What happens if gluteal tendinopathy is not treated?

The gluteal tendons help stabilise the pelvis and control the hip as you stand and move. Repeated compression or loading can keep the tendon irritated when painful activities continue without adjustment.

Over time, pain may spread around the outer hip or buttock, and reduced confidence can lead to less movement. Avoiding activity altogether may then reduce hip and leg strength, making ordinary loads harder to tolerate. Sleep can also suffer if lying on the painful side puts pressure on the tendon. Learn more about [Gluteal Tendinopathy](/conditions/gluteal-tendinopathy/), [Buttock Pain](/symptoms/buttock-pain/), and [Hip Pain](/symptoms/hip-pain/).

Arrange an assessment if symptoms are limiting your routine or have not settled with sensible activity changes. A clinician can check the hip, back, and nearby tissues and help identify movements that need temporary modification.

Treatment commonly combines gradual strengthening with advice on pacing, sleeping positions, and returning to walking or sport. [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) and [Strength Training Rehabilitation](/treatments/physiotherapy-and-rehabilitation/strength-training-rehabilitation/) may help rebuild capacity; [Shockwave Therapy](/treatments/physiotherapy-and-rehabilitation/shockwave-therapy/) may be discussed when appropriate.

Seek prompt medical advice for sudden severe pain, inability to bear weight, marked swelling, fever, a new injury, or weakness that is rapidly worsening. These features may need a different assessment rather than routine tendon rehabilitation.

Could another hip, back, or nerve problem be contributing to my pain? Which activities should I change for now, and how should I progress strengthening? What would make imaging or a different treatment worth considering?