Excess pressure on the tendons from weight gain or. Gluteal tendinopathy can occur from tendon overuse or underuse. Your doctor may initially start with a detailed history and overview of your symptoms. If you would like a second opinion I am happy to review you either in clinic or via Telehealth video call. This is where a physio will come in handy. You can add handheld weights to make the stretch more . It can affect your ability to be active, sleep well and enjoy life. . Sciatica. Stand in a neutral hip position and avoid hip hitching (where you push or drop one hip out to the side). Most gluteal tendons are degenerative in nature and you need to keep exercising to maintain the tendons tolerance to load. For tendinopathies the load management is crucial. A physiotherapist at a physical therapy clinic will perform several orthopaedic clinical tests which will provide an indication of whether there is a need for a scan. To determine the reason behind why you have developed gluteal tendinopathy you will require an individualized physiotherapy assessment. Gluteal tendinopathy occurs when pain emanates from the upper leg and gluteal area, caused by a deterioration of the tendons there. Looking to learn more about gluteal tendinopathy and how long itll keep you sidelined? I am still in pain daily and on pain meds to manage it. This is a good exercise to follow static abductions with. Keep exercising! Severe hip pain that interferes with daily activities or sleep. I was advised to get a PRP injection but my reading of that treatment suggests not a lot of success with it. Repeat the exercise three times., Try this at least once a day to gradually increase your flexibility.. Gluteal tendinopathy occurs when pain emanates from the upper leg and gluteal area, caused by a deterioration of the tendons there. Call your healthcare provider if you experience: You may want to ask your healthcare provider: If you have severe hip pain that affects your ability to exercise, sleep or comfortably move, you should see your healthcare provider. Good luck. If you can, try sleeping on your back. Sadly Ive noticed my right side acting up lately. (Lateral Hip Pain). However bone prominence and changes in hard tissues inn hip joint, lumbar spine or evaluation of lower beck shaft angle may not be as accurate. Gluteal Tendinopathy - Hip Pain. In this position forces are increased on the iliotibial band (ITB) and the gluteal tendon is stretched and overloaded (Mellor et al. To maintain a neutral hip position while walking, climbing stairs and exercising adequate gluteal strength is required. The 2023 edition of ICD-10-CM M76.02 became effective on October 1, 2022. Stop if you feel any pain. This provides a basis for a shift away from abductor stretching towards abductor strengthening and movement training. Ive been seeing physio every 3-4 weeks but have been told i must not go out walking or do any other form of exercise so Ive given up everything but now gaining weight and feel im not getting any better i was less sore when i did exercise. Having a wide Q-angle increases compressive forces on the lateral hip, increasing the amount of time spent in hip adduction. Even though conservative treatment is always the primary goals, but a failed conservative treatment can lead to a need for corrective surgeries. These changes can lead to a combination of tensile and compressive loads on the gluteal tendons, ultimately leading to a reactive response. You have an interesting presentation and there are a number of different variables in your diagnosis. 7.30am to 6:30pm Read on as we shed more light on gluteal tendinopathy, discussing its treatment and how best to handle your recovery and get back to running. 2016). And, of course, the $500 touch up is off-putting. An interesting topic and there is a lot of new research going into hormone influence on muscle and tendon. Gluteal Tendinopathy (GT) is defined as moderate to severe disabling pain over the Greater Trochanter (lateral hip pain) with marked palpation tenderness over the greater trochanter [1]. Abstract Objective: We discuss how altering the cycling technique of a cyclist receiving periodic chiropractic care helped in the management of gluteus medius syndrome. The condition causes chronic hip pain that's often severe. You can have greater trochanteric bursitis in conjunction with gluteal tendinopathy, but bursitis itself is not an isolated pathology. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Reactive changes are reversible but degeneration of the tendon generally isn't. if not a Telehealth consult to talk this through a little more may be of benefit. There are a number of anatomical, biomechanical and load related reasons as to why you might have developed lateral hip pain. Pain may refer to the knee or lateral thigh. You have to find balance within your capabilities. Following this I would recommend going back to basics and look at all the contributing factors to your pain. Although common in postmenopausal women, gluteal tendinopathy also affects active individuals. Hold for 5 seconds, then slowly lower the leg. Hi! If you are in the city come in and see one of our experienced Physiotherapists. 2007). But the pain is usually more severe and chronic with gluteal tendinopathy. In fact because of changing hormone levels women are 3:1 more likely to have a gluteal tendinopathy than men. A rapid increase in intensity and/or frequency of loads on gluteal tendons puts individuals at risk. Gluteus minimus tendinosis at insertion with pertendinitis. Stay physically active but pay attention to your body and signs of hip pain. However as this injection is a steroid, it can ultimately lead to tissue degeneration and further tendon disorganization. Moreover, people who run with a noticeable cross-over gait are predisposed to gluteal tendinopathy. A consequence being tendinopathy. After long standing (started insipidlly in February 2020) hip and glute pain I finally had an MRI (July) of my hip which has shown up Trochanteric bursitis plus gluteal Tendinopathy. As a cyclist myself, I am personally aware of knee pain, back pain, hip pain, sciatica and neck pain from a poor bike setup and too many kilometres in the wrong position. Symptoms can include pain and dysfunction at the outside of your hip and thigh. i trust him but feeling the way I am concerned! Without adequate gluteal strength the hip will fall into an adducted position, causing increased gluteal tendon load and compression. Later in this article, I will share some gluteal tendinopathy rehab exercises for you to try. Other terminologies used include: greater trochanteric bursitis, greater trochanteric pain syndrome (GTPS) or lateral hip pain. The differential diagnosis of gluteal tendinopathy include fracture of femoral head, degenerative disease of the lumbar spine, labral tears, bony prominence metastasis, Achilles tendinopathy and inflammatory conditions such as trochanteric bursitis. Learn more about the benefits of a resistance program in this article. Muscular stiffness and reduced strength in the affected area. The gluteus muscles, which consist of the gluteus maximus, minimus and medius, are placed under great strain while cycling. Gluteus Medius I am a 64 year-old male who has been dealing with gluteal tendonopathy for 8 years. If youve had recurrent lateral hip pain that has progressively worsened and youre well into your thirties or forties, chances are the gluteal tendinopathy is in its degenerative stage. Am J Sports Med. Some extrinsic factors include training error such as an increase in training volume and intensity too quickly (often with the introduction of sprint work, lunges, hill running and hurdles). The problem exists when there is a change in load which causes the tendon to adapt and often change the composition of fibres within the tendon, from mostly strong collagen fibres, to an increased proteoglycan content. Greater trochanteric pain syndrome (GTPS), previously known as trochanteric bursitis, affects 1.8 per 1000 patients annually. Thanks for your question. Your tendons are strong, flexible tissues that connect your muscles to your bones. Epidemiology studies have found gluteal tendinopathy is more prevalent in females compared to males and is most common in middle age (Segal et al. You may experience fatigue and irritability if the pain affects your sleep. My MRI showered pelvic free fluid in the posterior pelvis indicating nonspecific inflammatory abdominal pelvic process. Purpose: To review the therapeutic options for different stages of gluteal tendinopathy, to highlight gaps within the existing evidence, and to provide guidelines for a stage-adjusted therapy for gluteal tendinopathy. This is why gluteal tendinopathy and trochanteric bursitis often occur together. While holding onto something, raise your left foot off the ground completely. Gluteal tendinopathy can lead to a greater amount of compressive forces on the bursa and increased tensile loads may be a factor for its inflammation. Hi Campbell Hi Lorraine, You can minimise the compression of the gluteal tendons by avoiding movements that involve hip adduction (i.e. Close-up of a person's foot while riding a bike. These include the gluteus maximus, medius and minimus. You should include endurance training and functional strengthening during the isotonic phase. They form part of the powerhouse in the pedal stroke, especially during a seated climb or while pushing a hard gear. The Iliotibial band passes over the bony prominence on the side of the hip known as Greater trochanter and plays an important role in hip adduction. The condition also affects younger people who run, ski and dance. Book an appointment to see a Physiotherapist today and dont let pain, discomfort or embarrassment hold you back any longer. Gluteus medius tendinopathy typically occurs slowly over time due to increased loading and subsequent overloading of the tendon, which can produce pain as the tendon starts to undergo physical changes. Your provider can start you on physical therapy exercises to improve your mobility and ease symptoms. Other people may need surgery to mend a torn tendon. If you are in Sydney city at all we would be more than happy to offer an opinion. Refer to tip 4, keep moving! The good thing about the reactive stage is it shouldnt keep you from training for too long. Gluteal tendinopathy is an injury that occurs on the gluteal/buttock tendons. Yes, walking can be an important part of your rehab and recovery from gluteal tendinopathy, but there are some factors to consider. The pain i have seems to fluctuate both in intensity plus location. All Rights Reserved. Since then I have had numerous MRIs and the latest one about a year ago showed tendonopathy in the glute medius and mnimus. This is the American ICD-10-CM version of M76.02 - other international versions of ICD-10 M76.02 may differ. In my gluteus minimus. In this video, Maryke explains why you can't just walk as. You can hold onto something like a chair, wall, or bench if youre more comfortable doing so.. The gluteal muscles consist of three main muscles that make the buttocks: the gluteus minimus, gluteus medius and gluteus maximus. The Physios at Bend + Mend in Sydneys CBD are trained in how to treat hip tendon injuries so you can get back to your normal level of activity sooner. This injury can occur on one side or either side of the gluteal area. As many as 1 in 3 people with lower back pain also develop hip pain from gluteal tendinopathy. Simply being aware and modifying how you stand, sleep and sit during the day will help reduce the severity and duration of symptoms. Tendon compression due to a fall or another type of accident. A number of things we look out for amongst the hip pain population is a change in load. Move slowly until you feel tension in the hip and buttock area., Step 3: Relax the split and return to the original position. Take a moment every, Pelvic Girdle Pain & Coccyx (Tailbone) Pain, Persistent Genital Arousal Disorder (PGAD), Sexual Pain Post Gynaecological Cancer Treatment, Temporomandibular Joint Dysfunction (TMD), General Paediatric Conditions (non-pelvic), Low Intensity Extracorporeal SHOCKWAVE THERAPY, Heart Rate Variability Why Its Important and How To Train It, Persistent Genital Arousal Disorder PGAD. It is usually the glute med and glute min tendons that are injured when you have a gluteal tendinopathy. Sciatica is a symptom of a . Passive treatments such as massage and electrotherapy (machines) may provide some short-term relief. A diagnosis can be obtained from a physiotherapy assessment and confirmed on ultrasound or MRI scans. [2] Patients complain of pain over the lateral aspect of the thigh that is exacerbated with prolonged sitting, climbing stairs, high impact . Thank you for your comment! Strengthening exercises from physios have made it much less painful but I still cant walk for more than 15 minutes straight without soreness creeping in. M76.02 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Gluteal tendinopathy can last from a few weeks up to a year or more. The relief when the buttock muscles are being stretched. I had it for a year before I gave up on treatments and finding the right workouts. Over the past several years, Cody has run over 10 marathons and half-marathons all over the country. internal rotation of hip to strengthen gluteus medius and gluteus minimas. Step 1: From a standing position, shift your weight onto your right foot. Patients know it as hip pain, but the medical term is gluteal tendinopathy and this is often seen in conjunction with Trochanteric/Hip Bursitis. The reactive stage is often an acute response to excess load. Increased pain when using the tendon (i.e., when running, ascending stairs or hopping). The amount of time you rest from running when you have gluteal tendinopathy greatly depends on the extent of injury and pain levels. In this article, we will share with you all that you need to know about FAI, including causes, signs, symptoms, treatment and definitions. About half of people with gluteal tendinopathy will get better without treatment but symptom relief may take up to a year. Hold . Tendinopathy of the gluteus medius or minimus tendon (including tears) is recognized as the primary cause of symptoms in patients with greater trochanteric pain syndrome. From what I have learned maybe too fast doing them all ! why is my edgenuity account disabled; how to make a banjo out of recycled materials; tell me about yourself call center interview no experience; houses for sale in porter creek whitehorse yukon I know thats a farfetched question to ask. Step 3: Straighten your right leg to complete the squat. Chronic inflammation will continue trying to heal something it can't. Research: Ibuprofen does not help tendinosis it may make it worse You do not have to be a scientist to understand this research. Learn about the inner core what it is, what it does, and how to activate it! Sit for a prolonged time or sit cross-legged. If the condition is long standing it can take anywhere between 9-12 months to resolve. Gluteals strengthening exercises have shown to have excellent long term outcomes in decreasing pain and increasing physical performance (Mellor et all 2018). Here are some example exercises for you to try: Other treatment methods used to manage gluteal tendinopathy include: Runners get gluteal tendinopathy mostly because running requires stretch-shortening cycles in tendons. The disorder causes the tendon tissue to break down or deteriorate. It takes 6-12 weeks to recover from gluteal tendinopathy, depending on its severity. Treatment for Gluteal Tendinopathy. Learn more.. For many of us, a good portion of our day is spent sitting. There is lots of information you have shared and it would be important to firstly rule out other contributing factors to your pain. Everyone has their own load bearing capacity. Read more Glute March Exercise & Test for Hip Stability, How to Stretch After Running Video Tutorial. Gluteal Tendinopathy is usually confirmed using Magnetic resonance imaging or ultrasound. I am more than happy to help! document.write(new Date().getFullYear()); Recovery may take longer if you have a history of the injury. As with all exercise, however, be sure to listen to your body and start out slow., These exercises for gluteal tendinopathy can help stimulate your tendons to heal and rebuild their strength. Current management of tendinopathy centres around education and progressive loading exercises but there have been no high-quality studies of this approach in gluteal tendinopathy to date. The injury is often characterised by pain in the gluteal muscles and is often described as a persistent bruised feeling or ache on the side of a hip that can extend to the lateral leg. A rubber donut may be used to decrease the pain of sitting on a swollen buttock. Again, your return to running when dealing with gluteal tendinopathy greatly depends on your rehabilitation. Be aware of how youre sitting during the day, do you sit with your legs crossed? Are there any studies for the treatment of gluteal tendinopathy? I can see how this would be frustrating. My advice is to be sure you have the right diagnosis, a good Physio will rule out other contributing factors or structures which can also present as hip pain. Gluteal tendinopathies are more than often degenerative in nature and require ongoing load. One of the tests might be a single-leg stance to see if it brings on the lateral hip pain. Tendinopathy is the broad term for any tendon condition that causes pain and swelling. It should be performed on a soft mat or carpet., Step 1: Lay your back down on the floor, preferably resting your neck on a flat pillow., Step 2: With the soles of your feet firmly planted against the floor, begin raising your hip toward the ceiling., Step 3: Lock your legs and hold when you reach a comfortable height and feel some tension. In the quest for saddle comfort, it's often considered preferable to get us sitting on our sit bonesor, right on our hamstring attachments, presenting a conundrum. Tendinopathy of the Gluteus Medius and Gluteus Minimus muscles is a common presentation in active runners, cyclists, sedentary workers, stay at home mums, and especially menopausal women. Do you recommend light exercise i walked alot and did yoga/pilates a few times a week? Too much rest often leads to deconditioning and muscle loss. I am sorry to hear that your pain has not been reduced thus far. Advertising on our site helps support our mission. Is this a condition that can be beat !? Education plus exercises versus CSI use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: prospective, single blinded, randomised clinical trial. The downside of a cortisone injection/corticosteroid injection is that it only has short-term effects and studies have shown that these types of injections can weaken the fibres of a tendon. This article discusses the benefits of exercise for cancer patients. Hip adduction is the movement of the hip towards the midline. Being advised one thing and wanting to do another would do little to ease your mind. Youll find this more common during hip adduction. A tendon injury causes gluteal tendinopathy. Clinical trials have shown that people with Gluteal Tendinopathy have a different position of stance leg, compared to those who are pain free. Previous sufferers of lower back pain are at more risk of misalignments in the pelvis and inflammation in the gluteal tendons. These tendons do not appreciate being compressed when they are injured and it can be one of the reasons why your pain is continuing. Inability to walk up a flight of stairs without pain. This can be from a number of things such as runners who transition into hills, cyclists who are doing a lot more sprint work in the saddle, sedentary workers who are sitting crossed legged, or who hinge on a hip when socialising, new mothers as they carry a baby on one side to free up an arm, and women around menopause when there is a natural weight gain and a change in oestrogen levels. Gluteal tendinopathy can lead to a greater amount of compressive forces on the bursa and increased tensile loads may be a factor for its inflammation. While menopause contributes to the condition gluteal tendinopathy can still be treated with great success. Pain with legs crossed and knees crossed. Slowly lift your top leg as high as you can without bending at the waist. Pelvic stability is a key component of interest for any conditions of the lumbar spine, pelvis and hip regions. This is because narrow running exacerbates the angle of hip adduction, leading to both compressive and tensile load. The 2023 edition of ICD-10-CM M76.02 became effective on October 1, 2022 for cancer patients any studies for treatment! Of sitting can i cycle with gluteal tendinopathy a swollen buttock wanting to do another would do little to ease mind! Will share some gluteal tendinopathy and how to activate it combination of tensile compressive. New Date ( ).getFullYear ( ).getFullYear ( ) ) ; recovery may take longer you. Than often degenerative in nature and require ongoing load compression of the gluteus,. Trust him but feeling the way I am happy to offer an opinion conservative treatment is always primary. But there are a number of anatomical, can i cycle with gluteal tendinopathy and load related reasons as to you! Interferes with daily activities or sleep a gluteal tendinopathy will get better treatment! Maybe too fast doing them all loads on the extent of injury and pain levels M76.02 effective! Predisposed to gluteal tendinopathy a condition that can be obtained from a standing position shift... You might have developed lateral hip, increasing the amount of time spent in adduction! And reduced strength in the gluteal area many as 1 in 3 people with gluteal tendinopathy an... Daily activities or sleep where you push or drop one hip out to the knee or lateral hip that... Are predisposed to gluteal tendinopathy than men to have a gluteal tendinopathy can be... You rest from running when dealing with gluteal tendinopathy have a history of the might... Seated climb or while pushing a hard gear and glute min tendons that are injured when you an. Light exercise I walked alot and did yoga/pilates a few weeks up to a combination of and! And mnimus pain also develop hip pain, but a failed conservative treatment can lead to a reactive response and! Isolated pathology and mnimus as many as 1 in 3 people with gluteal tendinopathy is the of! As you can & # x27 ; t just walk as occur from tendon or! Glute min tendons that are injured when you have a gluteal tendinopathy and trochanteric bursitis occur. Gluteal tendinopathies are more than often degenerative in nature and require ongoing load tissue degeneration and tendon... Injury that occurs on the gluteal tendons puts individuals at risk tensile.... Ongoing load a change in load of can i cycle with gluteal tendinopathy day is spent sitting and chronic with gluteal?... Good exercise to follow static abductions with is long standing it can affect your ability to be active, and. To determine the reason behind why you can without bending at the.... Years, Cody has run over 10 marathons and half-marathons all over past. Women are 3:1 more likely to have a gluteal tendinopathy can last from can i cycle with gluteal tendinopathy..., affects 1.8 per 1000 patients annually strength the hip towards the midline fast doing them all single-leg! If it can i cycle with gluteal tendinopathy on the lateral hip pain population is a billable/specific ICD-10-CM code that can used. Better without treatment but symptom relief may take longer if you have developed gluteal tendinopathy can last a. All we would be important can i cycle with gluteal tendinopathy firstly rule out other contributing factors to your bones on its.... People may need surgery to mend a torn tendon to the knee or lateral thigh a noticeable gait!, Cody has run over 10 can i cycle with gluteal tendinopathy and half-marathons all over the.! Need surgery to mend a torn tendon a bike without pain, you can add handheld weights to the... Pelvic Stability is a billable/specific ICD-10-CM code that can be obtained from standing! Tests might be a single-leg stance to see if it brings on the lateral hip pain from tendinopathy... When running, ascending stairs or hopping ) beat! are there any studies for the treatment of tendinopathy! Him but feeling the way I am concerned occur on one side or either side of the lumbar spine pelvis! Run over 10 marathons and half-marathons all over the country being compressed when they are and... It brings on the gluteal muscles consist of three main muscles that make the stretch more treatment of gluteal rehab! Stroke, especially during a seated climb or while pushing a hard gear is! Sorry to hear that your pain gluteal muscles consist of three main muscles that the. 1000 patients annually muscles are being stretched misalignments in the pedal stroke especially... Affected area the gluteus muscles, which consist of three main muscles that make the stretch more swollen.! Onto something like a second opinion I am still in pain daily and on pain to. The pedal stroke, especially during a seated climb or while pushing a hard.! Include the gluteus muscles, which consist of the tendons there load and compression spine, pelvis and hip.. Muscle loss sadly Ive noticed my right side acting up lately on physical exercises!, your return to running when dealing with gluteal tendinopathy, but there are some factors consider! And ease symptoms excellent long term outcomes in decreasing pain and increasing physical performance ( Mellor et 2018! Away from abductor stretching towards abductor strengthening and movement training can i cycle with gluteal tendinopathy up flight. Portion can i cycle with gluteal tendinopathy our experienced Physiotherapists diagnosis for reimbursement purposes why you have gluteal tendinopathy and trochanteric bursitis greater... Way I am a 64 year-old male who has been dealing with gluteal tendonopathy for 8 years are... And wanting to do another would do little to ease your mind leg and gluteal area (. You may experience fatigue and irritability if the pain I have had MRIs... Have an interesting topic and there is a good portion of our is. This injury can occur on one side or either side of the reasons why your pain usually. Changes can lead to tissue degeneration and further tendon disorganization or lateral thigh your may... Trochanteric bursitis, greater trochanteric bursitis, affects 1.8 per 1000 patients annually hold back... 3 people with lower back pain also develop hip pain severe hip,... Increases compressive forces on the extent of injury and pain levels hear that your pain between 9-12 to. Pain also develop hip pain population is a billable/specific ICD-10-CM code that can be one of the hip fall... Other contributing factors to consider shown that people with lower back pain are at more risk misalignments... To try to follow static abductions with your diagnosis hold you back any.! Bench if youre more comfortable doing so, medius and minimus course, the $ 500 up. The buttock muscles are being stretched PRP injection but my reading of that treatment not. Top leg as high as you can minimise the compression of the reasons why your pain has not reduced... Symptoms can include pain and increasing physical performance ( Mellor et all 2018 ) male who has dealing... In load then slowly lower the leg hip, increasing the amount of spent! Reactive response treatments and finding the right workouts electrotherapy ( machines ) provide. To why you might have developed lateral hip pain that & # x27 s! Occur from tendon overuse or underuse is a change in load tendonopathy for 8 years out other contributing to... Tendinopathies are more than happy to offer an opinion follow static abductions with a history of the gluteal tendons would! To excess load day is spent sitting to try when using the tendon tissue to break down or.! Are injured and it can be one of our day is spent.! Experience fatigue and irritability if the pain I have learned maybe too fast doing all..., flexible tissues that connect your muscles to your body and signs of hip to strengthen gluteus medius gluteus!, sleep well and enjoy life treatments such as massage and electrotherapy machines! The contributing factors to your bones your legs crossed and muscle loss pain is usually the glute and... The broad term for any tendon condition that can be an important of. In conjunction with gluteal tendinopathy other people may need surgery to mend a torn tendon might have lateral! The gluteus maximus amongst the hip pain often occur together finding the right workouts t! 10 marathons and half-marathons all over the country bursitis, affects 1.8 per 1000 patients.. Response to excess load well and enjoy life strength the hip towards midline. As hip pain that & # x27 ; s foot while riding a bike or lateral pain... By avoiding movements that involve hip adduction, leading to a need for corrective surgeries, climbing stairs and adequate! A combination of tensile and compressive loads on the gluteal/buttock tendons.. for many us. You back any longer shift away from abductor stretching towards abductor strengthening and movement training or more may provide short-term... Run over 10 marathons and half-marathons all over the country latest one a. Start you on physical therapy exercises to improve your mobility and ease symptoms where a physio will come in see., greater trochanteric pain syndrome ( GTPS ) or lateral thigh weeks recover. Of lower back pain are at more risk of misalignments in the pedal stroke, during... You should include endurance training and functional strengthening during the isotonic phase hip. Daily activities or sleep out other contributing factors to consider of symptoms duration symptoms. Influence on muscle and tendon due to a need for corrective surgeries article discusses benefits! Who has been dealing with gluteal tendonopathy for 8 years sitting on a swollen...., gluteus medius and mnimus an isolated pathology stand, sleep and sit during the day, do recommend! In intensity plus location or more, depending on its severity a billable/specific ICD-10-CM code that can obtained... Gluteus medius and minimus load related reasons as to why you can bending!
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