Gluteal Tendinopathy

Question 1

is aka known as….

Answer 1

GTPS

Question 2

Overview
_______ ______ pain

traditionally diagnosed as ______ ______ _______

Answer 2

Lateral Hip
Greater Trochanteric Bursitis

Question 3

Since inflammation is now known to be more _____, the primary pathology is ________

Answer 3

secondary
tendinopathy

Question 4

Tendinopathy involves

________/_______ changes
_______ supply and tendon breaks ______

Answer 4

structural; degenerative
down

Question 5

This condition is the MOST _______ LE tendinopathy

Answer 5

prevalent

Question 6

Typically in _______
> _____ of age
_________ lifestyle

Answer 6

women
40
sedentary

Question 7

Risk Factors
Biological ______

High ______

Excessive Hip _______

-due to weak _____
-coxa ____- leads to genu valgus

Plyometric ______

Answer 7

female
BMI
ADD
ABD
vara
overuse

Question 8

Etiology and Pathomechanics

Abnormal ______ _____ on tendon (primary driver)

Excessive ______ and _____ loads especially in _______ ranges

Impaired _____ control and excessive hip ______

Answer 8

mechanical loading

tensile; compressive; lengthened

LE
ADD

Question 9

Lowered supply of ABDs can result in ______ _______ and affect walking/running

Answer 9

pelvic drop

Question 10

Symptoms
_______ hip pain and possible lateral ______

_______ and _______ onset possible with overuse/lower ______

Answer 10

Lateral
thigh
Gradual
Unknown
Supply

Question 11

Aggravating Factors
__________, _________, ________, _______leg loading

Prolonged ________ increases tension on ______
- crossing _______
- through _______ lengthening

Lying may interrupt _______

Answer 11

walking
running
stairs
single leg

sitting
ITB
legs
GMAX
sleep

Question 12

Alleviating factors
_______

Answer 12

REST

Question 13

Observation/Functional Test
Possible _____ and or _____ gait

Impaired ____ control

P! and or weakness with ____ _____ stance

Need to assess higher level _______

Answer 13

antalgic; TB

LE

single leg

ADLs

Question 14

ROM- _______ hip pain and limitation

Primarily with _______

likely with horizontal _____ and ______ in 90° FLX (FADDER)

^^^ Glute _____ and _____ are lengthening at this point

Possible with _____ and _____ in neutral

Answer 14

Lateral
ADD
ADD
ER
Med/Min
IR; ER

Question 15

Resisted/MMT: possible pain and weakness with ______ especially in a ______ position

_____ and _____ in neutral

Horizontal _____ and ______ @ 90° Hip FLX

______ and ______ weak and atrophied

Answer 15

ABD
ADD

IR; ER

ABD; IR

ABD; er

Question 16

Special Tests

+_______ (FADDER)

______’s Tests

Answer 16

GTPS
Ober’s

Question 17

Palpation
TTP over _______ (hallmark sign)

Answer 17

bursa

Question 18

PT Rx
POLICED

Pt education- ______ rule- mild pain is okay during and up to 24 hours with PT

_______ management

_______ cues for LE mechanics

Avoid _______ positions
- especially _______ sitting
- lying on ______ side

__________ between knees

Answer 18

soreness
load
movement
provoking
prolonged
involved
pillow

Question 19

_________ is NOT recommended

Answer 19

Stretching

Question 20

MET
Purpose: tendon _________ and ________ (hip and lumbar)

Answer 20

proliferation
stabilization

Question 21

Tendinosis Prescription

Sets:
Reps:
Load:
Frequency:
Duration:
Actions:

Answer 21

2-3
10-15
HEAVY
every other day or 3x week
may need to start light
start with isometrics in shortened position

Question 22

MD Rx
_________ injections are for inflammation and does NOT address primary issue

mainly acts as _______

may _____ tendon from responding to optimal loading

Answer 22

Corticosteroid

analgesisc (bath)

hinder