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avoid aggravating positions and excessive rest Physical therapy : Gluteal strengthening, stretching, and progressive tendon rehab for optimal healing and prevention of recurrence NSAIDs or acetaminophen : Short-term relief Heat/ice therapy : Eases pain and swelling, alternated as needed Movement modification : Change sitting, standing, or sleeping positions to reduce tendon compression Pillow support : Between knees at night for comfort Many patients experience improved function and pain within 8-12 weeks of structured therapy The Holistiq Approach: Integrative Recovery & Individualized Care Nutrition for Healing: Anti-Inflammatory Strategies Backed by Science Nutrition plans emphasizing anti-inflammatory foods (fatty fish, leafy greens, berries, nuts, seeds, olive oil, turmeric, ginger) to support tissue healing and reduce systemic inflammation Guidance on reducing processed foods, excess sugars, and saturated fats to lower chronic inflammation How Shockwave Therapies to Speed Gluteal Healing Shockwave therapy boosts healing, stimulates bone remodeling, and reduces pain by sending acoustic waves to the affected bone and joint tissue, offering non-invasive support for early and mid-stage AVN Most effective with 4–6 weekly sessions Peripheral Magnetic Stimulation (PMS) Targeted magnetic fields are used to reduce pain, stimulate neuromuscular repair, and enhance gluteal muscle activation Beneficial as a non-invasive adjunct, especially when muscular atrophy or poor gluteal muscle recruitment is present Chiropractic & Rehab: Optimizing Movement for Full Hip Function Gentle adjustments and soft tissue techniques relieve compensatory pain, improve pelvic alignment, and correct gait or postural contributors to gluteal overload Procedures Fluoroscopy-guided corticosteroid or PRP injections for persistent pain Surgery (gluteal tendon repair) is rarely needed, reserved for full-thickness tears or refractory cases Brain-Body Optimization (Including TMS Therapy) Transcranial magnetic stimulation (TMS) helps recalibrate pain pathways, improve neuroplasticity, and support comprehensive recovery for chronic cases Rehabilitation & Reconditioning Individualized, progressive rehab focused on gluteal and hip strengthening, flexibility, and restoring normal movement patterns Ergonomic, activity, and return-to-sport coaching to prevent recurrence When Does Surgery Become Necessary
