Gluteal tendinopathy
Pain on the outer hip, often worse when sitting with legs crossed, climbing stairs, or walking. A progressive loading programme is the primary evidence-based treatment.
Hip pain, Twickenham
Hip pain treatment in Twickenham
Hip pain can affect walking, stairs, and sleep. It is also commonly misattributed to the hip when the source is actually the lower back or sacroiliac joint. A thorough assessment ensures treatment is directed at the right structure.
- Evidence-informed MSK care
- 10+ years clinical experience
- BSc (Hons) Osteopathy, BCOM London
- Same-week appointments
- Twickenham, TW2 5UL
About hip pain
Common causes of hip and groin pain
The hip region includes several structures that can produce overlapping symptoms. Differentiating between them determines the most effective treatment direction.
Hip joint stiffness
Gradual reduction in range of movement, aching deep in the groin, or stiffness after rest. Joint mobilisation combined with exercise can maintain and improve function.
Referred pain from the lumbar spine
The lower back frequently refers pain into the buttock and outer hip. A proper assessment distinguishes this from a local hip problem, which changes the treatment approach.
Treatment approach
What treatment for hip pain involves
Assessment includes hip orthopaedic testing, lumbar spine screening, and movement analysis. Treatment is matched to the findings and combines hands-on work with a progressive exercise programme. Load management and activity modification advice is given from the first session.
- Hip and lumbar assessment to isolate the pain source
- Hands-on mobilisation and soft tissue work
- Progressive loading programme for tendon or muscle issues
- Practical advice on posture and load management
Self-Help
Between sessions
For gluteal tendinopathy specifically, avoid compressive positions such as sitting with legs crossed or stretching deeply into hip adduction until assessed, as these can aggravate the tendon.
Walking helps
Low-load walking is generally well tolerated and maintains hip function. Avoid long uphill routes or stairs in the early stages if they significantly increase pain.
Sleep position
For outer hip pain, avoid sleeping with the affected hip compressed underneath you. A pillow between the knees when side-lying can reduce overnight discomfort.
Red flags
Groin pain in a child or adolescent, hip pain following a fall in an older adult, or pain at night with systemic symptoms requires urgent assessment. See the red-flag check.
Book a hip pain assessment in Twickenham
Message on WhatsApp and I will reply within a few hours.