David Tran

What is Gluteal Tendinopathy

The Gluteus Medius tendon is the most commonly affected tendon, and is generally a result of overusing the muscle, or a sudden and rapid increase in walking or exercise. Pain is normally felt on the outside aspect of the hip, and can lead to walking with a limp or hip pain at night as the tendinopathy worsens.

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People with gluteal tendinopathies generally complain of:

-          pain when lying on their side with the hip adducted

-          lying on the affected side

-          sitting with hips greater than 90 degrees

-          sitting with the legs crossed

-          single leg standing

-          carrying children (generally new mums or grandmothers)

The tendinopathy can be classified along a continuum proposed by Cook & Purdam (2008) as above.

The tendinopathy can be classified along a continuum proposed by Cook & Purdam (2008) as above.

Your Horizon physiotherapist will be able to help you identify and provide you a program to help aid in the recovery of your tendon. This may include and is not limited to clinical pilates, dry needling, soft tissue manipulation, hip mobility exercises. 

Do you suffer with Vertigo?

Benign Paroxysmal Positional Vertigo (BPPV)

 BPPV is a result of dysfunction within the inner ear complex. It is caused by otoconia (calcium carbonate crystals) becoming dislodged from the inner ear (saccule & utricle). These crystals then enter one of three vestibular canals (anterior, posterior, horizontal), and causes the ampullae to become disrupted. This can lead to the sensation of vertigo. BPPV is the most common cause of vertigo. Other causes, although less   common are Meniere’s Disease and Vestibular Neuritis. 

Vertigo is described as a sensation whereby a person or the surrounding environment is spinning while in a stationary position. It is often brought on by moving the head to look up, rolling over in bed, or getting out of bed.

Signs and symptoms can include :

  • Sensation of spinning, tilting, rocking or falling
  • Vomiting or nausea
  • Abnormal eye movements (nystagmus)
  • Difficulty standing or walking
  • Neck tightness
  • Blurred vision

If you have any of these symptoms, a thorough examination by one of the physiotherapists at Horizon Physiotherapy can help to identify if you have BPPV, and then a treatment and management plan will be devised to aid in your recovery.