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Gluteal Tendinopathy

Outer hip pain from gluteal tendinopathy: why exercise beat cortisone in the LEAP trial and what to avoid.

Reviewed by Dr James Bristol, MD, PhDTrial-backedNo sign-up

Medically reviewed by Dr James Bristol, MD, PhD · Updated 2026-11-14

Gluteal tendinopathy causes pain on the outside of the hip, worse lying on that side, climbing stairs or standing on one leg. The LEAP trial (Mellor, BMJ 2018) found education plus exercise worked better than a cortisone injection at 8 weeks and 1 year.

What helps

  • Avoid crossing legs and hanging on one hip
  • Pillow between knees at night
  • Progressive hip abductor strengthening
  • PRP for persistent cases
01

Load it right

Progressive loading fixes most tendons in 12 weeks.

02

Stuck after 3 months?

Shockwave, PRP or stem cells may help.

03

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