Gluteal Strain

(Pulled Gluteal Muscle)

Definition

A strained gluteal muscle is a partial or complete tear of the small fibers of the gluteal muscles. The gluteal muscles are a group of three muscles in the buttocks.Gluteal strain is not a common sports injury. Treatment depends on the severity of the strain.
Posterior Hip and Thigh Muscles
Posterior Thigh Muscles
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Causes

A gluteal strain can be caused by:
  • Stretching the gluteal muscles beyond the amount of tension that they can withstand
  • Suddenly putting stress on the gluteal muscles when they are not ready for the stress
  • Using the gluteal muscles too much on a certain day
  • A direct blow to the gluteal muscles

Risk Factors

Factors that may increase your chance of getting gluteal strain include:
  • Participation in sports that require bursts of speed. This includes track sports like running, hurdles, or long jump. Other sports include basketball, soccer, football, or rugby.
  • Previous gluteal injury.
  • Fatigue.
  • Overexertion.
  • Tight gluteal muscles.

Symptoms

Symptoms may include:
  • Pain and tenderness in the buttocks
  • Stiffness in the gluteal muscles
  • Weakness of the gluteal muscles
  • Bruising on the buttocks

Diagnosis

The doctor will ask you about your symptoms and medical history. A physical exam will be done. Most gluteal strains can be diagnosed with a physical exam. Your doctor may want images of the area if severe damage is suspected. Images may be taken with MRI . Muscle strains are graded according to their severity:
  • Grade 1—Some stretching with micro-tearing of muscle fibers.
  • Grade 2—Partial tearing of muscle fibers.
  • Grade 3—Complete tearing of muscle fibers. This may also be called a rupture or avulsion.

Treatment

Talk with your doctor about the best treatment plan for you. Recovery time ranges depending on the grade of your injury. Treatment steps may include:

Acute Care

RestYour muscle will need time to heal. Avoid activities that place extra stress on these muscles:
  • Do not do activities that cause pain. This includes running, jumping, and weight lifting using the leg muscles.
  • If normal walking hurts, shorten your stride.
  • Do not play sports until your doctor has said it is safe to do so.
ColdApply an ice or a cold pack to the area for 15-20 minutes, four times a day, for several days after the injury. Do not apply the ice directly to your skin. Wrap the ice or cold pack in a towel.Pain Relief MedicationsTo manage pain, your doctor may recommend:
  • Over-the-counter medication, such as aspirin, ibuprofen, or acetaminophen
  • Topical pain medication—creams or patches that are applied to the skin
  • Prescription pain relievers

Recovery Steps

HeatUse heat only when you are returning to physical activity. Heat may then be used before stretching or getting ready to play sports to help loosen the muscle.StretchingWhen the acute pain is gone, start gentle stretching as recommended. Stay within pain limits. Hold each stretch for about 10 seconds and repeat six times. Stretch several times a day.StrengtheningBegin strengthening exercises for your muscles as recommended. If you are diagnosed with a gluteal strain, follow your doctor's instructions .

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Prevention

To reduce the chance that you will strain a gluteal muscle:
  • Keep your gluteal muscles strong so they can absorb the energy of sudden physical stress.
  • Learn the proper technique for exercise and sporting activities. This will decrease stress on all your muscles, including your gluteal muscles.

RESOURCES

American Academy of Family Physicians Family Doctor
http://familydoctor.org

American College of Sports Medicine
http://acsm.org

CANADIAN RESOURCES

Public Health Agency of Canada
http://www.phac-aspc.gc.ca

Canadian Physiotherapy Association
http://www.physiotherapy.ca

References

Muscle strains in the thigh. American Academy of Orthopaedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00366. Updated August 2007. Accessed April 26, 2013.

Sports-related groin pain. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what. Updated January 10, 2010. Accessed April 26, 2013.

10/26/2010 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us : Massey T, Derry S, Moore R, McQuay H. Topical NSAIDs for acute pain in adults.Cochrane Database Syst Rev . 2010;(6):CD007402.

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