Early descriptions of abductor tendon tears at the hip emphasized involvement of the gluteus medius tendon as being most common. 6 However, subsequent papers have revealed a roughly equal frequency of involvement of the gluteus minimus and medius tendons. 5 As expected, the injury shares a similar age distribution with trochanteric bursitis, being most common between the fourth and sixth decades. Non-surgical management, which includes corticosteroid injections into the trochanteric bursa, is typically unsuccessful at providing long-term relief, and surgery may be necessary to repair a torn abductor tendon. 6
Karen is a 47-year-old teacher who is training for her first 5K road race. She runs 3 to 4 days each week, then walks the other days. Over the past 2 weeks, she has begun to experience pain in the outside of her right hip. Her pain is worst while running and lying on her right side; she experiences hip pain and stiffness when taking her first steps in the morning and walking up stairs, and also notes a dull ache with prolonged sitting and standing. She typically performs stretches for 5 minutes before her runs. Karen had not run consistently before she began training for the 5K.
For non-infectious bursitis, the preliminary treatment starts with non-operative options such as cold compression therapy and Blood Flow Stimulation Therapy ™ . Surgery to remove the inflamed bursa is normally not required for bursitis, however if you fail to see improvement with the conservative treatments, your physician may recommend surgery to remove the bursa completely. Although this removes the problem of an inflamed bursa, you are left with less cushioning in your joint which can lead to a host of other conditions.