How to Diagnose and FIX Gluteus Medius Tears

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  • čas přidán 29. 10. 2022
  • Gluteus Medius tears are common in sports and strength training. Learn how to diagnose and manage these tears in the early stages of rehab in this video.
    Burke Selbst PT OCS is a licensed physical therapist and educator and is the owner of Focus Physical Therapy in Bend Oregon, a multispecialty and multidisciplinary sports, spine and orthopedic clinic serving all ages with one-on-one care.
    focusptbend.com
    Interested in working with Burke or one of his team? Contact him here: focusptbend.com/contact-us/
    DISCLAIMER: Any information on injuries and treatments available on this channel is intended for general guidance only and is not a substitute for personalized and individualized advice by a qualified health professional. The videos, posts, and comments contained in this video are not medical advice or a treatment plan and are intended for general education and demonstration purposes only. They should not be used to self-diagnose or self-treat any health, medical, or physical condition. Don’t use these videos to avoid going to your own healthcare professional or to replace the advice they give you. Consult with your healthcare professional before doing anything contained in this video. You agree to indemnify and hold harmless Focus Physical Therapy, Inc, its officers, employees, and contractors for any and all losses, injuries, or damages resulting from any and all claims that arise from your use or misuse of this video’s content. Focus Physical Therapy Inc. makes no representations about the accuracy or suitability of this content. Use of this video is at your sole risk.

Komentáře • 52

  • @66pfoo
    @66pfoo Před 6 měsíci +4

    Thank you for your donation of time and expertise to produce this video. Anxious to try these exercises to speed up my rehab.

  • @staceyb3882
    @staceyb3882 Před rokem +14

    I’m so depressed I wake up all during the night . I started walking 30 thousand steps a day and that when this sharp pain started .

    • @maz2483
      @maz2483 Před 11 měsíci +2

      Overuse, ease back the walking.
      Slowly build up to 30,000, get your body used to walking

    • @gumasta6609
      @gumasta6609 Před 5 měsíci

      how are you doing now? late advice that you may have already found out but sometimes we have to go back on the progress to exceed it later on

  • @pathtospiritualpeace6603
    @pathtospiritualpeace6603 Před 11 měsíci

    Thank you! Great video and instructions.

  • @alexismclean7637
    @alexismclean7637 Před rokem +1

    I found this video very informative and helpfull

  • @gailjohnson6892
    @gailjohnson6892 Před 9 měsíci

    Thank you.

  • @michelley606
    @michelley606 Před 3 měsíci +3

    Hello, and thank you for your tips.
    I tore my glutus medius glutus minus over a year ago, along with injuring my lower abs a week later. I went to PT for 3 months and did not get better. They released me saying good luck, but I was not making much progress in PT. I also had other autoimmune issues going on at the time, and they figured it was competing for the healing process in my body
    The doctor's originally said all 3 injures would heal in 5 months. Now it has been 15 months, and every time I try to push myself and go my normal ADL's, it reinjuries. I was a gym rat, and now I am a marshmallow. I have lost all my muscle tone. I am so frustrated and want my life back. What do I do at this point? None of my injures have healed.
    I want to make a note that I can not figure out why when I pick up or lift something heavier than 8 to 10 pounds, my lower abs strains again, and the cycle starts all over again! That means days of little to no lifting any weight over 4 lbs. Bags, purse, etc.
    Please, if you have any idea of how to get my life back, I would appreciate it.

  • @cynthieanna
    @cynthieanna Před 3 měsíci

    Thank you!

  • @kamiroonrahiman2527
    @kamiroonrahiman2527 Před rokem

    The audio was distorted but the video is very informative thank you

  • @chrissydavis5346
    @chrissydavis5346 Před 3 měsíci

    This is a great video! I have been training for a half marathon and keep hurting my hips.

  • @absm5186
    @absm5186 Před 3 měsíci

    I have this now after a year of solid weights and incline walking for cardio this pain kicked in. Starting recovering process.

  • @kathyholland
    @kathyholland Před 4 měsíci

    Thank you for creating this video! I believe this is what I have, I’ve been running 6 miles every other day and some times more + added hot yoga holding poses for an extended amount of time while trying to keep the hips parallel to the floor. I believe the yoga is what ultimately pushed the overused muscle over the top causing a tear. My PCP provided oral steroids to help w the extreme inflammation and just finished that yesterday. Now I’m researching to see if I need PT. Based off your video , I’m almost 100% sure I do! My knee on the same side as the hip pain has been caving in like you showed indicating I have had weak muscles around my hip! Thanks again for the video! Going to see a PT

    • @focusrehab
      @focusrehab  Před 4 měsíci +1

      thx for watching! this is a more recent video showing how to do some great early stage exercises for your hip, and good luck! czcams.com/video/s4dv_lu95uw/video.html

  • @BostonBlues
    @BostonBlues Před 8 měsíci +2

    thanks for the video! im 31 and started experiencing some hip and glute pain after running too much. Its been almost a year and the deep ache and tenderness is still present. Going to start these tonight and hope they help 🙏🏼

    • @STUPIDIDIOTS101
      @STUPIDIDIOTS101 Před 7 měsíci

      I’m on the same boat 😢

    • @gumasta6609
      @gumasta6609 Před 5 měsíci

      update?

    • @BostonBlues
      @BostonBlues Před 5 měsíci

      @@gumasta6609 Im still having pain 😞 probably going to have to schedule an mri

  • @mariamarino138
    @mariamarino138 Před 7 měsíci +2

    I’ve had the MRI, I have bilateral hip bursitis , labrum tears, IT BAND syndrome, and, YES, moderate gluteus minimus/Maximus tear!
    I had cortisone injections on both bursa( did NOTHING!) than, a week ago, I went to an orthopedic surgeon, and, he told me, I should have surgery, and it would help 50 percent of my pain. I don’t want surgery, but, my pain is getting worse and worse!
    I have burning, throbbing, nerve pain and I can’t sit for long , walk for long, NOTHING😢

  • @asml802
    @asml802 Před rokem +1

    Should I avoid massage? My PT gave me body work and was also pressing on the tender area

  • @jamesalexander2548
    @jamesalexander2548 Před 11 měsíci +3

    Same as above. I have a low grade glute minimus tear that won’t heal. Been dealing with it for 8 months. Hours of rehab and still in the same spot.

    • @cmrosscmross
      @cmrosscmross Před 9 měsíci +1

      Look into PRP! They're not likely going to heal on their own.

  • @NancyBrown-gw8qd
    @NancyBrown-gw8qd Před měsícem

    What is your opinion of PRP treatments for gluteus medius tears?

  • @RobertHwb5ot
    @RobertHwb5ot Před 3 měsíci

    Love your videos & do several of the exercises already. I’m 78 yrs old. Fell 15 months ago. Not diagnosed for 5 months after injury when finally had mri. Medius & minimus tears 75% each on left side. Too late when finally getting into ortho Dr. after injury to consider surgery. Had 8 mo physical therapy but can’t afford anymore now as I met my max coverage. I feel I’m not progressing with doing home physical therapy exercise. Legs becoming very stiff & sore but Dr. says to keep doing home exercises. It’s hard when alone and afraid to fall when doing them. Any tips would be great for an elderly person.

    • @focusrehab
      @focusrehab  Před 3 měsíci +1

      thank you for watching! and bravo for working through a difficult sounding recovery. Given how long it's been, I'd normally have my patients shift to a program emphasizing pain-free exercises, knowing that progress tends to crawl after that much time - whichever ones can be done successfully, and to supplement with light walking, cycling and daily balance exercises for function. Good luck!

  • @JodyFidelis
    @JodyFidelis Před 2 měsíci

    I have a tear in my Gluteus Minimus - would this work for me?

  • @garthly
    @garthly Před rokem

    Can you talk a little about principles here? I often get twinges / pain in a particular muscle area, mainly outer hip, or shoulder. Is the idea to exercise them gently but not as much as to cause pain, and then as the pain decreases in everyday life, to increase the load steadily, pulling back if pain returns? If so, what degree of pain should I accept during the process?

    • @focusrehab
      @focusrehab  Před rokem

      of course and thx for watching! using gentle to progressively harder exercise to recover after injuries helps convert new weaker collagen fibers to healthy mature fibers through a process called Mechanotransduction. It 'cleans them up' from the inside out. The reality can be more complicated however because our tissue health can vary and we can also have nerve sensitization and other confounding experiences, so it's still a great idea to work with a skilled PT to help make sure your frequent twinges would really benefit from loading like I've suggested or if you need a combination of things. best of luck!

  • @debbiegusty
    @debbiegusty Před 8 měsíci +3

    I am 63 years old. my MRI showed partial tear to the medius and minimus in the left hip, and also showed a small labrum tear, Ough doctor doesn’t think my pain is coming from the labrum tear. I am a walker, usually about 5 times a week about 4-5 miles each day. My hip pain is usually only when I’m walking, as soon as I take a step. It has been about two years and the pain is about 85% better. I’ve had three injections over the past year, that didn’t really seem to do much. But now it’s in the right hip exact same spot as my left hip was. I can’t walk very far now without it hurting so much! The pain at its worse, is only when walking and putting my weight on that leg. I cannot go another two years of this pain. Thoughts?

  • @justahintofginger
    @justahintofginger Před rokem +1

    Great video, thank you! Is it harder to heal this after a reinjury? Tore my glute med 8 weeks ago and 4 weeks in to healing, I felt a super sharp pain during activity and now I feel worse off. Thoughts? Thank you!

    • @staceyb3882
      @staceyb3882 Před rokem +1

      Hello did you get a mri? I’m going to the doctor first thing tomorrow to get a referral for glute region. Iv been told I have sciatica which I don’t. After exercise walking I get sharp shooting pain in buttock from the top it also radiates down leg sometimes. It’s depressing and I’m over it

    • @TristanRum
      @TristanRum Před 8 měsíci

      ⁠@@staceyb3882Do you have any updates? Rn it’s Oct. 15 and and on Oct. 13 is when I strained my gluteus medius (I think it’s that muscle) during a pep rally and it hurts to bend over and aches a little every other step I take. Today, I took a few steps and really sharp pain shot from my lower back to bottom gluteus Maximus and it happened again after a few couple steps.
      What has the doctor done for your injury?

  • @kathyvalleau5095
    @kathyvalleau5095 Před 5 měsíci +1

    I have a 50% gluteal minimus and midious on the right and 30% on the left. Undiagnosed or misdiagnosed several years then I did PRP and seen cell, it’s still really sore. Is surgery effective?

    • @focusrehab
      @focusrehab  Před 5 měsíci +1

      i do see these tears stabilize over a long period of time without surgery IF the underlying cause is being addressed. For anyone who hasn't tried 8-12 weeks of gradually and progressively higher intensity exercise, it's worth working on. Good luck!

  • @robertbaindourov134
    @robertbaindourov134 Před 9 měsíci +1

    I think I have a tear. I am getting an ultrasound to make sure.

  • @asml802
    @asml802 Před rokem

    How long should I wait after a mild tear should I start PT?

  • @aminaguvetis5525
    @aminaguvetis5525 Před 3 měsíci

    When doing the very beginning exercises, holding for 30 seconds... how may times should I do them at one setting and every other day?

    • @focusrehab
      @focusrehab  Před 3 měsíci

      generally i start with 2 reps once daily to test tissue tolerance and work up to 4 reps twice daily

  • @exy27
    @exy27 Před 2 měsíci

    So I have a question can this tear heal with physical therapy?

    • @focusrehab
      @focusrehab  Před 2 měsíci

      The tear has to be able to heal on its own, ie not too big, but the rehab is necessary for it to heal well/strong.

  • @davidbrown4271
    @davidbrown4271 Před 6 měsíci

    Audio stuffed sadly

  • @pattiyoung576
    @pattiyoung576 Před 9 měsíci

    I have a partial glut minimus tear. I am afraid of tearing it more. Is that common. Is swimming helpful or harmful. I am a cyclist and that really makes it worse.

  • @christinakutas3534
    @christinakutas3534 Před rokem

    Does this applies to gluteus minimus too?

    • @focusrehab
      @focusrehab  Před rokem +1

      Glut minimus will have a similar program with some minor tweaks because of it's specific function. I will add a glut min video to my list, thx!

    • @christinakutas3534
      @christinakutas3534 Před rokem

      Thank you so much!! I can’t wait to see to view the video on gluteus minimus since that is where I have a partial tear. I really appreciate all the great information on all your videos❤

    • @df6148
      @df6148 Před rokem

      The stabilizing hip always hurts for me (the non moving leg). It’s like the hip is trying to keep me balanced while the other leg moves and it causes pain in the hip.

    • @JediStockTrader
      @JediStockTrader Před 4 měsíci

      @@focusrehab ? Where I cant find it!!!