Exercises for Gluteal Tendinopathy Handout

Healing can be accelerated by following a structured loading program that progressively strengthens the gluteal and hip muscles while avoiding positions that compress the tendon, such as prolonged side-lying or sitting with crossed legs. Adequate rest, nutrition, and a gradual return to activity under the supervision of a physiotherapist also support tendon remodeling and recovery.

Walking can be beneficial if performed within a pain-tolerable range and with proper gait mechanics, as it promotes circulation and gentle tendon loading. However, excessive or uphill walking may worsen symptoms, so adjustments to intensity and duration are often needed during early rehabilitation.

Menopause itself doesn’t directly cause gluteal tendinopathy, but the decline in estrogen levels can reduce tendon elasticity and collagen synthesis, increasing susceptibility to tendon degeneration. This partly explains why gluteal tendinopathy is more common in postmenopausal women, especially those with reduced hip strength or biomechanical imbalances.