What Causes Lateral Hip Pain? | Expert Physio Reviews Causes And Treatment

In this tutorial we explore the causes of lateral hip pain using our 3D anatomy model and discuss the reasoning behind treatment.
References
*Bird et al., 2001: pubmed.ncbi.nlm.nih.gov/11592...
*Connell et al., 2003: doi.org/10.1007/s00330-002-17...
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[@bevh5317]

OMG, you just solved my hip problem!!! Thank you so much!!! Women are taught to keep their knees together, at least I was. I was unconsciously walking with about 4" between my ankles, and I have wide hips. Also, I have a hip injury that caused me to put my knees closer together when getting up or sitting down. When you said no adduction, I caught my unconscious walking pattern. The pain stopped in one day!!! I have done all the exercises and was still unable to stop the pain. Thank you so much!!! WOW!!! Thank you again so much for making this video, my dear physiotherapist.

[@ClinicalPhysio]

So pleased to hear it Bev! Wishing you all the best 😊

[@user-uq6oq9hz9v]

Thank you very much, you really helped me understand the pain I feel and most importantly what to avoid

[@cathyl2414]

Thank you so much, you just explained this so clearly and it makes sense at last. Thank you again!

[@ClinicalPhysio]

You’re very welcome! Wishing you all the best

[@lorraineblackwell930]

Fantastic explanation! Thank you.

[@ClinicalPhysio]

You're very welcome! Thank you for watching!

[@AbhayKumar-cm2kh]

You should continue doing such anatomy overviews with visuals before each video...it would be better for beginners and general public to understand...it would increase your outreach too..cuz longer videos are better for the YT algorithm. As always loved the video.. :)

[@ClinicalPhysio]

Thank you so much we certainly will 😊

[@najaziz08]

Excellent advice Khalid! Best explanation and remedy I’ve seen so far and it has helped me a great deal. Thank you

[@ClinicalPhysio]

Thank you so much for your kind words!

[@emmanuelchukwuneke9770]

Thank you, PT Khalid. This was very helpful.

[@ClinicalPhysio]

Very kind! Thank you!

[@ginahamlyn2569]

This really helped me a lot. Thank you!

[@ClinicalPhysio]

You’re very welcome! Thank you for watching!

[@haleyparson]

Thank you so much for this video! I am 37 and started taking ballet classes in January. Ballet has shown me my many weaknesses, but lately it has been giving me lateral hip pain. After watching this video, it makes sense why crossing into fifth position and Grand Battement gives me so much grief.

[@ClinicalPhysio]

🙏🏼🙏🏼🙏🏼 you’re very welcome Haley… wishing you all the best

[@Inna.Eroshina]

Thank you for your explamation and advice! I got it! 👍👍👍

[@ClinicalPhysio]

Thank you for your kind words!

[@dizungu8547]

Thank You. This video really helped me understand my condition.

[@ClinicalPhysio]

You’re very welcome! Thank you for watching!

[@jedlimen123]

@dizingu8547.. I second that!!

[@Kate-vr5ud]

Fantastic video, thank you!

[@ClinicalPhysio]

Thank you so much for watching Kate!

[@JudgeMoodie]

Really good video, if possible please could you do more in this style. Thanks

[@ClinicalPhysio]

Yes would be delighted to… was it the anatomy that you enjoyed most?

[@JudgeMoodie]

@@ClinicalPhysio the anatomy aspect but also focusing on the issues that can come about in a specific region of the body

[@ClinicalPhysio]

@@JudgeMoodie Thank you so much!

[@vasileiospetropoulos2046]

Great video as always. I just complete my acupuncture course with AACP. Thanks for your videos.

[@ClinicalPhysio]

Congratulations my friend! Thank you for your kind words! 🙏🏼

[@spiritualistgirl]

GRRRRT FOR BOTH STUDENTS AND QUALIFIED ALIKE..CPD .. WONDERFUL RESOURCES NOW WITH THIS..BUUUT I STILL THINK USING BOOKS FIRRRSST IS THE THING TOO.. THEN...SEE THIS TO HELP PROGRESS FOR STUDENT PLACEMENTS AND FOR THOSE REQUIRING FAST DISCERNMENT ABILITIES.. IE NEED TO B TRAINED N REGISTERED .. NOT JUST ANYONE CAN DO THIS .. PROPER N LEGAL.. THANS!!! LUV IT FAST TRACK LEARNING ANNND REMINDERS..NOTE..STILL LERNIN..ITS SUPER SPECIALISED TECHNQUES FOR PRACTIONERS DONNA GCU..UNI GLASGOW PHYZZ..

[@jamesreynolds4811]

Vey good, and importantly clear explanation of the anatomy. I’ve had physio and do the exercises, but it comes back. Now I know what’s happening I can adjust my posture and sitting to avoid adding to the problem. Great work.

[@ClinicalPhysio]

Glad it was helpful! Wishing you all the best

[@Risky_Boots999]

Thanks!

[@malghamdi5054]

Thank you so much❤ could you do one for stubborn Anterior Pelvic Tile?

[@ClinicalPhysio]

Hi! Yes good idea! Although I must say from the beginning it will probably be that anterior pelvic tilt doesn’t matter 😊

[@jedlimen123]

Thank you very much Dr. I think you have just explained & diagrammed a situation that has intermittently been bothering me for a couple years. I think now I can finally be rid of it. Much gratitude. I don’t know if you mentioned this, but I am thinking a pillow between the knees will help prevent adduction on the injured side when side sleeping with the good side down. Thank you again!

[@ClinicalPhysio]

Thank you so much and very glad to hear you feel in a better place with it. The pillow between the knees works great for the right person, so I’m really glad it has helped you - thank you for sharing!

[@dustbeneathourfeet3255]

Hi Khaled, could you please describe the difference between a thickened vs inflamed bursa? Is one pathological or are they the same thing?

[@allissab4915]

Love this!

[@ClinicalPhysio]

Glad you enjoyed it! Thank you for watching!

[@gazchatten3052]

Hi a few days ago I woke up with an ache in my hip …still did an indoor turbo no pain but the next day it was very painful to touch or sit down … does this present this way as I’ve had no pain previous in my hip …thanks gaz

[@Metalmachine18]

I have a patient at the moment with quite irritable lateral hip pain (does have the inflamed bursae) but is also suffering from sciatica/lumbar radicular pain that is set off by all gluteal exercises. Very hard to manage!

[@ClinicalPhysio]

Yes absolutely… 25-30% of patients with back pain also present with gluteal tendinopathy

[@Eddie-fz2lf]

​@@ClinicalPhysio I have pain on the right hip

[@josiecamilo7098]

Could be a lateral pelvic tilt. John Gibbons and Eric Dalton have good videos for that.

[@shirleyswaine4701]

Well, that both explained the problem and how to stop it. Because of back problems, I lie down (recliner sofa) , rather than sit in the evenings and usually cross my legs at the ankles. When I get up, there's hip pain on both sides. Sometimes, and it was the case while watching this, I drop my legs down each side of the raised part of the recliner but hadn't correlated that position with the lack of pain when I got up. Now I do!

[@sarahknee3315]

Thanks for this. I have lateral hip pain and periformis pain. Can you explain why I have both? I think massive weaknesses, unstable (crooked) pelvis (I’m tighter on the right side-pain on the left,) and sleeping too much on my right side-which let my left leg fall too far across the midline-are all to blame. Chiros and PTs unable to help. I want to strengthen but it triggers so much pain-especially after the fact because I get so tight.

[@jayterra2060]

Aw that sounds awful. Are you feeling any better?

[@adam3arochpappafranssonska26]

Great video.

[@ClinicalPhysio]

Thank you so much!

[@NastaranAmirhassani]

You’re awesome . Doctorate student from U.S

[@ClinicalPhysio]

Thank you so much Nastaran 🙌🏼 very kind of you!

[@donluedetmoonsone9573]

Thank you

[@ClinicalPhysio]

You're welcome! Thank you for watching!

[@arthur1010123]

Thank you so much for your videos, really hulpful. I have one question: in another video, you said the test of ober is not useful, bc the iliotibial band is not a muscle or tendon, but a fascia. So adduction in the hip with some extension, is not specific. In the contrary, here, you claim that the adduction or valgus stance might compressie the tendons at the site of the greater trochanter and causes gluteal tendinopathy. Thank you in advance for your reaction!

[@ClinicalPhysio]

Hi! Yes correct… Obers test is not helpful when clinicians use it to diagnose a “tight ITB” because as you said, ITB is not a muscle and thus should rarely be considered as tight. However, this is different to gluteal tendinopathy because we are not looking to assess if ITB is tight, but instead are the gluteal tendons being compressed in adduction (not due to ITB tightness)

[@arthur1010123]

thanks so much for the answer!@@ClinicalPhysio

[@user-gt3gw9jn9c]

Currently dealing with this issue, I have super flat feet, so flat to the point I pronate at my arches when I walk bare foot and with most shoes. Would this fallen arch pronation at the foot cause adduction up my leg which could lead to my lateral hip pain? Thanks

[@AshontheLine]

Great video, thx

[@ClinicalPhysio]

You’re very welcome! Thank YOU!

[@vivianeraw8448]

I did weighted hip abduction exercise wrongly .i put the disc weight on my hip Bone and caused Hip bursitis 😥 Its been 3months since that happened i m not recovered yet 😭😭😭 And lm very concerned it would last forever I stop swimming and exercising Any tips how to help recovery

[@michaelawiersema6364]

Can L3 L4 pain with pain all the way down the IT band with no pain on palpation or manipulation indicate disk issues?

[@prashanthstephens]

Ty bro

[@ClinicalPhysio]

You’re very welcome!

[@cognitivedissonancecamp6326]

I mucked up my hip by using a thick memory foam pillow between my thighs to sleep and didn't realize I was spraining my hip tendons on the distal head when laying on my side - literally crippled myself before realizing what was the cause. Months of agony. Not only do you want to watch out for abduction of the thigh, but also any sleeping positions that leave you waking up feeling like your joint is dislocated!

[@22symoo]

good

[@ClinicalPhysio]

Thank you!

[@simiyond]

Awesome

[@ClinicalPhysio]

Thank you so much!

[@jackspradlin4183]

My lateral hip pain occurs from tennis as it is my dominant hip turning pretty strong when I hit a forehand and I also do a strong hip turn when I serve, what do you think is main cause, I have good internal and external rotation of hip joint. My low back on same side of lateral hip gets sore as well.

[@ClinicalPhysio]

Yes I can understand that perhaps the single leg control required to pivot and maintain stability on your irritable leg is a factor. We also know that 25-30% of people with low back pain also develop GTPS (gluteal tendinopathy). Wishing you all the best

[@starbalochsupportid3712]

I had disc herniation it's been 5 months now . I can walk normally but I can't stretch my leg. I feel pain on my hip and side of thigh like in this video. When I take pain killers I don't feel pain but it gets me 1 or 2 days later. Can I do this exercise

[@andygoswell4872]

Am an Olympic weightlifter and have got very similar symptoms, will all these exercise help me?

[@pcsbmpjb9998]

Check your vitamin d levels in the body.

[@Achala148]

I know this is about structural problems, but I was having such bad hip pain after resting/sitting that the first few steps I could hardly weight bear, mainly left hip, it eased the more I moved. Searched Dr Google and saw mild vit D deficiency can cause hip pain so took a bigger dose with Vit K2 and haven't had pain since... amazing.

[@ClinicalPhysio]

I’m very pleased to hear you are doing well! Thank you for sharing!

[@Achala148]

@@EllaBella-76 Oh gosh I am so sorry you are going through this.... just a heads up, you need to take K2 with Vit D to help carry it to the bones, also magnesium, and some fatty meal as Vit D and K are fat solvable vitamins... do some research about what to take with Vit D and what not, to get best absorption possible.... good luck

[@ruthmcdonagh5443]

So what if a patient has lateral hip pain, but does not have tenderness on the greater trochanter? What might be a differential diagnosis?

[@ClinicalPhysio]

Most common examples would be referred L4/L5 pain , or even OA … we have a full 2 part webinar on lateral hip pain if you wanted it 😊

[@beniciabowcher-royce7661]

I have an issue that is causing my knee to turn inward and often severe pain in the front of my thigh where I can't stand up straight & an ache in my glute. Massage hasn't helped. Please can you help. 😢

[@ClinicalPhysio]

Hi! So sorry to hear this, the best thing I can suggest is that you consult a physiotherapist who can assess you fully

[@rubycler6221]

How does a lateral muscle release affect this? Mine was cut to allow the knee cap to return to normal

[@ClinicalPhysio]

Hi Ruby, a lateral release is something normally reserved for the lateral knee and so shouldn’t have an impact on the lateral hip really…… I can understand someone making an argument that it does, but clinically I have rarely seen the connection actually materialising

[@rubycler6221]

@@ClinicalPhysio Thanks

[@Kerri_Kristina_Z]

I had a right hip replacement 4 months ago .. this last week the side of my hips have hurt so bad it’s hard t walk sometimes

[@ClinicalPhysio]

So sorry to hear of your troubles … I would absolutely check in with your physiotherapist if you are concerned

[@Kerri_Kristina_Z]

@@ClinicalPhysio PT just released me after 6 weeks of therapy for hip.. they just kept telling me it’s probably my body adjusting. I’ve been watching videos and doing exercises.. hopefully that helps soon

[@Beefus69]

Is it normal to have this on both sides? The pain gets really bad when I hit parallel.

[@ClinicalPhysio]

It can do but would essentially mean 2 different issues… one on left and one on right

[@circleview21]

Sir plz make videos on physiotherapy treatment of Ms conditions

[@ClinicalPhysio]

Hi! You should definitely check out the webinars on our website! We have lots of great webinars such as Lateral Hip Pain, ACL Injuries, Tendinopathies, Exercise Prescription, Running Injuries … and more!! clinicalphysio.com/on-demand-webinars

[@ymmm-yogamovementmeditatio9507]

I get this after long hikes when I'm carrying a heavy back pack

[@DarkManagerful]

Can tight abductors cause this?

[@ClinicalPhysio]

More often weak abductors rather than tight 🙏🏼

[@mindymay3]

Such a great video, thank you. I was trying to improve my hip internal rotation with this video kzbin.info/www/bejne/p6iagaKpd51nrLM A few days later my lateral hip was excruciating with the exact issue you are discussing. An orthopedic doc said he thinks it's coming from my hip joint as I have some degeneration. I've had it for years though. He said the pain can refer the lateral hip. I am not convinced at all. He wants me to get a coritisone shot. But I will not. I think he just wanted to find a dx. Is it possible the IHR exercises triggered it? I am doing the exercises you suggest, and It's doing better.

[@gab6918]

Wait stop. Would you please first actually point to where you say the person feels the pain??? Not just say it? Thank you.

[@madslouispetersen8204]

The point is on the greater trochanter, it's where the hip bone sticks out on the side. Place your finger on the side of your hip, twist your fod while standing and feel the hip bone push out on your fingers, that's where the bursa will be sore.