Abstract

Introduction:An increased understanding of posterior hip anatomy and biomechanics has led to advances in the diagnosis and management of Deep Gluteal Syndrome (DGS). Currently, there is limited information detailing the successful conservative management of DGS. Materials and methods:The detailed history, physical examination, imaging, diagnostic testing, and physical therapy of six subjects diagnosed with deep gluteal syndrome were retrospectively analyzed and reviewed. Conservative treatment included neuropsychiatry management, intra-muscular injections through CT guidance, intra-pelvic assessment/therapy, and a home exercise program. The Visual analog scale (VAS), modified Harris Hip Score (mHHS) was utilized to measure outcomes of the non-operative treatment. Results:Improvement was obtained in (100%) of the subjects with the combination of home exercises program, intra-muscular CT - Guided injection, physical therapy, and neuropsychiatric counseling. Average VAS scores decreased from 7.16 to 1.6, and average mHHS scores increased from 60.01 to 74. The average time in conservative therapy was 20 weeks (range: 6-36). Conclusion:The conservative management of DGS was successful with positive outcomes achieved through a multi-professional approach accessing and treating DGS with a combination of physical, mental and social factors.

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