How long does physiotherapy take to work for gluteal tendinopathy?

This condition affects the tendons of the buttock muscles near the outer hip. Compression and sudden increases in walking, hills, stairs, running or side-lying can aggravate symptoms. Physiotherapy commonly begins by reducing provocative load, then builds hip and leg strength in stages. Less pain while lying on the sore side or climbing stairs may come before full tolerance for sport. A temporary flare can happen when the tendon is asked to do more than it currently tolerates.

Follow the exercise progression rather than testing the tendon with a sudden return to long walks or hills. Avoid prolonged hip-hanging positions and choose a comfortable sleeping arrangement if side-lying increases pain. Keep track of symptoms during activity and the following day; that response helps your therapist set the next load. Report changes in work, sport or walking demands. See [Gluteal Tendinopathy](/conditions/gluteal-tendinopathy/) and [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/).

Arrange a review if pain keeps increasing, walking becomes difficult, or symptoms are not settling despite an adjusted programme. Seek prompt care after a fall, with sudden severe pain, inability to bear weight, marked bruising, fever, or new numbness or weakness. These features may point to an injury or another source of hip pain rather than a simple training flare.

Which activities are compressing or overloading my tendon? What level of next-day soreness is acceptable? How should I progress from isometric work to heavier strengthening? When can I resume hills, running or side-lying? Could my back or hip joint also be contributing?