Gluteal tendinopathy: pathomechanics and clinical management strategies (jospt.org)

• Compressive loads from hip adduction and tensile eccentric loads are key pathomechanical factors.
• Management focuses on load modification, isometrics, and concentric hip abductor strengthening.
• Addressing adductor tightness and gait mechanics are critical for long-term outcomes.

"A JOSPT article by Grimaldi and Fearon synthesizes pathomechanical factors in gluteal tendinopathy, including compressive loads from hip adduction and tensile loads from eccentric contraction. The authors propose a clinical framework emphasizing load management, isometric and concentric exercises, and addressing hip abductor dysfunction. This review provides a basis for rehabilitation protocols targeting greater trochanteric pain syndrome. Clinicians should assess adductor flexibility, gluteal strength, and gait mechanics to individualize treatment."