Tears in the Gluteus Medius and Minimus

Lateral hip discomfort is commonly caused by tears in the gluteus medius and minimus, especially in middle-aged people. These tears may come from a long-term deterioration of the muscle-tendon unit or from an abrupt traumatic event. Clinical assessment, imaging, conservative management, and potentially surgical intervention are all used in the diagnosis and treatment of various disorders.


Gluteus medius and minimus tears are usually diagnosed by a thorough history and physical examination of the patient. One of the most common symptoms is lateral hip discomfort, which gets worse when you walk, run, or lie on the afflicted side. Other frequent concerns include weakness and altered walking patterns.

Imaging: To confirm the diagnosis and determine the severity of the tendon injury, advanced imaging methods like magnetic resonance imaging (MRI) are essential. The treatment plan is guided by the location and severity of the tears, which are determined by these imaging investigations.

Gluteus Medius and Minimus Treatment

Depending on the patient’s symptoms and the extent of the tear, there are many treatment options for gluteus medius and minimus tears.

Conservative Management

Conservative care for low-grade partial thickness tears might include the following:

  • Oral medications: NSAIDs, or non-steroidal anti-inflammatory drugs, which lessen inflammation and pain.
  • Activity adjustments: Steer clear of activities that put strain on the torn gluteal tendon.
  • Physical therapy: Strives to maximize the healing environment, stretch taut tissues, and strengthen the surrounding musculature.
  • Injections: Biologics (e.g., PRP or BMAC) to support natural healing processes and corticosteroid injections for short-term pain management.

Surgical Management

In cases of full-thickness tears or when conservative treatment is ineffective at treating symptoms, surgery may be considered. Surgical options include:

  • Endoscopic repair: suture anchors are used in arthroscopic procedures to restore the tendon to its anatomical place.
  • Open repair: In cases of severe or retracted tears, it can be necessary to perform an open repair in order to fully visualize and access the torn tendon.

Postoperative Rehabilitation: Following surgery, patients usually participate in a regimented rehabilitation program that emphasizes progressive strengthening exercises and mild hip range of motion. Timeliness for recovery can differ; most patients show noticeable progress in three months, but it can take a year or more to fully recover.

Success Rates and Prognosis

Surgical repair of gluteus medius and minimus tears has excellent success rates, with more than 90% of patients experiencing significantly decreased pain and improved function postoperatively. In order to achieve the best results, it is imperative that lateral hip pain be diagnosed and treated as soon as possible.

Lateral hip discomfort is frequently caused by tears in the gluteus medius and minimus, especially in middle-aged people. These problems can be effectively treated with a combination of clinical examination, imaging, and appropriate treatment, ranging from conservative management to surgical intervention, with notable improvements in pain and function.