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DRLateral hip pain is often misnamed as “hip bursitis” or “trochanteritis.” While the pain is felt on the outside of the hip at the greater trochanter (where the glute med and min attach), it’s usually not primarily an inflammation issue.
Instead, it’s more accurately called greater trochanteric pain syndrome (GTPS), which is most often related to gluteal tendon irritation (tendinopathy), sometimes with some bursal involvement.
It usually presents as pain on the outside of the hip that’s tender to touch, worse with lying on that side, and aggravated by walking, running, stairs, or prolonged standing. Many people also notice it with single-leg tasks or when “hanging” on one hip.
Research also shows that individuals with lateral hip pain tend to have hip abductor weakness and movement patterns that increase hip adduction, leading to higher compressive loads at the tendon. Over time, this repeated compression, not inflammation, is likely what drives symptoms.
Because of this, treatment shouldn’t just be passive. Instead, it should focus on load management and progressive strengthening. That means modifying aggravating positions, like lying on the painful side or sitting cross-legged, while staying active within a tolerable range.
For the purposes of this video, we’re focusing on glute med strength - because it’s one of the biggest drivers here. When the glute med is strong and can handle load, it helps control hip motion, reduce compression at the lateral hip, and ultimately can improve pain and function.
Let’s work together 🤝🏽
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For in-person assessments and physical therapy you can book an appointment with me at Healthy Baller in Washington, DC!
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@dr.gabygo
