Gluteus medius tendinopathy is a common cause of lateral hip pain, often seen in runners, active individuals, and those with biomechanical imbalances. While shockwave therapy is a powerful treatment option, research shows that combining it with a graded loading program delivers superior results, addressing both pain and tendon dysfunction.
Why Shockwave Therapy?
Shockwave therapy is widely used for tendinopathies due to its ability to:
Stimulate cellular repair and collagen production
Improve blood circulation to the affected tendon
Break down degenerative adhesions
Reduce pain through neuromodulation
The Role of a Graded Loading Program
While shockwave therapy initiates the healing response, a progressive loading program ensures long-term recovery and tendon resilience. This structured rehab approach:
Encourages tendon adaptation and remodeling
Restores strength and endurance in the gluteus medius
Prevents recurrence by correcting movement patterns
Improves overall function and return to activity
Integrating Shockwave with Rehabilitation
A well-designed rehab protocol should follow a staged progression, incorporating:
Isometric holds – to manage pain and activate the tendon safely
Eccentric loading – to stimulate tendon remodeling
Concentric strengthening – to restore function and power
Functional and dynamic exercises – to integrate strength into movement patterns
Clinical Evidence:Recent studies highlight the importance of combining shockwave therapy with a structured loading program. A 2022 review in Sports Medicine Open found that patients receiving both interventions had significantly better pain reduction and functional outcomes compared to those receiving shockwave therapy alone.
Learn How to Apply This in Practice
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