When Hip Pain Isn’t Coming From the Joint

Understanding Greater Trochanteric Pain Syndrome

Shane Weigman Physiotherapist

Pain on the outside of the hip is a common complaint, and one we see regularly in clinic. A frequent cause of this type of pain is Greater Trochanteric Pain Syndrome, often shortened to GTPS.

GTPS refers to pain coming from the structures that attach near the greater trochanter, which is the bony point on the outside of your hip. While this condition was once commonly labelled as bursitis, research now shows that it more often involves irritation or degeneration of the gluteal tendons, particularly the gluteus medius and minimus.

People with GTPS often describe a deep, aching pain on the outer hip. This pain can interfere with walking, exercise, sleep, and everyday activities. Symptoms usually develop gradually, but they can also appear after changes in activity, training load, or movement patterns.

Who Does GTPS Commonly Affect?

GTPS is most common in adults between the ages of 40 and 70, although it can occur at other ages if there are contributing factors such as higher training loads, altered biomechanics, or previous hip or lower limb injuries.

As we age, tendons naturally change in structure and strength. This can reduce their ability to tolerate repeated load, making them more sensitive to everyday stresses like walking, standing, and exercise.

GTPS is also more common in women, particularly during midlife and beyond. Several factors may contribute to this, including differences in pelvic shape, hip alignment, and hormonal changes. A wider pelvis can increase compressive forces on the gluteal tendons, and changes in estrogen levels around menopause may also influence tendon health and pain sensitivity.

Common Signs and Symptoms

People with GTPS often experience pain on the outside of the hip, usually right over the bony point. This pain may worsen with walking, running, climbing stairs, or standing for long periods of time. Many people also report discomfort when lying on the affected side, particularly at night.

The area may feel tender to touch, and in some cases, pain can spread down the outside of the thigh. Activities that involve standing on one leg or shifting weight onto the affected side can also be uncomfortable.

The Good News

While GTPS can be frustrating and persistent if left unaddressed, it responds well to the right management. Treatment usually focuses on improving tendon load tolerance, addressing contributing movement or strength factors, and gradually building capacity rather than simply resting or pushing through pain.

If you’re experiencing ongoing pain on the outside of your hip, a proper assessment can help determine whether GTPS is contributing and guide an appropriate treatment plan.

If you’re unsure what’s driving your hip pain or how to manage it, our physiotherapy team is always happy to help.

Hip pain education, greater trochanteric pain syndrome, physiotherapy and rehabilitation at PRP Health in Victoria Point with Shane Weigman.