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RISE
RISE
Sports & Spinal
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Osteopathy · Hip & Pelvic Pain

Hip &
pelvic pain.

Hip pain can come from the joint, the tendons, or the lower back — we find the source.

Hip and pelvic pain is complex — the region is shared by the lumbar spine, the hip joint, and a network of tendons, and the source is often not where you expect. Pain on the outside of the hip is the clearest example: long labelled "trochanteric bursitis", it is now understood to be gluteal tendinopathy in most cases — a tendon problem needing graded loading, not an inflamed bursa needing rest (Grimaldi and Fearon, Journal of Orthopaedic & Sports Physical Therapy, 2015).

Last updated: October 2026

Hip and pelvic pain is complex — the region is shared by the lumbar spine, the hip joint, and a network of tendons, and the source is often not where you expect. Pain on the outside of the hip is the clearest example: long labelled "trochanteric bursitis", it is now understood to be gluteal tendinopathy in most cases — a tendon problem needing graded loading, not an inflamed bursa needing rest (Grimaldi and Fearon, Journal of Orthopaedic & Sports Physical Therapy, 2015).

Common causes

Hip impingement (FAI)

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Bony contact within the hip joint during movement. Common in athletes and active adults. Causes deep groin pain with hip flexion.

Gluteal tendinopathy

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Overload or compression of the gluteal tendons at the greater trochanter. Classic "side hip" pain, often worse with sitting cross-legged.

SIJ dysfunction

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The sacroiliac joint is a frequent driver of low back, gluteal, and groin pain — especially after pregnancy or asymmetrical loading.
Gradual joint degeneration causing stiffness and groin pain. Manual therapy and exercise significantly improve function even in moderate OA.
Osteopath Steven Eskaf mobilising a patient’s hip and knee while they lie face down on the treatment table
Hands-on treatment at RISE Sports & Spinal.

How we treat it

Hip joint mobilisation, gluteal and hip flexor loading programs, SIJ assessment and treatment, and gait retraining. We distinguish joint, tendon, and referred pain to target treatment precisely.

Ready to get started?

Same-week appointments available. Initial consult 60 min · $149 · HICAPS on-site.

Common questions

FAQ: hip & pelvic pain

Is my pain from the hip or the back?
Both are possible — and often co-exist. We assess the lumbar spine, SIJ, and hip joint as a system to find the primary driver.
Can you treat hip pain during pregnancy?
Yes. Pelvic girdle pain and SIJ dysfunction are common in pregnancy and respond well to gentle osteopathic care.
Do I need a hip replacement?
Only imaging and specialist review can answer that. Many people with significant hip OA continue to function well with conservative management.

Further reading

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