Tendinitis and myofascial hip pain

What is

Tendonitis is the degeneration of the system that allows the muscles to insert into the bones (the tendon). Overuse of the muscles leads to continuous wear and tear leading to deterioration of this tendon. Usually the development of these injuries is slow and can lead to partial or total tendon rupture, so it is important to act as soon as possible on the factors that lead to this deterioration.

Myofascial syndrome is a pain condition caused by the involvement of a muscle or muscle group that is chronically and persistently contracted. This contracture is characterized by the existence of a tense band whose pressure produces pain in the area or in the path of the muscle. In it is possible to locate the so-called trigger points, which are spherical or tight band-shaped points whose pressure hurts and which can be released very effectively.

Type

Tendonitis and myofascial syndrome of gluteus medius

The gluteus medius is a muscle located between the gluteus maximus and gluteus minimus that allows us to open and close our legs, stabilizes the pelvis and helps us to maintain our balance. It is a fundamental muscle in transmitting weight and maintaining proper function between the spine and pelvis.

Pyramidal Syndrome

The piriformis muscle or piriformis is a muscle located below the gluteus that goes from the hip bone (trochanter) to the sacrum. Its function is to help open the leg, rotate it outward. The myofascial syndrome of the pyramidal, also called false sciatica, is a muscle contracture of this that can compress the sciatic nerve that passes just below. When this occurs, symptoms are triggered in the leg such as numbness or electric shocks that can reach the foot.

Symptoms

When we have a myofascial syndrome there is pain in the path of the muscle or in its insertion. Most often when we talk about the hip is that it is present in the gluteal region and depending on the area we will have some symptoms or others:

  • Tendinitis and myofascial syndrome of gluteus medius: It manifests in the area and region where this muscle is located. The pain manifests as a twinge or contracture in the thickness of the muscle in the area below the pelvis, the lateral part of the thigh and the knee; it can be confused with hip bursitis. It increases when ascending, descending stairs and when lying on that area for a while.
  • Pyramidal syndrome: pain is often manifested in the muscle area and may increase when sitting. It is very common for this process to be triggered in patients suffering from low back or hip pathology.

Approach protocol

Diagnosis and assessment

A correct medical evaluation by means of a good anamnesis and physical examination will be necessary. The multidisciplinary vision is essential to perform a comprehensive approach (requiring the intervention of professionals in biomechanics, podiatry and physiotherapy), personalized, focused on detecting the factors that lead to tendon overload and assess whether the injury is exclusively a tendinopathy, if there is a rupture or if there are associated calcifications.

Complementary tests

X-ray and/or MRI.

Treatment

  • Non-interventional treatment: treatment of existing lesions in the discs or adjacent joints that produce and/or promote muscle contracture. This will allow the results obtained to be prolonged in time.
    • Therapeutic exercise: active physiotherapy treatments in which the muscles responsible for protecting the area are developed.
    • Physiotherapy: methodology based on knowledge and clinical reasoning in which we combine a series of techniques and treatments both manual therapy and invasive techniques, always associated or complementing them with cutting-edge technology that allows us to accelerate the recovery process. Among other high-tech devices include Magnetolith, SIS, focal shock waves, Indiba, among others. This therapeutic combination allows us to activate the patient early to begin with a routine and a process of specific therapeutic exercises that allow us to enhance and strengthen the lost functional patterns.
  • Interventional treatments:
    • Ultrasound-guided blockade of fascial planes
    • Botulinum toxin treatments
    • Ozone treatments

Here begins your life without pain

Insurance companies

Ask your MIVI centre for information on the agreements with insurance companies.