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 is commonly referred from the lumbar spine or the sacroiliac joint rather than the hip itself. The first hour is spent isolating the true source, because treating the wrong structure changes nothing.
- GOsC Registered Osteopath, No. 21866
- Experienced MSK clinician
- BSc (Hons) Osteopathy, BCOM London
- Appointments usually available same week
- 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.
Some symptoms need emergency care, not an appointment
Go to A&E the same day if:
- A child or adolescent has hip or groin pain, or has started limping
- An older adult has hip pain after a fall, or cannot put weight through the leg
- The hip is painful at night alongside fever, night sweats, or unexplained weight loss
- The hip is hot, red and very painful alongside a fever
Do not wait for an appointment with me, and do not wait to see whether it settles overnight.
Go to A&E if you can get there. Call NHS 111 if you are unsure how urgent something is.
Book a hip pain assessment in Twickenham
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