How effective is strength training rehabilitation for gluteal tendinopathy?

Gluteal tendinopathy involves the tendons of the hip-side muscles, often causing pain at the outer hip during side-lying, single-leg loading, stairs, or longer walks. A rehabilitation plan may start with gentle hip muscle contractions and stable positions, then progress to bridges, step work, squats, or other tasks that match your goals. The aim is to increase capacity without repeatedly provoking the tendon. Hip position matters: prolonged hanging on one hip or forceful stretching across the outer hip can increase compression and irritation.

Have a physiotherapist assess hip strength, walking pattern, pelvic control, and the activities that trigger symptoms. Build exercise gradually and judge the response during the session and the next morning. Avoid sudden increases in hills, stairs, running, or side-to-side drills while capacity is low. Sleep may improve if you avoid the painful side and use support between the knees. Read more about [Gluteal Tendinopathy](/conditions/gluteal-tendinopathy/) and [Strength Training Rehabilitation](/treatments/physiotherapy-and-rehabilitation/strength-training-rehabilitation/).

Seek an assessment when outer-hip pain interferes with sleep, walking, work, or exercise, or when it continues despite reducing aggravating loads. Prompt medical review is appropriate after a fall, sudden severe pain, inability to bear weight, new weakness, fever, or a hot and visibly swollen joint.

Ask which exercises are suitable for your irritability level, whether side-lying and stretching should be modified, and how to progress from supported movements to stairs or running. Ask what next-day response is acceptable and when another cause of outer-hip pain should be considered.