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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 3 muscles in the buttocks.
Posterior Hip and Thigh Muscles
Posterior Thigh Muscles
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Causes

A gluteal strain can be caused by:

Risk Factors

Factors that may increase your chance of getting gluteal strain include:

Symptoms

Symptoms may include:

Diagnosis

You will be asked about your symptoms and medical history. A physical exam will be done.
Most gluteal strains can be diagnosed with a physical exam. Images may be needed if severe damage is suspected. Images may be taken with MRI scan .
Muscle strains are graded according to their severity:

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:

Supportive Care

Your muscles will need time to heal. RICE is often the main part of treatment:
  • Rest—Activities will need to be restricted at first. Normal activities will be reintroduced gradually.
  • Ice—Ice therapy may help relieve swelling. Heat or cold may be advised throughout recovery if they provide benefits.
  • Compression—Used for a limited time, compression bandages can provide gentle pressure to help move fluids out of the area.
  • Elevation—Keeping the area elevated can help fluids drain out or prevent fluids from building up.
Prescription or over-the-counter medications may be advised to reduce pain and inflammation.

Prevention

To reduce the chance that you will strain a gluteal muscle:

RESOURCES

American Council on Exercise http://www.acefitness.org

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

CANADIAN RESOURCES

Health Canada http://www.hc-sc.gc.ca

Healthy U http://www.healthyalberta.com

References

Muscle strains in the thigh. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00366. Updated March 2014. Accessed March 14, 2016.

Sports-related groin pain. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated May 14, 2014. Accessed March 14, 2016.

10/26/2010 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: 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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