Gluteal Tears and Hip Tendinosis: Treatment in Palm Beach
Gluteal tendinopathy, including tendinosis and partial tears of the gluteus medius and minimus tendons, is a leading cause of lateral hip pain, particularly in middle-aged and older women. It is often called greater trochanteric pain syndrome and is frequently misdiagnosed as hip bursitis.
At Palm Beach Regenerative, image-guided orthobiologic injection to the gluteal tendon insertions at the greater trochanter offers a precise, non-surgical approach to this common and often undertreated condition. Reach out today to schedule your appointment.
What Are Gluteal Tears and Hip Tendinosis?
The gluteus medius and minimus are the primary hip abductor muscles, and their tendons insert onto the greater trochanter of the femur. Degeneration, micro-tearing, and thickening of these tendons produces the lateral hip pain pattern characteristic of gluteal tendinopathy, which is different from and often mistaken for trochanteric bursitis.
Signs and Symptoms
- Pain on the outer hip, over or just below the greater trochanter
- Pain worsening with walking, climbing stairs, or lying on the affected side
- Tenderness with direct pressure over the greater trochanter
- Pain with sitting cross-legged or with hip adduction
- Weakness of hip abduction, sometimes with a Trendelenburg gait pattern
Common Causes and Risk Factors
- Age-related tendon degeneration, particularly in postmenopausal women
- Repetitive hip loading from running, walking, or climbing
- Broad pelvis biomechanics increasing the tendon compression angle at the greater trochanter
- Prior hip surgery
- Weight gain increasing compressive load on the tendon insertions
How It Is Diagnosed
MRI of the hip clearly shows gluteal tendon degeneration, tearing, and associated bursitis. Diagnostic musculoskeletal ultrasound allows dynamic real-time assessment of the tendon and confirms the specific location and extent of pathology.
Dr. Ghattas uses ultrasound to plan and guide the injection treatment, ensuring precise tendon targeting.
Conventional Treatment Options
- Physical therapy with hip abductor strengthening and load management
- Activity modification and avoidance of aggravating positions
- Trochanteric bursa steroid injection: Often misdirected at the bursa rather than the tendon
- Shock wave therapy for tendinopathy
- Surgical tendon repair for large tears in active patients
The Palm Beach Regenerative Approach
Dr. Ghattas uses real-time ultrasound guidance to deliver concentrated platelet preparations precisely to the gluteal tendon insertion at the greater trochanter, targeting the degenerative tendon tissue rather than the adjacent bursa.
This precision is critical. Many patients with this condition have received ineffective bursa injections because the tendon pathology was not the target. Accurate tendon targeting with Regenexx SCP platelet preparations is the Palm Beach Regenerative standard.
The BioMod Advantage: MLS Robotic Laser Therapy applied to the lateral hip and greater trochanteric region reduces tendon inflammation and supports the body’s tendon healing response. Xymogen collagen support and anti-inflammatory protocols provide a systemic healing environment that helps the gluteal tendons recover from chronic degeneration.
Like all medical procedures, interventional orthobiologics have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.
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●PATIENT OUTCOMES
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No medical procedure can guarantee an outcome. What you should expect is an honest discussion of the evidence, a careful assessment of candidacy, and a recommendation based on your condition.
"Honestly one of the best experiences, I’ve had a really stiff neck for a couple weeks I tried seeing a chiropractor for and it helped marginally but the real jump in relief was coming to see Dr. Ghattas! He has been incredible, wonderful staff, and minimally invasive technique for my pain relief which was super important to me! Thank you Dr. Ghattas recommending to anyone with pain!"Monica A
"Ghattas was instrumental in helping my torn rotator cuff. I did Barbotage for the stone, and then PRP. Great experience. Been about a month or 2 since and I feel great."Ahmet B
"I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them."Roger L
"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."Dr Jorge A
"Dr. Ghattas is very knowledgable and a sympathetic doctor. Hard to find in America. All questions answered, my procedure went very smoothly, very little pain. Follow up is excellent, I highly recommend his practice."Luciana D
“ I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them. ”Roger L
“Dr. Ghattas was terrific today. He spent a good amount of time examining me and explaining the regenerative process which I intend to have done next month. More to come after the procedure.”Louie R
“I found Dr Ghattas and his staff very welcoming and informative. The process was well explained and gave me encouragement about the potential for fully restoring my knee joint integrity.”Eric C
“I received two treatments from Dr. Ghattas With excellent results, he takes great care in his assessment and in his treatment you couldn’t be in better hands. I highly recommend his work.”Gisela S
“Apart from the exemplary personal service by the reception and the staff that makes us feel we're at home at the clinic, I have experienced remarkable healing in several episodes from shoulder issue to knee injuries and hip pain. The doctor is so thorough in the diagnosis phase that he administered exactly what was needed, no more no less! Thank you folks for a wonderful experience.”RG G
“Went to Dr. Ghattas for chronic knee and neck issue. I’ve already had multiple procedures done on my neck and multiple epidurals with minimal success. My knee I was told needed surgery to fix. I already had surgery in the past with minimal difference. I ended up getting stem cells in my knee and neck and could t be happier with the outcome. Anyone considering surgery I recommend checking out Regenex first. Next I’m doing the ganglion block and look forward to the results.”Logan H
“Dr. James Ghattas and his team are truly top-notch. His office is equipped with state-of-the-art technology and a staff that's exceptional in their fields. I've referred several clients to him, and they've all been incredibly satisfied. Dr. Ghattas is absolutely ahead of the curve, and I wholeheartedly endorse his work.”Ron H
“I am quite active and go to pilates 3-4 times per week. I was having left knee pain and which was treated with PRP. It took about 3 months for me to feel better but then the pain completely subsided. I now am able to exercise without the fear that I will tear a ligament and am pain free.”Ellipsis P
“Transparency, thoroughness, attention to detail, immediate, high quality, follow ups and follow through are just a few words that come to mind throughout my experiences with Palm Beach Regenerative Sport and Spine.”Milton L
