Symptoms
Typical symptoms include lateral hip pain, pain lying on the affected side, discomfort with stairs or prolonged walking, and sometimes abductor weakness.
Diagnosis
Clinical examination is central. Ultrasound or MRI may help assess tendon quality and the extent of tearing.
Nonoperative Treatment
Treatment often begins with targeted physiotherapy, load modification and symptom control. Injection may be considered in selected cases.
When Is Repair Considered?
Surgical repair may be discussed when there is a clinically significant tear with weakness or persistent symptoms despite appropriate nonoperative treatment.
Rehabilitation
Recovery focuses on gradual restoration of motion and abductor strength, with postoperative restrictions tailored to the size and quality of the repair.
Frequently Asked Questions
Is lateral hip pain always bursitis?
No. Gluteal tendon pathology is a common cause of lateral hip pain, so accurate diagnosis matters.
Does every tear require surgery?
No. Treatment depends on tear size, weakness, symptom severity and response to nonoperative care.
Individualized Care
Treatment decisions depend on symptoms, examination, imaging, activity level and the goals of the individual patient.