Gluteal Tendinopathy

Gluteal Tendinopathy

Article by J.Miller, Z.Russell

Gluteal Tendinopathy

What is Gluteal Tendinopathy?

Gluteal tendinopathy, commonly known as hip tendinitis, affects the gluteal muscles causing pain and dysfunction. This condition arises from injuries or degeneration of the gluteal tendons connecting these muscles to the femur bone. Experts link it to Greater Trochanteric Pain Syndrome and trochanteric bursitis. If you experience persistent pain or movement difficulty in the hip and buttock area, seek medical advice immediately.

What Causes Gluteal Tendinopathy?

Weak hip and buttock muscles often lead to a hip tendinopathy. This weakness can result in muscle pain and further reduce strength, creating instability in the hip-pelvis area. This instability puts more stress on the gluteal tendons. Poor control during walking or running due to hip instability can also strain the trochanteric bursa, leading to bursitis. Overuse, trauma, and ageing can also deteriorate the tendons. Therefore, get a medical check-up for an accurate diagnosis and effective tendinopathy treatment plan.

Middle-aged patient with hip gluteal tendinopathy
Physio Care Can Fast-Track Gluteal Tendinopathy Recovery

Who Does Gluteal Tendinopathy Affect?

While postmenopausal women commonly experience hip tendinopathy, with a prevalence rate of 20-25%, young and active people aren’t immune. In fact, 10-15% of the general population can suffer from it, especially those who engage in running, dancing, and skiing.

Recognising the Symptoms

People with tendinopathy often report lateral hip pain, stiffness, and reduced strength. Activities like running, hopping, or climbing stairs can worsen the pain. Some might find increased pain and stiffness at night or when waking up. Lying on the affected side might also cause discomfort.

Gluteal Tendinopathy Diagnosis

Your physiotherapist will conduct a thorough clinical examination to diagnose gluteal tendinopathy. They’ll evaluate your symptoms, medical history, and response to various tests. Imaging tests like ultrasound or MRI can provide a deeper understanding of the condition. Remember, while these tests are helpful, a clinical assessment remains crucial.

Risk Factors

Several factors can increase the risk of developing gluteal tendinopathy:

  • Increased training or activity levels can overburden your gluteal muscles and tendons.
  • Weak gluteal and deep hip muscles increase strain on the tendons.
  • An altered walking pattern can abnormally load the tendons.
  • Lower back pain can lead to movement patterns straining the gluteal muscles and tendons.
  • Health conditions like diabetes or thyroid issues can impede healing, increasing tendinopathy risks.

Treatment Approaches

Your recovery from gluteal tendinopathy often involves conservative management. Your physiotherapist will guide you through various strategies:

  • Rest and avoid positions like leg crossing or leaning on one hip.
  • Apply ice packs for 20 minutes, up to twice an hour, initially.
  • Seek a thorough assessment of your hip joint and muscle function.
  • Engage in gluteal tendinopathy exercises and a Hip Core Stabilisation Program.
  • Use real-time ultrasound to improve your hip muscle control.
  • Discuss your return to activity with your physiotherapist.

Exercise as Treatment

Exercise therapy is pivotal in managing hip tendinopathy. Your physiotherapist will tailor an exercise program to suit your needs, focussing on strengthening, flexibility, and pain reduction. They’ll monitor your progress and make necessary adjustments, ensuring you’re on the right track.

Returning to Sport Safely

After recovering from gluteal tendinopathy, reintroduce yourself to exercise or sport gradually, under your physiotherapist’s guidance. They’ll consider pain levels, strength testing, and functional activities when devising a rehabilitation plan. Always consult your physiotherapist for advice and support throughout your recovery.


For specific advice, please seek the guidance of your hip physiotherapist. Book your appointment today.

Related Articles

  • Greater Trochanteric Pain Syndrome: Discusses inflammation of tissues around the hip, closely related to gluteal tendinopathy.
  • Trochanteric Bursitis: Covers inflammation of the bursa near the hip joint, a condition often associated with gluteal tendinopathy.
  • Hip Labral Tear: Addresses a tear in the cartilage surrounding the hip joint, which can be relevant for readers interested in hip-related issues.
  • Femoroacetabular Impingement (FAI): Explores an abnormal hip joint shape leading to labral tears and arthritis, related to hip health.
  • Stress Fracture: Discusses small cracks in the hip bone, often due to overuse, which is a risk factor for tendinopathies.
  • Adductor-Related Groin Pain: Provides information on injuries to the muscles on the inner thigh, relevant for those experiencing hip and buttock pain.
  • Piriformis Syndrome: Describes compression of the sciatic nerve by the piriformis muscle, which can be mistaken for or occur alongside gluteal tendinopathy.
  • Core Stability Deficiency: Talks about weakness in core muscles affecting hip stability, which is crucial for understanding hip health and related conditions.
  • Sciatica: Covers pain along the sciatic nerve running through the hips, relevant for those with hip and buttock pain.
  • Lower Back Pain: Explains how it can refer pain to the hip area, offering a broader understanding of pain sources in the hip and buttock region.

Introduction to Hip & Groin Pain

Hip and groin pain affects a wide array of individuals, from athletes to the elderly. Understanding the common causes and treatments of this pain is vital for maintaining overall well-being and mobility.

Common Causes of Hip Pain

hip & groin pain
Hip &Amp; Groin Pain Causes &Amp; Treatment

Lateral Hip Pain and Its Causes

Groin Pain: Different Types and Causes

Other Muscle-Related Pain

Systemic Diseases Affecting the Hip

Referred Pain Sources

  • Sciatica: Pain radiating along the sciatic nerve, which runs from the lower back through the hips and down the legs.
  • Lower Back Pain: Can refer pain to the hip area.
  • Pinched Nerve: Nerve compression in the spine or hip area.

Hip Surgery: A Solution for Severe Cases

What's New in Hip & Groin Pain Research?

Recent studies suggest the importance of tailored exercise programs in managing hip and groin pain. Physiotherapy techniques focusing on strengthening and stabilising the deep hip rotators and core muscles have shown significant improvements in pain management and mobility.

What to Do? Seeking Professional Advice

If you're experiencing hip or groin pain, it's crucial to consult with a physiotherapist or doctor.

They can assess your condition, provide a personalised treatment plan, and guide you through exercises tailored to your specific needs.


Hip and groin pain can significantly impact your quality of life. However, with the right knowledge and professional guidance, managing and overcoming this pain is achievable.

Related Articles

  1. Groin Pain Management - Expert advice on managing groin pain, covering causes such as adductor tendinopathy and femoroacetabular impingement​​.
  2. Hip, Groin & Buttock Pain FAQs: Symptoms, Causes, Treatments - Answers to frequently asked questions about hip, groin, and buttock pain, including symptoms, causes, and treatments​​.
  3. Hip Labral Tear - Information on hip labral tears, their symptoms, and treatment options​​.
  4. Piriformis Syndrome - Understanding & Physio Treatment Tips - Insight into piriformis syndrome, a condition causing buttock pain and how physiotherapy can help​​.
  5. Trochanteric Bursitis - Hip Bursitis: Causes & Treatments - An article explaining the causes of hip bursitis and offering treatment solutions​​.
  6. Groin Strain - Discusses groin strains, their symptoms, causes, and treatment methods​​.
  7. Gluteal Tendinopathy: Causes, Symptoms, And Treatment - Offers insights into the causes and treatment of gluteal tendinopathy​​.

Hip, Groin, Buttock Pain FAQs

Welcome to our comprehensive FAQ section, designed to address your concerns about hip, groin, and buttock pain. Here, we aim to provide clear, accessible information to help you understand the potential causes of your discomfort and the various treatment options available. Our physiotherapy experts have compiled a series of questions and answers to guide you through common issues, from hip impingement to sciatica, and everything in between. For more in-depth exploration, we've linked to related articles on our website, allowing you to delve deeper into each topic.

Hip, Groin, Buttock Pain
Hip, Groin, Buttock Pain Faqs

Hip Pain FAQs

Dealing with hip pain can be challenging, impacting your mobility and quality of life. Explore our detailed articles for insights on diagnosis, treatment options, and the importance of hip core muscles in maintaining joint health.

Lateral Hip Pain FAQs

Lateral hip pain, including conditions like gluteal tendinopathy and hip bursitis, requires targeted treatment strategies. Discover effective physiotherapy approaches to manage and alleviate your pain.

Groin Pain FAQs

Groin pain can significantly affect your ability to perform daily activities. Learn how to recognise serious symptoms and find effective relief methods through our expert advice.

Buttock Pain FAQs

Buttock pain, including conditions like SIJ pain and sciatica, can be debilitating. Our articles offer insights into symptoms, causes, and comprehensive treatment options to help you recover.


Our FAQ section is designed to be your go-to resource for hip, groin, and buttock pain. Whether you're dealing with a temporary discomfort or a chronic condition, understanding your symptoms and knowing the best treatment options is crucial. Remember, while our website provides valuable information, consulting a physiotherapist for a tailored diagnosis and treatment plan is always recommended. Explore our related articles for more in-depth knowledge and take the first step towards a pain-free life today.

Related Articles

  1. Greater Trochanteric Pain Syndrome (GTPS) - Readers can learn about the causes and management of pain near the greater trochanter, which is closely related to lateral hip pain.
  2. Trochanteric Bursitis - Hip Bursitis: Causes & Treatments - This article explains the causes of hip bursitis and offers treatment solutions, relevant to those experiencing lateral hip pain.
  3. Gluteal Tendinopathy: Causes, Symptoms, And Treatment - Offers insights into the causes and treatment of hip tendinitis, a condition linked to lateral hip pain.
  4. Hip Adductor Tendinopathy - Effective Physio Solutions - Focuses on groin pain caused by inflammation or degeneration of tendons in the hip region, directly relevant to the groin pain FAQ.
  5. Hip Flexor: Iliopsoas Groin Pain: Causes And Treatment - Provides detailed information on hip flexor issues, which can cause groin pain, making it highly relevant to readers of the original article.
  6. Hip & Groin Pain Guide: Causes, Treatment, Physio Advice - A comprehensive guide on hip and groin pain, covering common causes and treatments that align with the article's topics.
  7. Piriformis Syndrome - Understanding & Physio Treatment Tips - Discusses piriformis syndrome, a condition causing buttock pain, which is directly related to one of the SEO keywords.
  8. What Is Hip Impingement? - Explains hip impingement, a condition causing hip and sometimes groin pain, providing valuable insights into potential causes of the reader's discomfort.
  9. Sacroiliac Joint Dysfunction (SIJ) Causes, Relief, Treatment - Relevant for readers experiencing buttock pain, as it covers SIJ pain, a topic mentioned in the original article.
  10. Hip Arthritis - While not directly mentioned in the FAQ sections, hip arthritis can be a source of hip pain, making this article useful for readers wanting to understand more about hip conditions and pain management.
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