Tendinitis and myofascial hip pain

The hip tendinitis is an inflammation of the tendons that connect the muscles to the bones in the hip region. It is a common cause of lateral or anterior pain in this area, especially in people who are active or perform repetitive movements.

The most commonly affected tendons are those of the gluteus medius and gluteus minimus, psoas-iliac y tensor fascia latae. This condition can make it difficult to walk, climb stairs, sit or lie on the affected side.

The myofascial syndrome is a musculoskeletal disorder that is characterized by the presence of trigger points or areas of contracture within the muscle or its fascia. These points cause:

• Localized or radiating pain
• Muscle stiffness
• Limitation of movement
• Feeling of fatigue or muscle weakness

In the case of the hip, myofascial syndrome can coexist with tendinitis or even be the main cause of pain, especially when it is located in muscles such as the piriformis, gluteus medius or quadratus lumborum.

The most common causes of hip tendinitis include:

• Repetitive movements or overuse (running, climbing stairs, dancing, etc.)
• Muscle imbalances in the core, pelvis or lower limbs
• Poor sport technique or excessive training without adequate recovery
• Abrupt changes in physical activity
• Dysmetries or biomechanical alterations (such as a shorter leg or poor footing)
• Direct trauma or repetitive microtraumas
• Weakness in the stabilizers of the hip.
• Chronic inflammatory conditions

These causes can lead to inflammation, tendon micro-ruptures and persistent pain if not treated in time.

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.

Preventing hip tendonitis is possible with a few key habits:

• Maintain a good good muscular balance between gluteus, core, abductors and adductors
• Perform mobility and mobility and stretching regularly
• Correct the training technique or sport
• Avoid sudden increases in exercise load or intensity.
• Wear appropriate footwear and check your with a biomechanical study
• Include rest days and active active recovery in the routine
• Attend to any incipient incipient pain or overload before it worsens

At MIVI Salud, we help you to detect and correct these risk factors in a personalized way.