Pain at the Side of your Hip? Are you Doing the Best Thing for it

Pain at the side of the hip can often be as a result of aggravation of the gluteal (buttock) muscle tendons as they run over the bone, the trochanter. Names such a trochanteric bursitis and tendonopathy may have been used. Sometimes it is misdiagnosed as sciatica or pain from the back. The pain can be as disabling as severe osteoarthritis

The pain over the outer aspect of the hip is worse often with lying on the affected side, getting up after sitting, walking or running especially if uphill or up stairs. If this is you, it may well be you are suffering from “gluteal tendinopathy” or “trochanteric pain syndrome”, the terms now used medically

Until recently little was know about this condition, and even less about how to treat it. Physiologix is one of Brisbane’s leading hip injury clinics. They were one of just a few physio practices gathering data on this condition for a worldwide, first of its kind, massive trial running in Brisbane and Melbourne. The study compared 3 groups over a year. 1: exercise and education group, 2: a cortisone injection group, 3: a wait and see control group. The results have just been published in one of the worlds leading research journals, The British Medical Journal.


The results demonstrated at 6 weeks that the ex and education group had far better results than the other 2 groups. Often cortisone is seen as the quick fix - for this condition, 6 weeks of very specific results exercises coupled with education teaching you strategies on how to avoid pain, is far better. Studies have looked at general exercise versus cortisone in the past with little benefit from exercise, so we know it is incredibly important to use only exercises looking to rehabilitate the damaged tendon.

These improvements continued for a year, when frequency of pain was least again in the exercise and education group. They also reported best function and quality of life.

So if you have pain over the side of your hip, the first thing is to get a correct diagnosis: all our physios are highly trained in diagnostics to confirm gluteal tendinopathy. They will then spend considerable time educating you on how to start protecting and looking after your tendons, for example, never stretch the leg across the body. Specific exercises will be started and progressed as able, through to a level where you can return to doing all the things you want to be able to.
To consult with a physio that knows hips, book into us at Physiologix at any time!