Condition Guide · Atlanta, GA

The outer-hip pain that wakes you at night

A deep, nagging ache on the side of the hip — worse lying on that side, worse on stairs, worse after sitting a long stretch — is one of the most commonly misread pains in the body. It is often not the joint and not bursitis alone, but the gluteal tendons where they attach to the hip bone, worn down and slow to heal.

6
Atlanta specialists
~15 min
in-office procedure
Local
anesthesia only

In Their Words

Hearing From a Treated Patient

A TenJet patient describes the procedure and the weeks that followed, without the clinical vocabulary.

TenJet Patient Testimonial

Video courtesy of HydroCision, Inc., the maker of TenJet®. Individual results vary; this patient's experience is not a guarantee of outcome. Talk with a specialist about whether the procedure is appropriate for you.

Understanding The Condition

Why the side of the hip, and why it lingers

The gluteus medius and minimus tendons anchor to a bony ridge on the outside of the hip. Under repeated load — or after a long stretch of inactivity followed by a sudden increase — that attachment point can develop the same kind of tissue breakdown seen in other stubborn tendons. It is often mislabeled as simple bursitis, which is one reason it can go months without the right treatment.

Pain and tenderness over the bony point on the outside of the hip
Worse lying on that side, climbing stairs, or standing on one leg
A degenerative tendon change, not merely inflammation
Ultrasound or MRI helps separate tendon involvement from the joint

Where TenJet Fits

Reaching the tendon without open hip surgery

Load management, physical therapy, and sometimes an injection are the usual first steps, and many people turn the corner there. When the tendon stays painful, TenJet — a HydroCision, Inc. device — gives a specialist a way to treat the degenerated attachment directly, in the office, without the downtime of an open procedure.

Real-time ultrasound guides the specialist to the worn tendon
A high-pressure saline stream emulsifies only the diseased tissue
Integrated suction removes that debris as it works
Healthy tendon around the treatment zone is preserved
A small incision, local anesthesia, about 15 minutes, home the same day
Reimbursed by Medicare and most private insurers
Read the technical details at hydrocision.com →

See The Procedure

TenJet® in Action

HydroCision's demonstration of the gluteal tendon procedure, plus a look at how a chronically degenerated tendon differs from one that is simply inflamed.

TenJet Gluteal Tendinopathy Minimally Invasive Tenotomy

Healthy tendon fiber structure diagram
Healthy Tendon
Tendinitis inflamed tendon diagram
Tendinitis
Tendinosis degenerated tendon fiber diagram
Tendinosis (Chronic Degeneration)

Diagrams and video courtesy of HydroCision, Inc.

Common Questions

Frequently Asked Questions

Why is this often mistaken for sciatica?

Gluteal tendon pain can refer down the outside of the thigh, which resembles nerve pain. The distinguishing features are usually the tenderness pattern and what imaging shows.

Does it affect women more often?

Gluteal tendinopathy is more frequently diagnosed in women, particularly around and after menopause, though it occurs in men as well, especially in runners and manual workers.

What can I do before my appointment?

Avoid positions that compress the tendon, such as crossing your legs or lying directly on the painful side, and note which activities reproduce the pain most reliably.

Is the procedure repeated over several visits?

It is typically a single treatment session. Further intervention would only be considered after re-imaging and reassessment rather than as a scheduled course.

This information is general and is not medical advice. Whether any procedure is appropriate for you can only be determined by a physician who has examined you and reviewed your imaging.

Speak Directly With Each Physician's Office
Call the office below that matches the specialist you'd like to see about outer-hip pain.
CC
Sports Medicine & PM&R
Northside Hospital Orthopedic Institute
(770) 795-5620
MS
Non-Operative Orthopedics
Northside Hospital Orthopedic Institute
(770) 758-5059
KK
Dr. Kamal Kabakibou, MD
Interventional Pain Medicine
Center for Pain Management, Atlanta
(404) 882-9778
EO
Interventional Pain Medicine
OlympusMD Pain & Wellness
(770) 629-9023
OH
Interventional Pain Medicine
OlympusMD Pain & Wellness
(770) 629-9023
UN
PM&R & Spine
Resurgens Orthopaedics, Covington & Decatur
(404) 856-3706