Gluteal tendinopathy is the most common cause of pain on the outer side of the hip. The gluteus medius and minimus muscles run from the pelvis to a bony bump on the side of the thigh bone called the greater trochanter, and their tendons attach there. When those tendons are overloaded they become irritated and painful, often with an inflamed bursa sitting alongside them.
It is usually a load problem rather than an injury. It is more common in women around and after menopause, in people who have had a spell of much more walking or running than usual, and in those who have been fairly inactive and then done a lot at once. Compression matters too: sitting with the legs crossed, standing with the hip pushed out to one side, and lying on the painful side all squash the tendon against the bone.
The classic symptoms are pain over the bony point of the outer hip that is tender to press, worse lying on that side at night, sore after sitting for a while, and sore going up stairs or hills. Some people feel it spreading down the outside of the thigh. Disturbed sleep is usually the biggest complaint.
It is not dangerous, and it responds well once the compression is reduced and the tendon is loaded properly. Night pain often improves within a few weeks with simple positioning changes, while the tendon itself typically takes three to six months to build real capacity. This programme takes the compression off, loads the tendon progressively, then rebuilds hip strength and walking tolerance.
Adults with pain localised to the bony point of the outer hip, tender to press, and worse with lying on that side or standing on one leg. It suits both recent lateral hip pain and long-standing night pain. Deep groin pain, or pain with a fever or after a fall, needs assessment first.
Quick movement tests you can try at home to see what your symptoms might point towards. A guide, not a diagnosis.
Start here while night pain is disturbing sleep. The priority is to stop compressing the tendon: avoid crossing your legs, hanging on one hip when standing, and aggressive outer-hip stretches. Use low-load activation in neutral positions.
As night pain eases, progressively load the gluteal muscles two to three times a week, keeping the hip in neutral rather than letting it drop or cross the midline.
The final stage rebuilds single-leg strength and walking or running tolerance. Progress standing hip work and load, and build hills, stairs and distance back up gradually.
Gluteal tendinopathy is often slow, taking 3 to 6 months and sometimes longer to settle fully. Night pain and the ability to lie on the side are usually the last things to improve. Load management plus progressive strengthening outperforms rest or injections over the medium term.
Protect the tendon from compression throughout, not just early on. Progress load using the 24-hour rule. If a stretch or exercise involves the leg crossing the midline or the hip dropping, and it flares the pain, modify it to keep the hip in neutral.
Generally no. Stretches that pull the leg across the body compress the sore tendon against the bone and often make it worse. Strengthening in neutral positions is the better approach.
The bursa can be inflamed, but it is now understood to be secondary to the tendon problem in most cases. That is why treating it as a tendinopathy - with load management and strengthening - works better than just settling the bursa.
Try lying on the pain-free side with a pillow between your knees so the top leg does not drop across your body. Lying on your back with a pillow under your knees can also help. Avoid lying directly on the sore hip.
A corticosteroid injection can reduce pain in the short term, but by 6 to 12 months exercise-based treatment gives better results. Injections are best reserved for cases where pain is preventing any exercise at all.
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