Treatment for Right Lateral Hip Pain with Trendelenburg Gait After Starting Jogging

Initial Assessment and Diagnosis

The American College of Sports Medicine suggests that pain location, such as lateral hip pain over the greater trochanter, is a key diagnostic feature to confirm gluteal tendinopathy or hip abductor insufficiency, with imaging such as plain radiographs and MRI used to rule out bony pathology 3, 4

The British Journal of Sports Medicine recommends a minimum 3-month structured exercise program targeting hip abductor strengthening with progressive loading, as this duration is critical for optimal outcomes 1, 2
The American College of Sports Medicine guidelines suggest that hip abductor strengthening should target muscles such as gluteus medius, gluteus minimus, hip flexors, and trunk stabilizers, with adequate load to produce strength gains, typically 60-80% of 1-repetition maximum 1, 2, 5
Progressive loading parameters, such as gradually increasing load magnitude, sets, repetitions, and time under tension over the 3-month period, are essential for strength gains 1, 5

The American Academy of Orthopaedic Surgeons suggests that NSAIDs can provide symptomatic relief during the rehabilitation phase, while avoiding corticosteroid injections in acute overuse scenarios 7
The American College of Sports Medicine recommends considering physical therapy referral for supervised exercise prescription with proper form and progression, particularly if self-directed exercise fails 1, 8

The British Journal of Sports Medicine emphasizes the importance of discussing realistic expectations about the 3-month minimum treatment duration and gradual return to running, as well as explaining load management, pain does not equal damage, and gradual progression 6, 2

The British Journal of Sports Medicine recommends assessing progress at 4-6 week intervals using both subjective and objective measures, including patient-reported outcomes such as the Hip and Groin Outcome Score or International Hip Outcome Tool 2, 8

The British Journal of Sports Medicine advises against proceeding directly to imaging without a trial of structured exercise therapy, as this violates evidence-based guidelines and exposes patients to unnecessary costs and potential overtreatment of incidental findings 1, 2
The American Academy of Orthopaedic Surgeons strongly opposes opioid use for hip-related pain, and the British Journal of Sports Medicine recommends against allowing unstructured "rest only" and rushing return to running 7, 1, 6