Lateral hip pain in runners, as well as the general population, is a common occurrence. Most commonly it is thought of as greater trochanteric bursitis, but a more appropriate name would be greater trochanteric pain syndrome. Literature has shown, the bursa is most often not the irritated structure.1,2 More commonly, it is found that a tendinopathy exists of the lateral gluteal tendons. Much like achilles and patella tendons, the tendon isn't able to tolerate the load and overtime experiences changes in it's ability to transmit force, eventually changing it's collagen makeup.
The hallmark sign of this syndrome is tenderness along the greater trochanter, where the tendons insert. We've wrote about similar conditions previously and you can find these here:
There are 3 key components of rehab for a gluteal tendinopathy:
1. Avoid prolonged positions in which the tendon is being compressed