Got a pain in your butt?
And no we are not talking about the pain you get when your dog chews your shoes. We are talking about the pain on the side of your hip that can refer down the outside of your thigh. You may be suffering from gluteal tendinopathy or greater trochanteric pain syndrome (GTPS). You may have heard this called trochanteric bursitis in the past, but the new name GTPS includes a few other body tissues that can be responsible for that sharp hip pain. This pain gets worse over time and is aggravated with weight bearing activities, crossing your legs and sleeping on your side at night. GTPS is commonly misdiagnosed as hip osteoarthritis, if you can put shoes and socks on in the morning you may have GTPS and not hip osteoarthritis.
Who Gets GTPS Commonly?
Women aged 40-60
People who are overweight or have more sedentary lifestyles
Why Does It Happen?
Sport overuse or training overload (Often with an underlying weakness in your Gluteal muscles)
Activities where the gluteal tendons are compressed as the hip moves towards the midline of the body like running, up/down stairs, crossing your legs.
Recent fall or a hard hit on the bony side of your hip
Unaccustomed exercise or workload
7 Steps To Recovery
See your physio to get an early and accurate diagnosis.
Education from your physio to modify your loading that is causing you to have hip pain. Also avoiding what makes you sore.
Progressive strengthening exercises prescribed manage load and reduce compressive forces. Usually strength training involves the gluteals, quadriceps, hamstrings and core. And address those comorbidities that may be contributing to your condition.
Control/movement training: Addressing biomechanics for daily activities such as climbing stairs or walking uphill.
Get back to your goals! Whether it’s swimming or golf.
Avoid Traditional Stretching: traditional gluteal stretching will further compress the gluteal tendons and make your pain worse.
Avoid corticosteroid injection: Corticosteroid injections (CSI) provide worse outcomes than physiotherapy led education and exercise.
Gluteal tendinopathy can be a persistent and debilitating condition, so it is important that you and your physio/ allied health team manage your condition.