The goal of this study is to determine if a newer tenotomy technique utilizing an ultrasound needle is more effective than the traditional tenotomy technique utilizing a simple hypodermic needle for gluteal tendinosis. The main questions it aims to answer are:
1. Is pain from the gluteal tendinosis improved with either technique, and, if so, is there a difference in the improvement between techniques? 2. Is there an improvement in function for gluteal tendinosis, and, if so, is there a difference between techniques?
Diagnosis of gluteal (medius and/or minimus) tendinosis confirmed clinically and with ultrasonography or MRI
Failure to improve after 3 months of nonoperative treatment
Symptoms present for longer than 3 months
Patients with concomitant injuries or pain
Full thickness tears of the affected tendon
Prior corticosteroid injection of the affected tendon within the last 3 months
Prior PNT of the affected tendon