Menopause & Gluteal Tendinopathy
Estrogen protects tendons. As estrogen declines, tendons: Lose collagen integrity Become stiffer and less elastic Heal more slowly Tolerate less load It’s not weakness. It’s load intolerance due to hormonal change What actually heals it Phase 1: Calm the tendon (2–4 weeks) No stretching the hip. No aggressive bands. Instead: Isometric glute holds (wall sit with slight hip hinge) Pain-free walking only Sleep with pillow between knees Avoid sitting cross-legged. Phase 2: Rebuild tendon strength Progress to: Hip hinge RDLs Step-ups Slow tempo bridges Single-leg balance work No side-lying abduction early. These are the top mistakes: Foam rolling the side hip Stretching piriformis/glutes Clamshells in early stages Running hills or stairs Bootcamp-style band circuits All of these compress the irritated tendon.