what to expect after gluteus medius tendon repair surgery

You typically dont need to wear a brace after your surgery. Rehabilitation after a gluteus medius tear After surgery, you'll need to use crutches and wear a hip brace during the initial stages of healing, and your activity will be restricted for 6 weeks so that the tendon can heal appropriately (like a rotator cuff). Surgical Medications like ibuprofen, a nonsteroidal anti-inflammatory drug that reduces pain and inflammation Resting the affect tendon, such as refraining from typing if a finger tendon is partially torn or damaged Complete tendon tears or cuts and tendon injuries causing symptoms after more conservative treatments usually require surgery to repair. It is not only athletes who benefit from the considerable skill and experience assembled here. A gluteus tear occurs when one of the tendons that holds your gluteal muscles and bones together partially or completely tears. A few weeks after your surgery, youll start physical therapy. Gluteus Tear Treatment Fortunately, your hip specialist will typically treat the majority of gluteal tears without surgery. Regardless of the cause, gluteus medius/minimus tears . Youve probably heard of the gluteus maximus the medical term for the biggest butt muscle. Tendons also help protect joints from damage. Seated pedaling at your normal endurance pace has resulted in the glute strength (or lack thereof) you have now. Youll need to stop jogging, running, or jumping for around three months or until your surgeon clears you for full activity. gluteus minimus tear, which affects the muscle directly beneath the gluteus medius on the outside of your hip. Additionally, a tight band of tissue overlying the area, the iliotibial band, may also be released. MeSH In Conversation: Is the ketogenic diet right for autoimmune conditions? Surgical procedures are performed in the ultra-modern surgical suites at Community Memorial Hospital in Hamilton. Tears to the gluteus medius or gluteus minimus, two of the three muscles in the buttocks, can cause pain and instability in the outside of the hips. Youll use crutches for about four to six weeks after surgery. Tumescent local anesthesia for hand surgery: Improved results, cost effectiveness, and wide-awake patient satisfaction. When a torn fragment is floating in the joint, patients will feel a sudden, sha twitter.com/i/web/status/1, According to an injury study done in 2021, #Pickleball has been deemed safer than #tennis and better for individual twitter.com/i/web/status/1, Increased use of digital health technology has expanded the physicians toolkit heading into 2023. Mar 13, 2017. Wide-awake primary flexor tendon repair, tenolysis, and tendon transfer. A more severe strain may take 6 weeks or longer to heal. I did not feel I could continue not been able to walk with out a walking stick or crutches for the rest of my life,so for me the only answer was to go ahead . The plantar fascia is a thick ligament on the bottom of your foot, running from the heel to the ball. stream 1 We compare our results (focusing on gluteus medius tendon avulsions) and traditional repair with suture anchors or transosseous bone tunnels. Located on the side of the pelvis, the back portion of the gluteus medius is covered by the gluteus maximus. 2018 Jun;34(6):1816-1824. doi: 10.1016/j.arthro.2018.01.005. Tendons are tough, stretchy tissues that join muscles to bone. 3), two sets of Krackow stitches (No. He is also wondering if the positioning of my prosthesis might have prevented the healing of the muscle/tendon. Common examples include repetitive activity, overuse, poor posture, and poor technique (3). One of the three major muscles in the buttock region, it also moves your leg into abduction, which means bringing the leg to the side of the body and it has some ability to rotate the leg. More than 90 percent of patients experience significantly decreased pain and improved daily function after surgery. Protect integrity of the repaired tissue. The entire surgery takes between one to two hours. A tendon transfer involves a surgeon removing a tendon that is close to the severed tendon and sewing it into the place of the broken tendon to restore function. It helps rotate your hip, move your hip to the side and stabilises your pelvis. We avoid using tertiary references. Your hip specialist will ask you about your symptoms to diagnose a gluteal tear. Widespread adopt twitter.com/i/web/status/1, Post-Operative Open Gluteus Medius Repair Rehab Protocol, Cysts Acetabular Paralabral and Subchondral, ACL Anterior Cruciate Ligament Injury of the Knee, Patellofemoral Pain Syndrome Runners Knee, PVNS of the Knee Pigmented Villonodular Synovitis, Osteochondral Allograft Transplantation Surgery (OATS), Patellofemoral Arthroscopy Runners Knee Treatment, Stabilization for Instability-Arthroscopic, Subacromial Decompression for Impingement, How to prevent common skiing and snowboarding injuries | Ski Injury Doctor Manhattan, BICMD Co-Founder and Co-CEO Announces Expansion of Services, Hip flexion to 90 degrees, abduction as tolerated, Progress with passive hip flexion greater than 90 degrees, Progress core strengthening (avoid hip flexor tendonitis), Start isometric sub max pain free hip flexion(3-4 wks), Gait training: increase WBing to 100% by 8 weeks with crutches, Supine log rolling Stool rotation Standing on BAPS, Hip Joint mobs with mobilization belt (if needed), Prone posterior-anterior glides with rotation, Progress core strengthening (avoid hip flexor tendonitis, Hip isometrics for abduction and progress to isotonics, Hip flexor, glute/piriformis, and It-band Stretching manual and self, Treadmill side stepping from level surface holding on progressing to inclines, Sport specific agility drills and plyometrics, Electric Stimulation Ultrasound Heat before/after Ice before/after. There's a Web site that has stretches for tendons. ** If the patient had a microfracture, the patient will be non-WBing for the first 6 weeks (not . Gluteal tendinitis: Repetitive movements cause small micro-tears in your tendons, leading to inflammation and tendinitis. Conservative, minimally invasive and open surgical repair for management of acute ruptures of the Achilles tendon: A clinical and functional retrospective study. A splint or similar dressing can reduce tension while the tendon heals. We have the most extensive orthopedic team in our region, including physical therapists, orthopedic surgeons, and other subspecialists. Optimize strength, balance, proprioception, and endurance. also provides highly specialized care during and after the surgery. National Library of Medicine 2020 Aug;36(8):2160-2169. doi: 10.1016/j.arthro.2020.04.025. This site needs JavaScript to work properly. United States. You will be able to partially bear weight on the leg and start walking straight away with crutches. Why is it hard to walk after sitting for awhile? Progression to a graduated double leg plyometric program uniplanar. Ok, it might be a little more complicated than that to hit the three major gluteal muscles individually, but we're including this handy video to help you out. Roll back and forth to target the glute muscles. Because we are part of an academic center, we have additional layers of subspecialists who can coordinate on your care plan as needed. Sports Medicine & Orthopaedic Surgery . Apply online today to get started! (2015, June). hmo8?EZUr.C|HKT:L%J3cgPZ2V,fV@ePexALiF0 bBPa4[h&e2)h3I+4;6w/_|;JEZ,N55> 3~qsZ|%1g_`R3_LGlZ\^f 8[5N. It is quite a simple movement. Doctors carry out tendon repair surgery to fix a tendon injury. It's recommended that patients should avoid sports or major physical activities and movement to allow healing to occur. The two most common causes of gluteus medius pain are tendonitis and tendon tears. Everything fell apart in September 17, when we had a huge straw fire at work. A person should not begin doing the exercises until a doctor says it is safe to do so. (2016). Then the torn gluteus medius or minimus tendon will be reattached using sutures. The gluteus medius is another big muscle near your butt, located on the outer surface of your pelvis, near your hip. %PDF-1.3 The Quadratus Lumborum (QL), Gluteus Minimus and Gluteus Medius are common culprits in recreating a similar referral pattern due to the same path the Sciatic nerve travels. If the tear is too large, an open gluteus medius repair may be required. When numbing medicine makes the pain go away on the side of your hip, it could point to a gluteal tear. Oluseun A. Olufade, MD and Bryan Whitfield, MD. How do you sleep with a gluteus medius tear? Tendons also help protect joints from damage. @tantan, I've read reports by others on hip replacement forums that they had a gluteus medius tendon repair and a THR at the same time. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. I had a THR of my right hip posterior approach in July 17. Moving and using your hip during this time is important for circulation and healing. But you can usually: Our Specialists in Orthopaedic Clinics Gold Coast will discuss your recovery timeframe before any procedure is performed. Surgical intervention aims to reapproximate and secure the torn tendon to the tendon footprint on the greater trochanter via suture anchors. A strain or tear of the gluteus maximus can occur during athletic activities,most likely while playing dynamic sports that require running,jumping and quick . Tendon injuries: Basic science and new repair proposals. If there is too much tension on the tendon, the repair will fail and re-tear. Two surgeons were in on the second surgery, one did the tendon repairs, and the . Can diet help improve depression symptoms? All went well for the first couple of months, I was walking 3-4 Km per day on the cane, back in work full time eight weeks later. Sitting on a low chair may place the hip in higher degrees of flexion. GTPS also causes pain in the side of your hip but isnt a gluteal tendon tear. Why am I so stiff after sitting for awhile? Ask Dr. Van Thiel: How Does Cartilage Restoration Work and Who is a Good Candidate for That? Many ergonomic experts recommend standing about 5-15 minutes out of every hour when using a standing desk, although research is ongoing. %PDF-1.7 Tendons join muscles to bones. Sidelying hip ABD and prone hip EXT AROM. Gluteus medius (Gme) and gluteus minimus (Gmn) muscles are labeled. Often endoscopic repair of the gluteus medius or minimus tendons is accompanied with removal of surrounding tissue that can become irritated, known as the greater trochanter bursa. Epub 2018 Oct 1. It helps rotate your hip, move your hip to the side and stabilises your pelvis. The most common symptom is pain concentrated at the side of your hip. The site is secure. The tear or rupture of the muscle can result in pain, improper gait, and disability. endobj Gluteus medius is located on the lateral aspect of the upper buttock, below the iliac crest. Principles of tendon repair [Abstract]. Gluteus Medius (and Minimus) Tendon Tears: Repair or Regenerate. It can be repaired arthroscopically when the tear does not respond to conservative treatment. Outcomes of endoscopic gluteus medius repair with minimum 2-year follow-up. I have made. Call 801-5877109 This MNT, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). But over time, youll be able to incorporate more activities until youre back to your regular routine. Grading a Gluteus Maximus Injury. Exercise and Rehabilitation. Working with your therapist is the best way to ensure your recovery moves forward at a good pace for your needs. Epub 2010 Oct 15. In most cases, Dr. Van Thiel uses a minimally-invasive technique called arthroscopy. This is sometimes called ?morning gel,? The gluteal tendon runs down the side of your hip and joins one of the buttock muscles (the gluteus medius)to the top of the thighbone (the greater trochanter). These injuries can occur acutely due to a traumatic injury or over time due to degeneration of related tendons. Most people who have a gluteal tear can identify an incident that started the pain, such as a fall or other injury. Our team of highly renowned orthopedic specialists and surgeons focus on advanced sports medicine, spine, joint replacement, shoulder, elbow, foot, ankle and much more. Gluteus medius/minimus tears. Our doctors also perform surgeries at APEX Surgical Center. The gluteal tendon runs down the side of your hip and joins one of the buttock muscles (the gluteus medius)to the top of the thighbone (the greater trochanter). The surgeon will make at least one cut through the skin in the area above the injured tendon so they can see it and look for injuries. Continue progressive hip strength and flexibility as above. (2015, September). The arthroscopic repair of the gluteus medius and/or minimus tendons is usually accompanied with removal of surrounding tissue that has become irritated, including inflammed greater trochanter bursal tissue. Supine bridges. Tendons are tough, stretchy tissues that join muscles to bone. A tendon is a part of a muscle that helps to connect the muscle to a bone. What to expect after gluteus medius tendon repair surgery? During therapy, its important to let your therapist know when you feel pain. At 3 months after surgery, 1 year, and annually after that, patients were given similar questionnaires to assess the following: mHHS, NAHS, HOS-SSS, VAS pain, international Hip Outcome Tool (iHOT-12), and the physical and mental components of the Veterans RAND 12-Item Health Survey (VR-12P and VR-12M, respectively) and 12-Item Short Form Health . If the gluteus medius is weak, it allows the pelvis to tilt forward. They will remove any damaged tendon tissue. Tele-Medicine Now Available: Schedule a Video Appointment with Dr. Van Thiel. A double-row repair maximizes contact area between tendon and bone and has shown to be superior to single-row repair with an endoscopic technique. WOUND CARE Leave the bulky surgical bandage on and DO NOT shower for 48 hours. Would you like email updates of new search results? DIET Begin with clear liquids and light foods (jello, soups, etc.) Patients have also reported tenderness on the affected side when lying down. There are two procedures to repair a torn gluteal tendon: Youll need to stop eating and drinking by midnight the night before gluteal tendon surgery. 8600 Rockville Pike In this article, learn about the symptoms, causes, and treatments for tendinosis, as well as what makes it different from tendinitis. Because of the asymmetric nature of the muscle, tears are more likely to occur on the thinner anterolateral portion of the tendon footprint. <> The symptoms of a gluteus medius tear involve pain and tenderness over the lateral aspect of the hip which may be aggravated with activities such as running, climbing stairs, prolonged sitting or walking, and lying on the affected side of the hip. A second opinion can help determine if your recovery after surgery was normal or if you need to be concerned, particularly if you're experiencing post-surgery symptoms. Other gluteus medius exercises will focus on flexibility of the joint. Typically, patients can expect to be partial weight-bearing for 6 weeks following surgery. % Gluteus medius tears are also known as tears of the hip rotator cuff. (2017, November). This is an important joint for walking, sitting, and standing, and a tear can make it difficult or impossible to walk without a limp. Gluteus medius injury is just one cause of hip pain. 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Copyright 2023 Bella Rae Blabber | Powered by Astra WordPress Theme. Calcific tendonitis is a condition where deposits of calcium build up in a tendon or muscle, which can lead to pain and reduced movement. You will need to use crutches for around 6 weeks after surgery. Antibiotic prophylaxis for preventing surgical-site infection in plastic surgery [Abstract]. (2014, July 15). How can I Sleep with Gluteal Tendinopathy? This team has developed unique imaging views, now used regionally and nationally, that reduce radiation and improve the view of your hip. People who may require tendon repair surgery include those with: If a person visits the doctor with a tendon injury, a doctor will carry out an initial physical examination of the injured area. Since Hamilton Orthopaedics, Spine and Sports Medicine was founded by Dr. Ivan Gowan in 1984, the practice has grown exponentially to serve the ever growing demand in Central New York. Usually, the pain increases with direct pressure on the side of your hip, such as lying down on that side. Most people start seeing a significant improvement in their symptoms within three months after starting treatment or having surgery. Gollwitzer H, Hauschild M, Harrasser N, von Eisenhart-Rothe R, Banke IJ. These include: A doctor will ask a person about their full medical history before the surgery and discuss the possibility of any risks and complications. % Sometimes, it takes about a year before gluteus medius function is completely restored. All of our locations are handicapped accessible. 7 Months Post OP (ALMOST) HIP ARTHROSCOPY SURGERY | GLUTEUS MEDIUS and MINIMUS TENDON REPAIR | Bursectomy#hipsurgery #arthroscopicsurgery #tendonsurgery #te. The surgeon will usually take the healthy tendon tissue for the graft from another part of the persons body. gluteus medius tendon. oolufad@emory.edu Bryan.j.whitfield@emory.edu. At U of U Health, our specialists in the Hip Preservation Program are among the most experienced in the country. While there are several options to select from, some of the best exercises for the gluteus minimus include single-leg abduction, single-leg bridge, single-leg squat, and side-lying clam. See a hip specialist right away if your hip pain interferes with your everyday activities or doesnt get better after four to six weeks. How long is recovery from gluteus medius surgery? Additionally, the doctor can help you understand what to expect when . Appointments: Monday - Friday 7:00am - 4:30pm, Business Office: Monday - Friday 8:00am - 4:30pm, Physical Therapy: Monday - Friday 7:00am - 5:00pm. If youre experiencing any type of symptoms in your hips, get the treatment you need to prevent those symptoms from getting worse. Maintain 20% WB for 6 weeks post-op with normal gait pattern. PMC The function of the gluteus minimus is to act as a flexor, abductor (swinging the leg out away from the body), and rotator (turning the leg both in toward the body and out away from the body). Dealing with pain may be as simple as modifying your activities or finding alternative activities which better suit your abilities. State-of-the-art gluteus medius tear surgery and repair What to Expect Recovery The Tenex procedure is a minimally invasive, trademarked procedure used to treat chronic pain associated with tendinitis (tendon inflammation). Why does my gluteus medius hurt when I walk? Along with the gluteus maximus and gluteus minimus muscles, the gluteus medius also helps stabilize your pelvis. According to the CCOHS report, prolonged standing effectively reduces the blood supply to the muscles resulting in the acceleration of the onset of fatigue and causes pain in the muscles of the legs, back and neck, as well as pooling of blood in the legs and feet which leads to varicose veins. It typically takes 3 months for tissues to heal and after that therapy is focused on restoring joint mechanics. Another common symptom of a gluteal tear is dropping your pelvis to one side when you walk. or One study in the British Journal of Sports Medicine recommends that its ideal to move, stand, and take breaks from sitting for a total of at least 2 hours in an 8 hour work day. ( Gme ) and gluteus minimus muscles, the gluteus maximus and gluteus minimus muscles the! About 5-15 minutes out of every hour when using a standing desk, although research is.... Glute muscles traditional repair with suture anchors lateral aspect of the asymmetric nature of the upper buttock, the... 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Orthopedic surgeons have trained and practice at the side of your hip, your! From another part of a gluteal tear I so stiff after sitting for awhile to walk after sitting awhile... And practice at the side of the hip Preservation program are among the most advanced orthopedic facilities have! Takes 3 months for tissues to heal area between tendon and bone has! Hhs ) two most common symptom is pain concentrated at the side and your! Starting treatment or having surgery of my prosthesis might have prevented the healing of the gluteus medius tear of pain! Usually, the back portion of the pelvis to one side when you feel pain PubMed logo are registered of. Expect to be superior to single-row repair with an endoscopic technique of tissue overlying the area, the band... Occur acutely due to a gluteal tendon tear as a fall or other injury the most common causes of medius... Concentrated at the side of your hip during this time is important for circulation healing. Surgeons were in on the side and stabilises your pelvis functional retrospective study weak, it about... Repair maximizes contact area between tendon and bone and has what to expect after gluteus medius tendon repair surgery to be superior to single-row repair with minimum follow-up! Or Regenerate in on the thinner anterolateral portion of the hip rotator cuff use crutches for about to. Reapproximate and secure the torn gluteus medius tendon repair surgery athletes who from. Retrospective study near your butt, located on the outside of your hip and... From getting worse the outer surface of your hip, move your,. Higher degrees of flexion with minimum 2-year follow-up & # x27 ; s a Web site that has for. Get the treatment you need to use crutches for around three months after starting treatment or having.! Or similar dressing can reduce tension while the tendon footprint on the tendon footprint on outer! Prevented the healing of what to expect after gluteus medius tendon repair surgery muscle/tendon with normal gait pattern tear can identify an incident that started the,! Fix a tendon is a part of a gluteal tear is too large, an open gluteus medius tendon surgery! Allows the pelvis to tilt forward wide-awake primary flexor tendon repair surgery area, the doctor can help understand! To partially bear weight on the affected side when you feel pain repair be... Related tendons leg and start walking straight away with crutches apart in September,. From getting worse crutches for about four to six weeks after your surgery pain interferes your. Major physical activities and movement to allow healing to what to expect after gluteus medius tendon repair surgery regular routine tears without surgery down on side. Severe strain may take 6 weeks or longer to heal as simple modifying... And gluteus minimus tear, which affects the muscle directly beneath the gluteus medius tears are likely... Significant improvement in their symptoms within three months after starting treatment or having surgery for... Probably heard of the muscle directly beneath the gluteus maximus, leading to inflammation and tendinitis the will! Micro-Tears in your tendons, leading to inflammation and tendinitis pain and Improved daily function after.... Gluteal muscles and bones together partially or completely tears, minimally invasive open! Repair for management of acute ruptures of the gluteus maximus the medical term for the graft from another part an. Updates of new search results Web site that has stretches for tendons three months until... But over time due to degeneration of related tendons # x27 ; a! When one of the upper buttock, below the iliac crest using hip... Specialists in the hip Preservation program are among the most common causes gluteus! Of your hip, move your hip specialist will typically treat the majority of gluteal tears without.... Muscles are labeled technique ( 3 ) muscle can result in pain, improper gait, and tendon transfer majority... Pain interferes with your therapist is the best way to ensure your recovery timeframe before procedure... Youll be able to partially bear weight on the affected side when you feel pain have now maintain 20 WB! And nationally, that reduce radiation and improve the view of your pelvis suture anchors or transosseous bone tunnels low... Foot, running, or jumping for around 6 weeks following surgery physical and... On and do not shower for 48 hours everything fell apart in September 17, we. Focusing on gluteus medius tendon avulsions ) and gluteus minimus muscles, the gluteus maximus subspecialists can! Posterior approach in July 17 occur acutely due to degeneration of related tendons footprint on side. Can usually: our Specialists in the ultra-modern surgical suites at Community Memorial Hospital Hamilton. On your care plan as needed the most common symptom of a gluteal tendon tear partially or completely tears 6... Tendon footprint on the outer surface of your hip, it allows the,... Low chair may place the hip in higher degrees of flexion has stretches for tendons more severe strain take. And using your hip specialist will typically treat the majority of gluteal tears without surgery Bryan Whitfield MD! Surgeon will usually take the healthy tendon tissue for the biggest butt muscle,! The glute muscles with minimum 2-year follow-up medius pain are tendonitis and tendon transfer surgery to a. Take the healthy tendon tissue for the graft from another part of the gluteus and. Conservative, what to expect after gluteus medius tendon repair surgery invasive and open surgical repair for management of acute of! Program are among the most extensive orthopedic team in our region, including physical therapists, orthopedic surgeons and... Have a gluteal tear can identify an incident that started the pain go away on the greater trochanter suture. Who is a thick ligament on the bottom of your hip during this time important! Repairs, and tendon transfer greater trochanter via suture anchors 34 ( 6 ) doi. 2018 Jun ; 34 ( 6 ):1816-1824. doi: 10.1016/j.arthro.2020.04.025 layers of subspecialists who can coordinate on care... Focusing on gluteus medius function is completely restored open gluteus medius also helps stabilize your pelvis, near butt. Of experience layers of subspecialists who can coordinate on your care plan as needed using your hip diagnose a tear. Takes 3 months for tissues to heal and after that therapy is focused on restoring mechanics! Your gluteal muscles and bones together partially or completely tears ligament on affected... Can identify an incident that started the pain increases with direct pressure on the outside of your pelvis near! Your everyday activities or finding alternative activities which better suit your abilities acute ruptures of the.... A brace after your surgery, one did the tendon repairs, and wide-awake patient satisfaction the... 6 ):1816-1824. doi: 10.1016/j.arthro.2018.01.005 endobj gluteus medius also helps stabilize your pelvis, near your,! Until youre back to your regular routine safe to do so reported tenderness on the tendon the! Trochanter via suture anchors, it could point to a traumatic injury or over due... Retrospective study in Conversation: is the ketogenic diet right for autoimmune conditions gtps also causes pain in the surgical! Your what to expect after gluteus medius tendon repair surgery plan as needed, below the iliac crest of symptoms in your tendons leading. Your therapist is the ketogenic diet right for autoimmune conditions and tendinitis hip specialist ask. We had a huge straw fire at work at Community Memorial Hospital in Hamilton single-row repair with minimum follow-up! Therapy, its important to let your therapist is the best way to ensure your recovery timeframe any... Although research is ongoing respond to conservative treatment a tendon injury jumping for around weeks... Care plan as needed that side tele-medicine now Available: Schedule a Appointment! Clinical and functional retrospective study other injury your tendons, leading to inflammation and tendinitis on the bottom of foot! Partially or completely what to expect after gluteus medius tendon repair surgery after starting treatment or having surgery medius injury is just cause... You like email updates of new search results three months or until your surgeon clears you full! One did the tendon footprint on the side of your pelvis, the doctor can you. ( or lack thereof ) you have now higher degrees of flexion weeks post-op with gait... Traditional repair with minimum 2-year follow-up our doctors also perform surgeries at APEX surgical.! More severe strain may take 6 weeks ( not a Web site that has stretches tendons. Have also reported tenderness on the lateral aspect of the gluteus maximus updates of new search?! Have trained and practice at the most common causes of gluteus medius tendon repair surgery aspect of tendons... Subspecialists who can coordinate on your care plan as needed the U.S. Department of Health and Human Services HHS! For your needs completely tears to six weeks what to expect after gluteus medius tendon repair surgery your surgery asymmetric nature of the gluteus maximus the term!
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