Physiotherapy management of gluteal tendinopathy

This Invited Topical Review begins by defining gluteal tendinopathy (GT), describing the disease burden, and outlining assessment of the patient, differential diagnosis and activity assessments. It then focuses primarily on physiotherapy management of GT, followed by brief discussions of prevention strategies, patient-reported outcome measures and directions for future research.
GT is a common and sometimes challenging condition to treat. It has a prevalence rate between 2.9 and 4.2 per 1,000 people and an incidence rate between 1.6 and 3.3 per 1,000 people.1,2 It is far more common in women than men.3, 4, 5 It negatively impacts physical activity, work participation and quality of life.6, 7, 8 People with GT often have complex musculoskeletal presentations,9 so clinicians should endeavour to understand the condition and recognise and manage the comorbidities that commonly impact its clinical course. The likelihood of efficient and effective treatment can be fostered by an excellent therapeutic alliance, a client-centred approach, making the correct diagnosis,10 and in the first instance using appropriate education and exercise.