Medicine Redefined 187. What We Get Wrong About Lateral Hip Pain | Alison Grimaldi, PhD
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Nov 20, 2025 Dr. Alison Grimaldi, a leading physiotherapist and researcher with over 30 years of experience, shares insights on lateral hip pain and gluteal tendinopathy. She discusses the complexities of hip anatomy and addresses common misdiagnoses, emphasizing that tendon issues are often mistaken for trochanteric bursitis. Dr. Grimaldi highlights the importance of lifestyle changes over corticosteroids and shares practical tips for sleep positions to ease pain. Her work from the LEAP trial showcases how education combined with exercise provides superior outcomes.
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Personal Problem Sparked A Career Focus
- Dr. Allison Grimaldi pursued hip research after personal hip problems and found little existing evidence.
- That led her to clinical research and creating Hip Academy to translate hip science to practice.
Tendon, Not Just Bursa
- Lateral hip pain is usually driven by gluteal tendinopathy rather than isolated trochanteric bursitis.
- Imaging often shows tendon changes and bursae involvement is secondary in most cases.
Stop Positions That Wind The ITB
- Avoid prolonged positions that increase hip adduction like deep chairs and crossing your knees.
- Reduce activities or change posture when hips are flexed >90° to lower compressive load on gluteal tendons.