Treatment FAQ

what is the treatment for a torn gluteus medius muscle?

by Gillian Weissnat PhD Published 2 years ago Updated 2 years ago
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Gluteus medius tears cause pain and weakness on the affected side of the hip. Initial treatment involves ice, non-steroidal anti-inflammatory drugs (NSAIDs) and activity modification to decrease pain and inflammation. If a severe, full-thickness gluteus medius tear is present, surgical repair may be required.

Full Answer

How to strengthen the posterior gluteus medius?

  • Start with your legs shoulder-width apart. Hold a kettlebell or dumbbell in the center of your torso, with your elbows reaching out to the sides. ...
  • As you descend, think of reaching out with your knees. Allow your seat to reach slightly back as your hips flex as if you were about to sit down.
  • Start with 3 sets of 8 to 10. ...

How to heal the gluteus maximus?

Exercises to Help Gluteus Medius Tears

  1. Hip Passive Range of Motion Movements. Your passive range of motion is the amount your joint can move when someone else is manipulating your limb.
  2. Supine Bridge. Supine bridges help stretch the hip joints and improve flexibility. ...
  3. Single-Leg Bridge. ...
  4. Standing on One Leg. ...

What causes gluteus minimus tear?

The primary symptoms of a gluteus medius tear or a gluteus minimus tear include the following:

  • Pain on the outside of the hip and buttocks
  • Abnormal gait
  • Lower back pain, which often leads patients to believe they have a lower back/spine injury, rather than a hip injury
  • Buttock pain
  • Weakness and limited mobility
  • Symptoms that worsen with prolonged sitting, standing, or walking
  • Limited mobility

How to recover from glute injuries?

Home Remedies and Rehab for a Strained Gluteus Maximus

  • Grading a Gluteus Maximus Injury. A strain or tear of the gluteus maximus can occur during athletic activities, most likely while playing dynamic sports that require running, jumping and quick ...
  • Home Remedies for a Pulled Glute. ...
  • Exercise and Rehabilitation. ...
  • When to See Your Doctor. ...

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How long does it take to heal a muscle tear in the gluteus medius?

Recovery. Postoperative recovery from a gluteus medius repair involves 6 weeks of restricted weight bearing with crutches or an assisted device and 6 weeks in a hip brace.

How do you fix a torn gluteus medius?

Surgical treatment may be recommended to repair a complete, full-thickness gluteus medius tear. The surgery can be performed endoscopically through tiny incisions to reattach the torn tendon back onto the greater trochanter with stitches. This helps to restore strength and function to the gluteus medius muscle.

Can a gluteus medius tear heal without surgery?

These tears can be treated successfully nonoperatively or with surgery. Nonoperative management includes pain control and physical therapy to target the hip rotators. Conservative treatment will provide most patients with pain relief.

How long does it take for a gluteus medius tear to heal without surgery?

Recovery. Most patients stay one night in hospital. Crutches are required to walk for the first 6 weeks. It takes three months for your hip to fully recover from gluteal tendon and muscle repair.

Can you walk with gluteus medius tear?

Gluteus medius tears are also known as tears of the hip rotator cuff. The gluteus medius muscle helps connect your thighbone and your pelvis on the outside of your hips. This is an important joint for walking, sitting, and standing, and a tear can make it difficult or impossible to walk without a limp.

How painful is a gluteus medius tear?

The symptoms of a gluteus medius tear involve pain and tenderness over the lateral aspect of the hip which may be aggravated with activities such as running, climbing stairs, prolonged sitting or walking, and lying on the affected side of the hip.

How do I know if I tore my gluteus medius?

What are the signs of a gluteus medius tear?Pain on the side of the hip or in your buttocks.Swelling or inflammation.Difficulty sitting.Limping while walking.Decreased hip range of motion.Rotating hip causes discomfort.Pain at night, sometimes preventing sleep.

How should I sleep with gluteus medius pain?

How can I Sleep with Gluteal Tendinopathy?Sleep on the non-painful side.Sleep with a pillow between the knee when on your side.Place pillows under the knees with lying on your back.

Can MRI Miss gluteus medius tear?

Conclusion: MRI showed good accuracy for the diagnosis of tears of the gluteus medius and gluteus minimus tendons. The identification of an area of T2 hyperintensity superior to the greater trochanter had the highest sensitivity and specificity for tears at 73% and 95%, respectively.

How does a gluteus medius tear happen?

Tears of the gluteus medius usually occur where the tendon inserts at the greater trochanter, causing pain on the outside of the hip. Tears of the gluteus medius can occur due to traumatic injury or degenerative conditions such as tendinopathy (chronic inflammation of the gluteus medius tendon).

When does a muscle tear need surgery?

Surgery should not be attempted until 4–6 months after trauma to allow for complete maturation of the process.

How do you treat a torn gluteus medius?

Treatments for a torn gluteus medius muscle vary based on the severity of the injury. Patients who experience mild pain or a partially torn muscle...

Can a gluteus medius tear heal?

A torn gluteus medius muscle is able to completely heal, provided that the correct treatment options are employed and recovery goes well. Complicat...

What does a gluteus medius tear feel like?

A gluteus medius tear is often associated with a few general symptoms, which are caused by the muscle being overused while damaged. The most common...

How long does it take for a gluteus medius tear to heal?

Recovery times for a gluteus medius tear vary based on the severity of the injury. Patients who experience mild pain or a partial tear of the muscl...

What is the treatment for gluteus medius muscle rupture?

Treatment. The aim of treatment is to restore the normal function of the gluteus medius muscle. Immediately following the rupture, RICE therapy is initiated and involves: Medications such as non-steroidal anti-inflammatory drugs or NSAIDs and steroid injections may be given to reduce the pain and inflammation.

How to repair a torn gluteus medius?

The surgery can be performed endoscopically through tiny incisions to reattach the torn tendon back onto the greater trochanter with stitches. This helps to restore strength and function to the gluteus medius muscle.

What test confirms a gluteus medius tear?

Special tests such as single-leg squat test or positive trendelenburg sign confirms the diagnosis of a gluteus medius tear. MRI or ultrasound may be helpful to view the pathological changes of the muscle.

How to tell if you have a gluteus medius tear?

The symptoms of a gluteus medius tear involve pain and tenderness over the lateral aspect of the hip which may be aggravated with activities such as running, climbing stairs, prolonged sitting or walking, and lying on the affected side of the hip. One of the main symptoms of a gluteus medius tear is the presence of trendelenburg sign, evidenced by dropping of the pelvis towards the unaffected side during ambulation from being unable to properly bear weight on the affected limb.

What is a gluteus tear?

A gluteus medius tear is a condition characterized by severe strain on the gluteus medius muscle that results in partial or complete rupture of the muscle. The gluteus medius is one of the major muscles of the hip and is essential for movement of the lower body and keeping the pelvis level during ambulation.

Where is the gluteus medius?

The gluteus medius muscle arises from the top of the pelvic bone and attaches to the outer side of the thigh bone or femur at the greater trochanter by the gluteus medius tendon. The muscle functions as a hip abductor, controlling side to side movement of the hip and providing stabilization to the joint. Gluteus medius tears often occur ...

Can a gluteus tear occur?

It can occur from sudden bursts of activity and poor flexibility of the gluteus muscle. Any traumatic or overuse injury, or degenerative changes can also lead to partial or complete tear of the gluteus muscle.

How to prevent gluteus medius tears?

Most exercises for gluteus medius tears are gentle, simple motions to help prevent making the injury worse. 1. Hip Passive Range of Motion Movements . Your passive range of motion is the amount your joint can move when someone else is ...

What is a gluteus medius tear?

Safety Considerations. Gluteus medius tears are also known as tears of the hip rotator cuff. The gluteus medius muscle helps connect your thighbone and your pelvis on the outside of your hips. This is an important joint for walking, sitting, and standing, and a tear can make it difficult or impossible to walk without a limp.

What is the purpose of gluteus medius?

Exercises for rehabilitating gluteus medius tears have three main purposes: to improve strength, flexibility, and control over the muscle. The goal is for the joint to have similar or identical function to its state before the tear occurred.

How to strengthen gluteus medius?

Bike riding, especially stationary bike riding, is a low-impact way to strengthen a number of muscles, including your gluteus medius. As your muscle recovers, you can begin to slowly add stationary biking to your daily routine. Your physical therapist will likely recommend that you only ride for a few minutes a day at first, with low resistance. ...

How to stretch hip joints?

Supine Bridge. Supine bridges help stretch the hip joints and improve flexibility. Your physician will let you know when it is safe to begin these exercises. Step 1: Lie flat on your back, with your knees bent and your feet flat and hip-width apart.

How to stabilize a torn leg?

Step 1: Stand near an object that you can use to stabilize yourself, such as a sturdy table or a counter. Step 2: With one hand placed on the counter for balance, slowly lift the leg on your uninjured side off the ground a few inches.

Can you ride a bike with a gluteus medius tear?

As you recover, you will be able to bike longer and with higher resistance. Safety Considerations. Gluteus medius tears can be serious injuries requiring surgery for recovery. If you have a gluteus medius tear, always consult with your medical team before beginning any exercise.

How to treat torn gluteus medius?

In most cases, anti-inflammatory medications will alleviate the swelling and reduce the pain. Icing and gentle stretching can also provide relief .

How to diagnose gluteus medius tear?

Your orthopedic specialist can diagnose a gluteus medius tear by raising your leg away from your body to target the area of tenderness and weakness. An MRI may be useful in determining the extent of tissue damage. It will reveal if your tendon is stretched or torn, which may require surgery if your pain and weakness are severe enough.

How to tell if a gluteus medius tear is stretched?

Common symptoms of a gluetus medius tear include: Your orthopedic specialist can diagnose a gluteus medius tear by raising your leg away from your body to target the area of tenderness and weakness. An MRI may be useful in determining the extent of tissue damage. It will reveal if your tendon is stretched ...

What muscle is on the side of the hip?

If you’re feeling recurring pain at the side of your hip, you might have a torn gluteus medius. This muscle is attached to the greater trochanter, the bony protrusion at the side of the hip, and runs along the upper end of the hip.

What to do after hip surgery?

After surgery (whether arthroscopic or open), you will need to walk with crutches or a stabilizing device strapped onto your hip so that the repaired tissues do not become stretched out.

How to heal a weakened hip?

Physical therapy exercises will help keep the hip from stiffening, increase your range of motion, and prevent the growth of scar tissue. Later you’ll engage in strengthening exercises to support the healing hip and prevent future injury to the weakened tendon. Regardless of the severity of your tear, our seasoned specialists at New York Bone ...

What muscle is responsible for walking?

The gluteus medius is responsible for abduction, or the lateral movement of the legs from the body, and ensures that we stand straight and don’t limp while walking. Occurring after the muscle is torn from the greater trochanter, a tear in the gluteus medius prevents patients from walking properly, causing sharp pain and inflammation at the side ...

What to do if you tore your gluteus muscle?

A torn gluteus muscle means you will be taking a break from sports and most exercise. You can continue to train, but only by doing things that will not require you to use the muscle. Work on upper body strength using free weights, or try swimming.

How to treat a muscle that is inflamed after exercise?

Heat the injured area. Once you start using the muscle again, apply a heating pad to the afflicted area for about 20 minutes after exercise. This will keep it from becoming too tense or inflamed when you start exercising again.

What muscles are injured when jumping?

Your gluteus muscles are in your buttocks, and they are usually injured while running and jumping. Dancers and hurdlers commonly experience torn and strained gluteal muscles. If you are having pain in your buttocks when you sit or walk down stairs, you likely have torn a gluteus muscle.

How to treat a sore muscle in the back?

Accelerate the process by taking proper care of your injury. Ice the injured area every three hours for the first three days of the injury. Leave the ice pack on for 30 minutes each time. After the first few days, the serious pain will likely abate, leaving the area sore but not horribly painful. Rest your muscles.

Can you take ibuprofen for torn muscle?

Some people have no difficulty "toughing out" the pain from a torn muscle, but if it is giving you serious trouble you can take off-the-shelf ibuprofen or see your physician for something stronger. Rehabilitate the muscle.

What causes a tear in the gluteus medius?

A tear to the gluteus medius can be the result of a fall that causes your hip muscle to be pulled outside your normal range of motion , causing a tear in the muscle. The tear can be the result of a sports injury.

What are the symptoms of gluteus medius tear?

However, they are likely to include some of the following: Pain on the side of the hip or in your buttocks. Swelling or inflammation.

What muscle is involved in walking?

Your gluteus medius is the muscle that keeps your pelvis level and stable when you walk. It allows you to lift your leg to the side. A tear in the gluteus medius causes significant discomfort and makes it very difficult to move normally. Patients with gluteus medius tears frequently also have bursitis at the same time.

Which muscle group is responsible for hip pain?

The third muscle in this group is the gluteus minimus muscle, which works with the other two to control all the movements of your hips. The gluteus medius is under your hip bursa, which is frequently a source of pain called bursitis. The bursa is under the iliotibial band, also known as the IT band. Your gluteus medius is the muscle that keeps your ...

What is the cure method for soft tissue injury?

As with most soft tissue injuries, you can follow the RICE method for treating your injury. This includes rest, icing, compression, and elevation. These actions will reduce inflammation in the affected area, which will also reduce the pain you experience.

Is a gluteus medius tear painful?

The muscles in your body are essential to allowing you to move around and do the things you need and want to do. A gluteus medius tear is very painful and debilitating. Learn how to tell if that could be what you are experiencing, and the available treatment options.

Can a gluteus tear be diagnosed?

A gluteus medius tear can be diagnosed based on the symptoms you are experiencing and through a physical exam. Sometimes X-rays and an MRI may be needed to characterize the tear anatomically. Gluteus medius tears may be mistaken for bursitis or a condition in your lower back.

What is the most common cause of gluteus medius injury?

The most common symptom of a gluteus medius tear is pain in and around your hip, especially when you put weight on your leg.

What is gluteus medius exercise?

Other gluteus medius exercises will focus on flexibility of the joint. In addition to improving gluteus medius function, therapy also helps prevent a buildup of scar tissue that could otherwise interfere with normal hip movement. During therapy, it’s important to let your therapist know when you feel pain.

How long does it take to recover from gluteus medius surgery?

Most people need about three months before their hip is fully functional again.

How to recover from a luteus tear?

After your surgery, your activity will be restricted while your hip recovers. You’ll need to use crutches and wear a hip brace for several weeks to protect and stabilize the joint. Moving and using your hip during this time is important for circulation and healing.

What muscle is involved in pelvic stabilization?

Along with the gluteus maximus and gluteus minimus muscles, the gluteus medius also helps stabilize your pelvis. The gluteus medius starts around your hip bone and extends down to the top of your thigh bone, or femur. A gluteus medius tear happens when the muscle is torn away from this bone, either completely or partially.

Where is the gluteus maximus?

But most people never hear about the lesser-known gluteus medius — until they injure it. The gluteus medius is another big muscle near your butt, located on the outer surface of your pelvis, near your hip. In fact, it’s the gluteus medius ...

Is it okay to have pain during therapy?

During therapy, it’s important to let your therapist know when you feel pain. Some discomfort is normal and acceptable, but too much pain could mean your therapy is a little too aggressiv e. Working with your therapist is the best way to ensure your recovery moves forward at a good pace for your needs.

How to treat a gluteal injury?

Should the gluteal injury be due to a direct blow or fall, resulting in a contusion, treatment aims to decrease the inflammation in the area. Ice, elevation, and rest may be helpful. Most commonly, gluteus muscle injuries heal with time and no further treatment.

What is the goal of gluteal injury treatment?

The goal of gluteal injury treatment is to return patients to their normal level of function. The gluteal region of the body (the buttocks) consists of three major muscles: gluteus maximus, gluteus medius, and gluteus minimus. The gluteus muscles function to move the hip and to a lesser extent help with knee movement in association with ...

Why is physical therapy important for gluteal injury?

Physical therapy may also be helpful in treating tendinopathies and other inflammation of the gluteus muscles not due to trauma.

What muscles help with knee movement?

The gluteus muscles function to move the hip and to a lesser extent help with knee movement in association with the iliotibial tract. Most commonly, gluteal injuries are due to local trauma from falls or direct blows. Treatment is often supportive with ice, elevation, and rest.

What is a contusion in the buttocks?

A gluteal contusion is a bruise to the muscle area. A gluteal muscle strain is a stretch or partial tear of the muscle or tendon. Trauma, either by a fall or a direct blow to the buttock area, causes most gluteal injuries.

What causes pain in the hip joint?

Examining the hip may uncover pain with tenderness over the joint line or the greater trochanter. This can be associated with gluteal tendinopathy (inflammation and damage of the gluteus tendon that attach the gluteal muscles to the greater trochanter). An injury may decrease hip range of motion.

How long does it take for a gluteus injury to heal?

Most traumatic gluteus injuries resolve on their own with time and conservative therapy, but recovery time may be measured in weeks and not days. Overuse injuries may take longer to heal, but the goal is to return patients to their normal level of function.

What is the Gluteus Medius?

The gluteus medius muscle is large and fan-shaped and runs along and beneath the more known gluteus maximus. It connects from the ilium (hip bone) down to the greater trochanter (or thigh bone).

What does the Gluteus Medius do?

The primary function of the gluteus medius is to work with your other gluteal muscles of your hip to move your hip to the side, technically called hip abduction. The gluteus medius also plays a function in thigh rotation.

Why Might you get Gluteus Medius pain?

While our ancestors spent most of their days walking around foraging for food, our modern culture promotes a more sedentary lifestyle. We often sit all day in front of a computer, in traffic on our commute, at home while watching television or just relaxing. This frequent sitting has a tendency to weaken muscles and make them tighter.

What Are the Best Gluteus Medius Exercises?

Below, you will find 12 great exercises to help with your gluteus medius pain and sample videos to help you perform the exercises.

What are the Best Massage Products for Gluteus Medius Pain?

Besides just exercise, perhaps you are looking at other ways to massage the gluteal area. There are a few tools of the trade that will work wonders.

Conclusion

That’s it! We hope this was helpful and can alleviate your gluteal pain, strengthen your muscles, and increase your flexibility and mobility.

About the Author: Paul Thomas

I've been plagued with lower back pain since my late teen years. As an avid fitness enthusiast, I've struggled for years trying to balance my active lifestyle while avoiding injury. I've done physical therapy, visited a myriad of specialist and sports physicians, and tried everything under the sun to continue my journey. But it wasn't just me.

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