Gluteal Tendinopathy / Greater Trochanteric Hip Bursitis (Education | Myths | Exercises)

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In this video, I discuss hip bursitis, also often referred to as trochanteric bursitis, greater trochanteric pain syndrome, or gluteal tendinopathy, dispel the most common myths associated with the diagnosis, and teach you everything you need to know about managing the condition.
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0:00 Intro
0:25 Anatomy & Function
1:03 What Is It?
4:04 Who Gets It & Why?
5:23 Load Management & Activity Modifications
7:34 Exercises
13:05 Understanding & Monitoring Pain
14:34 Case Examples
17:56 Summary
----
Disclaimer: The information presented is not intended as medical advice or to be a substitute for medical counseling but is intended for entertainment purposes only. If you are experiencing pain, please seek the appropriate healthcare professional.

[@E3Rehab]

Thanks for so much for watching! Be sure to check out the blog with all the references here: e3rehab.com/blog/gluteal-tendinopathy/

[@SharifaZ-bw4er]

😂

[@melaniesmith2268]

This was SO beneficial! THANK YOU🙏🏾Im a fitness dance instructor & NBA dancer WITH M.S. I recently suffered from bursitis & you've explained EVERYTHING perfectly.Im on the rode to healing this will video will aid in my complete healing

[@letteriobarbera9852]

After 40 years of experience as a physician I appreciate deeply your lectures. They are outstanding because of the holistic (scientific+skilled+individual) approach. Thank you very much for improving my daily practice as a primary care physician.

[@idrearamacirmtamta1293]

Must be a female physician

[@beniciabowcher-royce7661]

Great explanation, thank you. I'm 73 and until 4 years ago used to go to the gym 5 days a week... surgery followed by lockdowns I am now in a lot of pain and have been for well over a year and having done a lot of research I know only too well that it takes a long time - for me longer than 3 months and I'm still in agony in the mornings especially. Wish I'd seen your collection of exercises before.

[@DanMCcrumOfficial]

So to the point, well done! This Video is so much better than the advice you get from 98% of the medical practitioners. Listen carefully, do the exercises, listen to your body and some success is certain. The odds are good to solve the issue entirely. It is in your hands!

[@SweetNonExistence]

Thanks for a good summary. Struggling with a long term case of it and was good to hear you say it's a long term process to heal. I wish I could hear some testimonials of people who've overcome it after a long haul. It's so hard to stay positive when the pain flairs up.

[@yasmins6359]

I'm with you! Feeling bleak about this whole situation

[@Snow1128_]

Has it healed yet for you?

[@SweetNonExistence]

@@Snow1128_ It's been a struggle for the past 2 years at least. Working closely with a PT who understands chronic hip issues is helping. Also swimming and running in the pool. Also look into research peptides BPC 157 & TB500. I think they can help too. You have to work from multiple angles to improve. Has been very challenging, but getting there.

[@brendasweeney2806]

Having a flair up right now and just found him.

[@WilhelminaCarter-ub2un]

My symptoms and pain started approximately about 15 months ago. After pt, and other superficial remedies... It kinda slowly subsided on its own. I am a 74 year old active female.

[@CheburashkaGenovna]

Comprehensive as always! 👍👏👏👏 Please don't stop! 🙏

[@juliejefferson8197]

Oh, my gosh, thank you so much for this video. I am 99.99% sure this is what I am dealing with, although I have not been properly diagnosed. I fit the profile of who it affects perfectly: middle aged, not sedentary, but less active due to some chronic conditions, perimenopausal, overweight. My primary doctor said I have bursitis and my rheumatologist said I have mild osteoarthritis of both hips. I started PT at both of their suggestion, and the PTA had me doing exercises with all weight on each leg, which left me in agony, and worse off in non-affected leg!. When I mentioned this, they didn't seem concerned. I also asked if I could get back in the pool and swim, and my therapist seemed hesitant to say yes, which left me so depressed. I love how in your video you say I get to decide what I want to do to get better. I am not going to do anymore exercises which involve all my weight on one leg, and I AM going to get back in the pool. Thank you again.

[@frenchprovincial9602]

There's only you know your body, I hope you feel better after your swim.

[@GretchenMcCole]

This is the best PT video I have ever seen. Thank you for the explanations. I appreciate it very much

[@topchic7475]

Great video, thanks. Really well put together and informative. I’m 58 yr old woman, I was an aerobics instructor, then pilates and yoga teacher but I can’t work any more due to multiple issues, this is one of them. Many of the suggestions here I’ve been doing for a while, it’s good to hear that I just have to continue doing what I can to keep up my fitness levels and strength up working within my own boundaries. I am learning that despite my limitations I can still choose to show up as the best version of my new self going forward and be happy with that.

[@user-qq5wi7xs8r]

Oops. One typo. I will be 88 in May! Not 58 now…

[@totaketheskyaway]

ive been feeling hopeless with some of my body pain for a decade or so and I am so happy i found your channel. i trust you and i'm feeling very safe with how you provide the info and you make it so easy to understand how things are connected, what current research is sure of or suggests. I'm really happy about all of that. THank you so much, I'm getting smarter about the human body and especially about my body and how i can feel with it (self confident in the best case!). THANK YOU!

[@novakenss]

Best instructional video on this subject I've seen to date. Thank you.

[@livenhfree]

Great stuff! I'm 66 and have been dealing with on-and-off hip pain (bilateral, boo!) for a couple of years now. I like to remain active, but I had to step back from my 2-mile walks because it was aggravating both hips. But I love to bike and golf, so I'm working hard to make that possible. I've been through a lot of PT over the years, and I must say this is about the best overview I've found. You're absolutely right-- patience, and accepting that there is no quick fix. I'm improving but not where I want to be yet. Although I already do a couple of these exercises, I'm going to pick them all up now. I especially like what you're saying about stretching (not necessarily needed). Some stretches are painful, so I have to realize that I shouldn't do anything that brings pain. Also, the cadence (2 or 3x per week) feels right to me. Need time for rest, and to gauge whether the rest day gives better or worse results. I don't know if it's gluteal tendinopathy or trochanteric bursitis, but my guess is these exercises are good for either. Feeling positive about your approach. Thank you!

[@philipkim9779]

Thank you for creating valuable educational content! Please keep up the good work! I really love this format. I hope more people can watch this and not influenced by misinformation or outdated information. Thank yo.u so much! At this point, I feel like you guys are contributing a lot in public health by creating high quality valuable educational contents.

[@Robot007]

Thank you so much for this excellent video. It is such a valuable tool not only to practice what is presented,but to share it with people you might know that has hip pain. Blessings!

[@bernardomsouza]

this channel has super thorough, well organized and clearly explained videos… all information is backed up by studies, and even when science is not conclusive, the channel makes sure to let the viewer know it. Excellent work!

[@leehedderwick3399]

Your video is SO informative and exactly what I needed. I was starting to believe I would be needing a hip replacement soon so wow, I'm delighted to have come across this video. Thank you 😊

[@htprimeaux8570]

By far the best video on hip bursitis.

[@MokkoGoldpuppy]

Gracias por tanto💐, son Ustedes un grupo maravilloso🥇🥇🏆🥇🥇

[@annbaldwin5097]

Such a useful, well-informed video. Thank you!

[@johnschnorr6182]

Wonderful video. You did a great job explaining the problem and solutions.

[@mariacarrillo6249]

Excellent way to present information,!! thank you. Your videos got me thru my knee injure. I injured my left knee last Jan. My arthritic knee! your guidance on knee rehabilitation was the best advice for me. Some tolerable pain during rehab is ok, but keep moving and reassess next days. I kept doing squats, leg extensions and glutes bridges over and over until I got my quads strength back. I am now free of pain. My full knee extension/flexion is back. It took a lot of work and discipline (not going to lie 😂) Thank you for making these valuable videos!!

[@aschane1]

I am so glad I found your site. My diagnosis is bilateral gluteus minimus and anterior gluteus medius tendinosis. I have pain in my left hip area and difficulty sleeping. My activity level is day by day, age 74 but formally active before a tailbone injury. Now I am ready to do some of your exercises. Thank you and now a subscriber.

[@IK121266]

Excellent information video! You covered everything a non expert should know. Also the part about exercising is brilliant. I get physiotherapy including shock wave therapy at the moment and the physiotherapist told me not to exercise at all - except for swimming - until we finish the ten sessions . The problem is that I exercise at least 30 minutes every day and the less active I am, the "rustier" I feel. Again, thank you very much!

[@tinamuller3189]

Very helpful and informative information. Thank You!

[@perezdr1]

Wow. A master class. Thank you.

[@TheQueensWish]

Thank you for this comprehensive video.

[@terra_incognita683]

Great video, like the research. New subscriber :) I've had this condition for about 10 years. Every time I try to start running again, it flares up. I'm now working with a physiotherapist who also told me the things you are talking about in the video (sleep with pillow between knees, let the tendon calm down, then start strengthening and testing how much you can load the tendon, e.g.).

[@FernandaFerreira-eo6sp]

Your videos are excellent! Thank you so much!

[@brendasweeney2806]

Just found you. Knoxville TN USA here. I am having a flair up right now. How great I found this this morning.

[@knotwilg3596]

This seems to be the diagnosis for my case, occurring after considerably INcreasing my physical activity again. Very informative and empowering.

[@nicg1331]

Outstanding video thanks very much.

[@gauravsharma-st6ex]

Very educational and organized video . Thank you

[@user-ug2kh3mk7g]

Keep up with this educational content, cheers

[@ThanhNguyen-bd5ci]

Thank you! Very useful and the video came out just 1 day after I experience with some lateral hip pain.

[@musclesonthematwithmariana]

I'm a pilates instructor and I see gluteal tendinopathy frequently in side lying exercises (particularly side lying mermaid on box). Clients I see this being an issue with are usually middle-aged women where pilates is their only exercise. They often ask why they have pain and they haven't even begun the exercise and now I understand this better and the different reasons why.

[@TwistingFlames]

This is such good information.

[@antonyetheridge1050]

excellent video,i learnt more about my problem than in five visits to my uninterested gp,thank you

[@user-sm6od4tx2p]

Thank you thank you thank you! FINALLY a video that explains this simply yet scientifically with research sources. I came from my orthopedic doctor and he gave me diagnosis of left side radioculopathy triggered from severe sciatica attack (most likely nerveroot compression from slipped/buldging disc as I have a weak, tingly and numb left leg now (trouble lifting the foot and rolling it of the ground). The worst of the pain and cramping is gone and now soreness and slight cramps occure 1-5 times a day instead of every 3 minutes. What I found suspicious though during these 16 days is that unlikely many of my previous sciatic/lumbago attacks this time simultanously I have an inflammed hot swollen spot where the hip bursa would be since i am in the risk group of obese + gout but also still keep moving a lot and carrying heavy stuff I am trying to better understand and pinpoint all the issues I have to eliminate them one by one. The doctor wants me to immediately go to a hospital and have mri and surgery but I refuse to get cut open at 34 when I haven't exhausted my conservative method first (the doctor basically just shrugged at mentioning conservative method) and I also can't afford a hospital stay and have noone to take care of me while recovering. I want to wait and see if my painlevels will continue to get better so I can start being more active and keep on loosing weight. I suspect this time the series of issues got all triggered by my self induced overstrain and a bad trip I had earlier in the month plus trying way to soon to carry heavy loads again which must have triggered two issues at the same time.

[@Serenity-vs3wy]

Excellent information. I’ve been experimenting with changing my gait when walking because I noticed I walk longer and heavier on the sore hip side. It seems promising so far.

[@Niki-rv2hu]

Thank u. I started following these exercises. Hopefully i will get better. Im an active person & workout almost daily(strengthening...etc with 15 to 20 lb). My question is, apart from your exercises,can i just follow workouts that are for glutes!. I mean following trainers with glute workouts(woth weights) or it has to be the ones you r suggesting. Thanks😊

[@marshacooper9088]

Thank you. I am a middle aged female internist who just went through this matter on the left side. I tried PT, orthopedist said my hip X-ray was normal. After getting worse over 7 weeks I realized inability to walk up even one step due to weakness and severe pain, severe pain on rolling over in the bed, unable to sit down or get up, and most seriously myalgias thighs. I stopped my high dose statin, then took oral Decameron twice a day with significant relief. Strength returned in three weeks, almost to normal. Statins were the putative cause in my case. THANK YOU!!

[@madslouispetersen8204]

Bravo 👏👏 by implementing cases, these videos become instant more educational and valuable 😊 Keep up this great content

[@nickicapo7251]

Great tips!

[@KittyGinaMeow]

Thank you ❤

[@chrissydavis5346]

This was helpful. I am 49 and started running again for a half marathon. I am having glute med and hip flexor pain. Thanks!

[@hap1n355]

Amazing video. Thank you so much. Just to add that tendons have less blood supply make them slow healers.

[@youssefhany961]

Can we get a video about subacromial bursitis and rehab protocols for alleviating pain?

[@dek094]

Thank. You. So. Much.

[@robertusmaharyady2810]

Thank u so much... ❤

[@bthechurch7877]

Excellent video! Very thorough and easy to understand. Woke up with GT yesterday morning. Had no idea what was going on. The more i moved and exercised the pain subsided but came back late in the evening. I slept on my domimant side, where the pain was...now i know better. This morning that area is SUPER SORE and thsts what led me to start looking up video and figure out whats going on. Im in my early 50's, working on a successful healthy lifestyle change, have lost a lot of weight (230 to 176), active every day (10k steps plus workouts) so i was very surprised to see this pain come out of nowhere. Havent done anything different. My health is so much better and the journey continues one day at a time. I recently was able to stop talking a statin med and metformin for type 2 diabetes. Could this possibly be a reaction from withdrawing from these meds?

[@BrandyWiseNL]

My Glute Minimus was very upset. Slowly but surely it is getting better. It takes a lot of time for sure. Building stronger glutes with strength training, balance and stretching. Do not dare to go running until fully pain free. Just being active and eating right. Luckily not overweight or anything.

[@kathyclark3168]

Recovering from TKR so I can't really do these exercises but going to my primary doc this week so I'll see what going on with this rt hip

[@fouadabbas8070]

Thanks ❤❤❤

[@carolbenson6524]

That must be what's wrong with my left side. Thank you for this information.😊. I actually have been doing what you discussed when using the stairs .. helps. I exercise...but not over doing it. Going to do your exercises.

[@Maria-ld1kq]

I got it from lunges and have it for 3 months now. I'm worried it will never go away 😢

[@gbosearcher-3686]

Oh my goodness. This might be why I have so much pain in my hip. I had Lyme disease 6 years ago and it affected my balance and I took a really bad fall off a deck. Since then I've had nothing but pain and aggravation with my right hip. I bruised the right trochanter and the illium crest

[@mooneradeen70]

Great exercises. Can they be done if one has muscle spasms?

[@divacassandra1]

Can you have all 3, (GTPS, Hip OA and Lumbar Spine (referred)) at the same time?

[@hemrajbhandari]

very good❤❤

[@yasmins6359]

I've had 4 months of on and off groin and hip pain, diagnosis from MRI is "mild tendinosis of the anterior insertional fibres of gluteus medius tendon". Walking triggers pain, but not so unbearanle that I can't move around, just uncomfortable. I did the static body weight isometrics and felt okay the next day, at what stage do you continue to increase the load? I'm unsure of how to gauge my pain

[@JamesFeey]

How are you now?

[@liamdotkelly]

I was diagnosed with this , I am only 25 but I am very active with football and the gym. I suffer quite a lot of pain every single day , my right glute is always tired , I’ve noticed this a lot when going up stairs or standing on one leg for more than five seconds. I have tried everything and seen so many physios and doctors and I have still not been able to fix it. Maybe it’s just time to hang up the football boots and running shoes for good.

[@howto6340]

Rarely have to totally rest ? I couldn’t even move my leg the pain was so bad . So I rested for a free days to let it settle then very slowly got into certain stretches and exercises.

[@lynnwilliams5432]

I reported serious pain in outer area awakening me doctor internist said bursitis. Soon after after nine miles fell broke femoral stem. I think it fractured on it’s own. Be careful accepting diagnosis. No pain couldn’t move thought out of joint.

[@cathyjennings5580]

Chiropractor adjustments 2 times each month helps. Acupuncture treatments. Keep symptoms quiet. Must be a better methods ???

[@dimitrisfousteris257]

Is it common to develop gluteus tendinopathy post hip surgery? I had a hip arthroscopic surgery to fix a tear at the labrum of the hip. However the MRI scan was false positive for the tear. One year later after the surgery and rehabilitation i started running 5 times per week. 3 week later I started to feel same symptoms at the hip which was operated.

[@divacassandra1]

Also, hypermobility and myofascial pain disorder can contribute.

[@QiuHC]

thanks

[@OrthodoxInquirer]

I started having this pain during my last pregnancy at 41. It has something to do with relaxin in my case. It's come back on and off during the last 8 years. I recently went to a chiropractor who does SHAPE therapy and they had me lay on my back and they pressed on the boney prominence on my left hip while I was laying on my back and the pain is gone! They pressed so hard, they practically bruised the bone but I'm back in alignment. I went through some low back pain after the adjustment and now that's going away. Especially for women, this might be an issue. Pregnancy is very hard and all the organs and bones move. I have a strong intuition that's what happened to me. The timing certainly fit. Interestingly, my mom started having SVT after her pregnancy with me, and this same accupressurist/chiropractor pressed her stomach down and away from the heart area and it's almost gotten rid of her palpitations. This makes so much sense because eating too much or going to the bathroom could trigger them. Even the valsalva maneuver indicates that something is related to the other organs.

[@Shanker_Singh_62]

Soon 5 lakh ❤❤subscribers.🙏🇮🇳New Subscribers From India 🙏 *Please make Video how to improve Weak Spine and Backbone* . Bad Shape, bad posture of Spine .. Weak muscles of Spine .. Congratulations for 4.3 lakh Subscribers.. soon 5 lakh Subscribers

[@animaterob]

Any advice for martial arts, specifically side kicks? It puts quite a lot of pressure on the side of my hip.

[@organicx8214]

❤😂 everytime i have pain some where you guys post he area of pain i have i swear its so weird ❤❤.

[@lynnwilliams5432]

Hurt then fell broke femoral stem had anterior hip replacement. Always have had IT band pain. I thought may have fractured bf fall. No bursitis forward …..suspicious . Did run walking on cane now. No arthritis . Age 81 yrs. Can do 4 miles spread on my cane. op

[@MikePAbell]

omg thank you! ✨👻🚀😁

[@Billy-cw4kr]

I'm 45 yrs women,had severe lateral hip pain on right side initially .after a month started pain on left also ,mri showed bilateral tronchenteric hip bursitis. Past one year my physiotherapy was lots of glute stretch and IT band stretch. Recently another physiotherapist diagnosed my issue as gluteal tendinopathy and started rehab 4 months ago ,I'm still having pain .My pain keeps shifting from left to right.How long would it take for complete recovery.

[@juliejefferson8197]

@Billy-cw4ker I am having the same problem. My pain is shifting from left to right and back again. It is hard to rehab one hip without hurting the other, it seems, at least with some traditional PT exercises.

[@cathyjennings5580]

Fibromyalgia syndrome mainly painful hips outside hip tenderness : bursitis . 😢 How we fix it???

[@nithyask27]

Thanks for the information. I have had this lateral hip pain for more than three years. In this case, should I do ice or heat in the affected area?

[@alirezakarimipt]

Good

[@loriwilliamson5738]

When is ok to begin doing the functional exercises? On a pain scale, should a patient be at 0/10, 3/10, 5/10? Thank you for your thorough information! One of, if not the, best I've encountered.

[@bee6684]

I’d love the answer as well!

[@SharliniR]

Can it be cured? Do we need to loose weight.

[@mrsfoss3368]

Omg! I'm on very high dose abx, no wonder this glute is not getting better.... I can't stop the abx until my other chronic illness is fixed... could be years :(

[@juliejefferson8197]

I was on antibiotics and a steroid shot for a bad sinus infection the past summer, which I think triggered everything. :(

[@tadejpeckaj1151]

Unfortunately for me, I had pain like this for years now (I am 33) and when I went to the doctor I was diagnosed with hip osteoarthritis and will be replacing my hip at the end of the year 😢

[@E3Rehab]

Hope it goes well. Check out our videos on the topic if you haven't already.

[@constancesewing5927]

Chock full of the best advice but the speech and pace was so fast! Maybe slow down a little...

[@user-qq5wi7xs8r]

Very informative. I am 88 and was diagnosed with trochanteric R. Hip bursitis four moths ago. A prednisone shot did NOT give AnY relief. I was given not information or recommendation. I took myself to PT. Hurt like hell first month but I stuck with it, I,proving slowly. Four months later, I stopped the PT 3xs a week, but had already resumed low impact pool classes at MY YMCA. I am continuing exercises and stretches I did at PT for four months. I was told my pain would return with a vengeance if I didn’t keep on with PT routine on my own. I believe it! I recommend your excellent lecture. I recommend a good PT routine, preferably with a really qualified good PT person and staff. And stick with it all! Thank you. - barbara bartholomew. CNY. 2-2-2024.

[@annetteeverett8076]

thank you for posting your experience. So often they use a "healthy 35-year-old" woman as their example, but usually it is a 70+ year old woman who needs the help and information.

[@donk.johnson7346]

I hurt my left shin and it got infected, I could not stand on it, I had to put all my weight on my right leg, I think over using my right leg. About 2 weeks after the accident with my left leg my right hip suddenly had this incredible pain deep in the hip and butt and thigh and just below the rt knee. I had been thrown/pushed to the by a massive marble table. But I had no pain in my hip or back at the time because some boxes broke my fall. I think I've damaged my hip by putting all the weight on it for so long. I have stairs in my place and I'm I'll be 74 in a week. I had an MRI and a CT scan and they want me to see a back surgeon in April. I think its my hip, they think its my spine.

[@faizesurer3787]

exelant

[@offender874]

I don't know what I have,but I feel pain on my right hip whenever I stand,I have to kick out my leg before I get relief

[@mandybedard1594]

I have swelling in the above buttock and side of outer hip and also the upper front of upper leg too sitting causes it to be worse can't sleep on my side I've been with this hip bursitis for yrs 😢

[@ll-ud1io]

i had this from overtraining/unbalanced training (weightlifting) in both legs. most pain in rest and lying 😖 i had to stop leg training and i worked on activating the gluteus maximus. it took 6 months to get better. my right trochanteric area is still sensitive

[@Gamertagstreaks]

Really sorry about that, how are you now?

[@ll-ud1io]

fortunately no more trochanteric pain, now and then i feel a little pain on top of the thigh- maybe hip flexor

[@JamesFeey]

@@ll-ud1iowhat rehab program did you follow? So what exercises did you do and how often?

[@cathyjennings5580]

Security CONFIDENCE EMOTIONAL . AIM FOR EASE !!!

[@gegeeh.a8328]

👏

[@sidneybristow815]

Once you have this pain, those exercises you show make it worse. I rest, then exercise or take the stairs, pain returns. So much that walking is excruciating. There has to be something. It's not walking or going up stairs.

[@Eirikkinserdal]

Do you read my mind? First the hamstring tendonopathy then this 🤔

[@adamtheamazing4411]

Fr

[@jimmcglynn-lg9ro]

Do you recommend steroid injections ? Surgery ?

[@user-fk8rb8ue5h]

That could be any one of many problems in the hip. If you've got a problem, go to the doctor don't come online for advice from someone who is not accountable if they are wrong.

[@user-xt5oe2gm5v]

You take it there, Chesney. By Goggins. The entire world will know you are gay. That's a promise.