Another very common source of hip pain is lateral hip pain, most often caused by gluteus medius tendinitis (tendinopathy) and irritation of the greater trochanteric bursa (GTB).

This type of hip pain typically presents as:

• Pain on the outside of the hip

• Discomfort when lying on the affected side

• Pain with walking, stairs, or standing on one leg

These conditions frequently develop due to a rapid increase in load placed on the tendons—often without the person realising it.

Common triggers include:

• Overtraining or sudden increases in training volume

• Suddenly taking the stairs instead of the elevator

• Walking or running on soft sand

• Hills, uneven surfaces, or prolonged single-leg loading

In these situations, the load placed on the gluteal tendons exceeds what they are currently able to tolerate, leading to tendon irritation and secondary inflammation of the greater trochanteric bursa.

Diagnosis and Targeted Treatment

Strength work is again the key to long-term recovery, but it must be carefully dosed and progressed. Reducing aggravating load while gradually strengthening the gluteal muscles is essential.

In some cases, ultrasound imaging is recommended to:

• Confirm the diagnosis

• Identify any partial tendon tearing

• Assess involvement of the greater trochanteric bursa

If significant bursitis is present, a cortisone injection into the GTB may be required to reduce inflammation and allow rehabilitation to progress more quickly and comfortably.

A Structured, Evidence-Based Approach

Management of gluteal tendinopathy and GTB typically includes:

• Load modification and activity guidance

• Progressive gluteal strengthening

• Chiropractic care to optimise pelvic and spinal mechanics

• Soft tissue therapy and dry needling where appropriate

• Clear guidance on walking, stairs, and return to exercise

Our experience allows us to identify when conservative care is sufficient and when imaging or medical intervention will help speed recovery—so you don’t waste time or struggle through unnecessary pain.