guidance, however no significant difference between ultrasound guided and blind injection outcomes have been found.&lt;ref name=&quot;:4&quot; /&gt; corticosteroid may provide benefit in the short term but with a high recurrence rate and poorer results in the long term.  </div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>Given the paucity of treatments for chronic gluteal tendinopathy (&gt;3 months) and transient amelioration effect of CSI, there is interest whether biologic products such as PRP may provide better long-term outcomes for this condition.&lt;ref name=&quot;:0&quot;&gt;{{Cite journal|last=Koulischer|first=Simon|last2=Callewier|first2=Antoine|last3=Zorman|first3=David|date=June 2017|title=Management of greater trochanteric pain syndrome : a systematic review|url=https://pubmed.ncbi.nlm.nih.gov/30399983|journal=Acta Orthopaedica Belgica|volume=83|issue=2|pages=205–214|doi=|issn=0001-6462|pmid=30399983|via=|doi-access=}}&lt;/ref&gt; The use of PRP has been controversial<del style="font-weight: bold; text-decoration: none;">, especially in tendinopathies given its slower onset of action to see its efficacy. Some tendons respond differently to PRP</del>. Technician skills, <del style="font-weight: bold; text-decoration: none;">type </del>of <del style="font-weight: bold; text-decoration: none;">condition being treated </del>and <del style="font-weight: bold; text-decoration: none;">type </del>of <del style="font-weight: bold; text-decoration: none;">PRP </del>used <del style="font-weight: bold; text-decoration: none;">are </del>all <del style="font-weight: bold; text-decoration: none;">variables that can affect its </del>effectiveness.</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>Given the paucity of treatments for chronic gluteal tendinopathy (&gt;3 months) and transient amelioration effect of CSI, there is interest whether biologic products such as PRP may provide better long-term outcomes for this condition.&lt;ref name=&quot;:0&quot;&gt;{{Cite journal|last=Koulischer|first=Simon|last2=Callewier|first2=Antoine|last3=Zorman|first3=David|date=June 2017|title=Management of greater trochanteric pain syndrome : a systematic review|url=https://pubmed.ncbi.nlm.nih.gov/30399983|journal=Acta Orthopaedica Belgica|volume=83|issue=2|pages=205–214|doi=|issn=0001-6462|pmid=30399983|via=|doi-access=}}&lt;/ref&gt; The use of PRP has been controversial. Technician skills, <ins style="font-weight: bold; text-decoration: none;">method </ins>of <ins style="font-weight: bold; text-decoration: none;">preparation, patient variables, </ins>and <ins style="font-weight: bold; text-decoration: none;">the grade </ins>of <ins style="font-weight: bold; text-decoration: none;">tendinopathy </ins>used <ins style="font-weight: bold; text-decoration: none;">can </ins>all <ins style="font-weight: bold; text-decoration: none;">potentially alter </ins>effectiveness.</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>===Surgery===</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>===Surgery===</div></td></tr> <!-- diff cache key msk:diff::1.12:old-17146:rev-17203 --> </table> Jeremy https://wikimsk.org/w/index.php?title=Gluteal_Tendinopathy&diff=17146&oldid=prev Jeremy at 05:31, 13 April 2022 2022-04-13T05:31:36Z <p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en-GB"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 16:31, 13 April 2022</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l17">Line 17:</td> <td colspan="2" class="diff-lineno">Line 17:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|prognosis=Usually self-limiting</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|prognosis=Usually self-limiting</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>}}</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>}}</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>'''Gluteal tendinopathy''', referring to tendinopathy of gluteus medius and/or gluteus minimus tendons, is the most common cause of lateral hip pain and can lead to severe disability. Load and <del style="font-weight: bold; text-decoration: none;">exercise management </del>is <del style="font-weight: bold; text-decoration: none;">the </del>primary treatment.  </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>'''Gluteal tendinopathy''', referring to tendinopathy of gluteus medius and/or gluteus minimus tendons, is the most common cause of lateral hip pain and can lead to severe disability. Load <ins style="font-weight: bold; text-decoration: none;">management </ins>and <ins style="font-weight: bold; text-decoration: none;">graded strengthening </ins>is primary treatment.</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== Terminology ==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== Terminology ==</div></td></tr> <!-- diff cache key msk:diff::1.12:old-17095:rev-17146 --> </table> Jeremy https://wikimsk.org/w/index.php?title=Gluteal_Tendinopathy&diff=17095&oldid=prev Jeremy at 12:27, 11 April 2022 2022-04-11T12:27:52Z <p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en-GB"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 23:27, 11 April 2022</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l129">Line 129:</td> <td colspan="2" class="diff-lineno">Line 129:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Differential Diagnosis==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Differential Diagnosis==</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>{{DDX Box|ddx-text={{Lateral Hip Pain DDX}}}}</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>{{DDX Box<ins style="font-weight: bold; text-decoration: none;">|ddx-title=Differential Diagnosis of Lateral Hip Pain</ins>|ddx-text={{Lateral Hip Pain DDX}}}}</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div> </div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Treatment==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Treatment==</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Gluteal tendinopathy for the majority is self limiting. It has been reported that more than 90% of people are responsive to conservative treatment. Those who are not are considered refractory cases.&lt;ref name=&quot;:4&quot; /&gt; Conservative treatment can include patient education, physiotherapy, [[Nonsteroidal Anti-Inflammatory Drugs|NSAIDs]], corticosteroid injections (CSI), shockwave therapy, and PRP injections. There are varying levels of evidence for each of these interventions. Evidence does not support the conservative treatment of deep transverse friction massage, therapeutic ultrasound and acupuncture.&lt;ref name=&quot;:4&quot; /&gt;</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Gluteal tendinopathy for the majority is self limiting. It has been reported that more than 90% of people are responsive to conservative treatment. Those who are not are considered refractory cases.&lt;ref name=&quot;:4&quot; /&gt; Conservative treatment can include patient education, physiotherapy, [[Nonsteroidal Anti-Inflammatory Drugs|NSAIDs]], corticosteroid injections (CSI), shockwave therapy, and PRP injections. There are varying levels of evidence for each of these interventions. Evidence does not support the conservative treatment of deep transverse friction massage, therapeutic ultrasound and acupuncture.&lt;ref name=&quot;:4&quot; /&gt;</div></td></tr> <!-- diff cache key msk:diff::1.12:old-17092:rev-17095 --> </table> Jeremy https://wikimsk.org/w/index.php?title=Gluteal_Tendinopathy&diff=17092&oldid=prev Jeremy at 11:32, 11 April 2022 2022-04-11T11:32:34Z <p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en-GB"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 22:32, 11 April 2022</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l55">Line 55:</td> <td colspan="2" class="diff-lineno">Line 55:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== Epidemiology and Risk Factors==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== Epidemiology and Risk Factors==</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>Gluteal tendinopathy is a common condition with a prevalence that is highest in women in their fourth to sixth decades.&lt;ref name=&quot;:1&quot; /&gt; One study reporting 23.5% of females and 8.5% of men between 50-79 years being affected in community-based population.&lt;ref&gt;{{Cite journal|last=Segal|first=Neil A.|last2=Torner|first2=James|last3=Xie|first3=Hui|last4=Felson|first4=David|last5=Curtis|first5=Jeffrey R.|last6=Nevitt|first6=Michael|date=2006-11-01|title=PR_092: Greater Trochanteric Pain Syndrome: Epidemiology and Associated Factors|url=https://www.archives-pmr.org/article/S0003-9993(06)01018-5/fulltext|journal=Archives of Physical Medicine and Rehabilitation|language=English|volume=87|issue=11|pages=e20|doi=10.1016/j.apmr.2006.08.114|issn=0003-9993}}&lt;/ref&gt; A rapid increase in intensity and/or frequency of loads on gluteal tendons puts individuals at risk.&lt;ref name=&quot;:2&quot; /&gt; Both athletes and sedentary individuals are affected.&lt;ref name=&quot;:1&quot; /&gt; Higher body weight is another <del style="font-weight: bold; text-decoration: none;">risk factor</del>.&lt;ref&gt;{{Cite journal|last=Plinsinga|first=Melanie Louise|last2=Ross|first2=Megan Heather|last3=Coombes|first3=Brooke Kaye|last4=Vicenzino|first4=Bill|date=2019-10|title=Physical findings differ between individuals with greater trochanteric pain syndrome and healthy controls: A systematic review with meta-analysis|url=https://linkinghub.elsevier.com/retrieve/pii/S2468781219300074|journal=Musculoskeletal Science and Practice|language=en|volume=43|pages=83–90|doi=10.1016/j.msksp.2019.07.009}}&lt;/ref&gt;  </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>Gluteal tendinopathy is a common condition with a prevalence that is highest in women in their fourth to sixth decades.&lt;ref name=&quot;:1&quot; /&gt; One study reporting 23.5% of females and 8.5% of men between 50-79 years being affected in community-based population.&lt;ref&gt;{{Cite journal|last=Segal|first=Neil A.|last2=Torner|first2=James|last3=Xie|first3=Hui|last4=Felson|first4=David|last5=Curtis|first5=Jeffrey R.|last6=Nevitt|first6=Michael|date=2006-11-01|title=PR_092: Greater Trochanteric Pain Syndrome: Epidemiology and Associated Factors|url=https://www.archives-pmr.org/article/S0003-9993(06)01018-5/fulltext|journal=Archives of Physical Medicine and Rehabilitation|language=English|volume=87|issue=11|pages=e20|doi=10.1016/j.apmr.2006.08.114|issn=0003-9993}}&lt;/ref&gt; A rapid increase in intensity and/or frequency of loads on gluteal tendons puts individuals at risk.&lt;ref name=&quot;:2&quot; /&gt; Both athletes and sedentary individuals are affected.&lt;ref name=&quot;:1&quot; /&gt; Higher body weight is another <ins style="font-weight: bold; text-decoration: none;">association</ins>.&lt;ref&gt;{{Cite journal|last=Plinsinga|first=Melanie Louise|last2=Ross|first2=Megan Heather|last3=Coombes|first3=Brooke Kaye|last4=Vicenzino|first4=Bill|date=2019-10|title=Physical findings differ between individuals with greater trochanteric pain syndrome and healthy controls: A systematic review with meta-analysis|url=https://linkinghub.elsevier.com/retrieve/pii/S2468781219300074|journal=Musculoskeletal Science and Practice|language=en|volume=43|pages=83–90|doi=10.1016/j.msksp.2019.07.009}}&lt;/ref&gt;  </div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Clinical Features==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Clinical Features==</div></td></tr> <!-- diff cache key msk:diff::1.12:old-17091:rev-17092 --> </table> Jeremy