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Gluteal Tendon Repair in Perth, WA

Pain on the outer side of the hip — particularly when lying on it, walking, or climbing stairs — is often due to gluteal tendon injuries or inflammation near the greater trochanter.

Dr. Samuel Duff offers advanced non-surgical and surgical treatment for gluteal tendon tears across Perth and Western Australia, helping patients return to pain-free mobility.

Gluteal Tendon Repair
Trochanteric Pain

Understanding Trochanteric Pain

The greater trochanter is a bony prominence on the side of the hip where the gluteus medius and gluteus minimustendons insert.

These muscles help stabilise the pelvis during walking. A swollen bursa often contributes to pain, especially in patients with weakened or torn tendons.

Common symptoms include:

  • Pain when lying on the affected hip
  • Discomfort radiating from the outer hip to the knee
  • Difficulty walking or standing on one leg
  • Side-to-side pelvic tilt or “Trendelenburg gait”
FAQs

Common Questions About
Gluteal Tendon Repair

Diagnosing the Cause

Proper imaging is essential. The typical approach includes:

  • X-rays to rule out hip joint arthritis
  • MRI to assess gluteal muscles, tendons, and inflammation
  • Ultrasound to detect tendon tears or fluid in the bursa


MRI is the preferred scan for confirming the presence and extent of gluteal tendon damage.

If there is no major tendon tear:

  • Strengthen the gluteus medius and minimus to reduce pelvic drop
  • Use physiotherapy to address hip control and movement mechanics
  • Consider corticosteroid injection for short-term relief if the bursa is inflamed
  • Focus on fixing the underlying biomechanical issues that caused the pain


Correcting poor muscle activation reduces strain on the tendon and helps calm inflammation.

Surgery is usually considered when:

  • There is a clear tear of the gluteal tendons
  • Non-surgical treatment has failed
  • Pain and weakness continue to limit daily function

The surgical procedure typically includes:

  • Excision of the inflamed bursa
  • Identification and trimming of damaged tendon edges
  • Removal of any bone spurs
  • Repair of tendon to bone using sutures and anchors
  • Use of synthetic grafts in cases with poor tissue quality

Recovery and Rehabilitation

Healing after gluteal tendon surgery takes time:

  • Tendons are rested for 4 weeks to allow secure reattachment
  • Patients typically use crutches or a walker to reduce strain
  • Strengthening begins gradually after the initial healing period
  • Full recovery is expected over several months


This recovery is similar to rotator cuff repair in the shoulder, but the hip can’t be rested in a sling, which makes guided physiotherapy even more important.

Recovery and Rehabilitation - Gluteal Tendon

Outcomes And Risks

Patients often seek surgery after exhausting non-operative options, and most report:

  • Significant pain relief
  • Improved hip strength and stability
  • Easier walking and return to activities


Risks include:

  • Infection
  • Blood clots
  • Re-tearing of the tendon
  • Ongoing discomfort (rare)


Dr. Duff provides care through both private and public hospital networks in Perth and regional WA, ensuring follow-up and continuity of care across the state.

Book a Gluteal Tendon Assessment

If you’re experiencing persistent hip pain on the outside of your hip or weakness while walking or standing, gluteal tendon injury may be the cause.

 

Dr. Samuel Duff offers advanced diagnosis and both surgical and non-surgical care options.