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Gluteal Tendinopathy

KeywordsGluteal tendinopathy, gluteal tendinitis, gluteal tendonitis, hip tendonitis, gluteus medius tendinopathy, gluteus minimus tendinopathy, non-insertional tendinopathy, insertional tendinopathy, hip tendon injury, glute tendinosis, gluteal tendinosis, gluteus medius / minimus partial tear

Treatment Plan

Acute: start as soon as possible after diagnosis. Then twice a week for minimum of three weeks. Then weekly for three weeks or in response to symptoms. Chronic: Twice a week for a minimum of 6 weeks, or daily until symptoms subside, and then twice a week for three weeks

Intention

Stimulate lymph nodes to reduce inflammation

& oedema

Heal injuries and local inflammation

De-activate trigger points

Analgesia

Probe

LED Cluster 810nm 1W laser Cluster

810nm 200mW laser 810nm 1W laser Cluster

Pulse 2.5Hz 2.5Hz Continuous Continuous

Tx Time 1 Min 1 Min 30 seconds 30 seconds

Tx Targets

Inguinal lymph nodes if inflammation is present

Treat areas of affected gluteal muscle and insertion as needed - 2 - 6 points

Myofascial trigger points in gluteal and musculature, tensor fascia late and ITB - ones shown are examples

L3-S1 spinous processes and ipsilateral nerve root exits

The colours represent which probe to use and where to place it

version 16.1

Specific Evidence:

General evidence across disease category: inflammation, soft tissue injury, tendinitis

Stergioulas A, Stergioula M, Aarskog R, Lopes-Martins RA, Bjordal JM. (2008) Effects of low-level laser therapy and eccentric exercises in the treatment of recreational athletes with chronic achilles tendinopathy. Am J Sports Med. May; 36(5): 881-7. http://www.ncbi.nlm.nih.gov/pubmed/18272794

Marcos RL, Arnold G, Magnenet V, Rahouadj R, Magdalou J, Lopes-Martins RA Biomechanical and biochemical protective effect of low-level laser therapy for Achilles tendinitis. J Mech Behav Biomed Mater 2013 Sep 9 29C 272-285

Casalechi HL, de Farias Marques AC, da Silva EA, Aimbire F, Marcos RL, Lopes-Martins RA, de Carvalho PD, Albertini R Analysis of the effect of phototherapy in model with traumatic Achilles tendon injury in rats. Lasers Med Sci 2013 Nov 2

Morimoto Y, Saito A, Tokuhashi Y (2013) Low level laser therapy for sports injuries. Laser Ther 2013 22(1) 17-20 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=24155545

Guerra FD, Vieira CP, Almeida MS, Oliveira LP, de Aro AA, Pimentel ER LLLT improves tendon healing through increase of MMP activity and collagen synthesis. Lasers Med Sci 2012 Nov 21

Laraia EM, Silva IS, Pereira DM, Dos Reis FA, Albertini R, de Almeida P, Leal Junior EC, de Carvalho PD Effect of Low-Level Laser Therapy (660 nm) on Acute Inflammation Induced by Tenotomy of Achilles Tendon in Rats. Photochem Photobiol 2012 May 21

Michener LA, Walsworth MK, Burnet EN Effectiveness of rehabilitation for patients with subacromial impingement syndrome: a systematic review. J Hand Ther 2004 Apr-Jun 17(2) 152-64

Fernandes MS, Correia MG, Carvalho ML, Sampaio FJ [Laser therapy of inflammatory lesions of the soft parts of the locomotor system] Acta Med Port 1991 Nov-Dec 4(6) 293-6

Aliodoust M, Bayat M, Jalili MR, Sharifian Z, Dadpay M, Akbari M, Bayat M, Khoshvaghti A, Bayat H Evaluating the effect of low-level laser therapy on healing of tentomized Achilles tendon in streptozotocin-induced diabetic rats by light microscopical and gene expression examinations. Lasers Med Sci 2014 Mar 13

Prianti AC Jr, Silva JA Jr, Dos Santos RF, Rosseti IB, Costa MS Low-level laser therapy (LLLT) reduces the COX-2 mRNA expression in both subplantar and total brain tissues in the model of peripheral inflammation induced by administration of carrageenan. Lasers Med Sci 2014 Feb 16

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THOR logo 450 WIDE.pdf 26/9/07 22:55:23