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Gluteal tendinopathy — MRCGP AKT MCQ

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HardHip and GroinGluteal tendinopathyMRCGP AKT

A 29-year-old runner has lateral hip pain due to gluteal tendinopathy. Symptoms are worse when sitting cross-legged and sleeping on the affected side, but improve with controlled strengthening. What is the physiological explanation?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: BCompressive load aggravates the gluteal tendon against the greater trochanter

Gluteal tendinopathy is aggravated by tensile and compressive loads, especially hip adduction positions. Lying on the affected side or crossing legs can compress the tendon at the greater trochanter. Education aims to reduce compression while progressively restoring tendon capacity.

Reference: BJSM tendinopathy; Brukner & Khan