Hip Pain in Women – Understanding Gluteal Tendinopathy

Jul 22, 2025 | Women's Health

Getting your life back from lateral hip pain

Are you struggling with persistent hip pain that’s disrupting your sleep, limiting your daily activities, and affecting your quality of life? You’re not alone. Gluteal tendinopathy is one of the most common causes of lateral hip pain, particularly affecting women over 40, with approximately 1 in 4 women over 50 experiencing this condition.

What’s Really Happening?

Previously known as trochanteric bursitis, research now shows the primary issue is actually a reduction in the health and load tolerance of your gluteus medius and minimus tendons – crucial muscles that control hip stability and movement. For peri- and menopausal women, hormonal changes can significantly impact tendon quality and the body’s ability to cope with everyday loads, making this condition particularly prevalent during this life stage.

Recognising the Signs

Hip pain typically presents as:

  • Sharp or aching pain at the side of the hip, often extending down the outer thigh
  • Difficulty sleeping, especially when lying on your affected side
  • Pain when walking uphill, climbing stairs, or walking at speed
  • Discomfort when standing on one leg (like when getting dressed)
  • Stiffness and pain when rising from chairs after sitting
  • Difficulty with everyday activities like tying shoes or getting in and out of cars 

 

The Path to Recovery

At Whittlesea Physiotherapy & Clinical Pilates, we understand how frustrating and limiting hip pain can be. Our evidence-based approach focuses on:

  • Education & Load Management: Understanding what activities and postures might be aggravating your condition is crucial. We’ll help you identify and modify daily habits that may be overloading your tendons.
  • Targeted Exercise Programs: Research consistently shows that specific, progressive strengthening exercises provide the best long-term outcomes for tendon pain. Our physiotherapists will design a personalised program to gradually restore strength, improve movement patterns, and enhance tendon health.
  • Comprehensive Support: While manual therapy, dry needling, and low-level laser therapy can provide valuable short-term pain relief, the foundation of lasting recovery lies in education and exercise prescription tailored to your individual needs.

 

What Doesn’t Work?

It’s important to know that certain common treatments may actually hinder your recovery:

  • Excessive stretching of the gluteals or ITB often aggravates the condition
  • Complete rest weakens tendons further – movement is medicine
  • Corticosteroid injections may provide only temporary relief – it will not change the cause of your symptoms (i.e the load on the tendons)

 

Your recovery timeline

With the right approach, most people begin experiencing pain reduction within 2-4 weeks. However, achieving lasting improvements in strength and movement patterns typically requires a committed exercise program over several months. The timeframe varies based on factors such as:

  • Severity and duration of symptoms
  • Current fitness level and muscle strength
  • Hormonal factors (particularly relevant for peri/menopausal women)
  • Adherence to treatment recommendations

Take the First Step

Don’t let hip pain continue to limit your life. Whether you’re struggling to sleep through the night, avoiding social activities, or finding everyday tasks increasingly difficult, help is available.
Our experienced team at Whittlesea Physiotherapy & Clinical Pilates specialises in helping women reclaim their active lifestyles. We combine evidence-based treatment with compassionate care, understanding the unique challenges faced by women experiencing gluteal tendinopathy.

  • Graduated Exercise Therapy: Carefully monitored aerobic exercise can help retrain your autonomic nervous system and improve energy regulation.
  • Sleep Optimisation: We’ll help you establish healthy sleep patterns with consistent bedtime routines and strategies to manage light sensitivity.
  • Manual Therapy: Our physiotherapists can address neck dysfunction and other physical factors contributing to your fatigue.
  • Vision and Balance Rehabilitation: Specialised therapy can reduce the cognitive load from eye strain and balance issues.
  • Nutritional Support: Anti-inflammatory nutrition strategies and targeted supplementation can support brain recovery.
  • Psychological Support: Counselling and mindfulness techniques can help manage the emotional aspects of recovery.

 

Ready to get your life back?

📞 Call us on 03 9716 2250
📧 Email [email protected]
🌐 Visit whittleseaphysiotherapy.com.au
Located at 73 Church Street, Whittlesea VIC 3757

Don’t wait – the sooner you start your recovery journey, the sooner you can return to the activities and lifestyle you love.