Gluteal Tendon Tears: Overview Gluteal tendon tears involve damage to the tendons of the gluteal muscles, specifically the gluteus medius and gluteus minimus, which play a vital role in stabilizing the hip and assisting with leg movements. These tears are commonly seen in individuals over 40 and are often associated with degenerative changes in the tendons, frequently as a result of chronic overuse, weakness, or hip osteoarthritis. Traumatic injuries can also cause tendon tears, although they are less common. Symptoms of gluteal tendon tears include pain in the hip or outer thigh, difficulty with walking or standing on one leg, and weakness in hip abduction (the ability to move the leg away from the body). Pain is often worse when standing up from a seated position or during activities like climbing stairs. Diagnosis is typically made through physical examination, supported by imaging techniques such as MRI or ultrasound, which can visualize tendon tears and associated inflammation. Treatment options vary depending on the severity of the tear. Non-surgical treatments often include physical therapy, anti-inflammatory medications, and corticosteroid injections to reduce pain and promote healing.