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Hip Pain · Parramatta Physiotherapy

Hip PainBursitis, OA, tendinopathy — we find it and fix it.

Hip pain is often misattributed — the true source can be the joint itself, the gluteal tendons, the bursa or even the lumbar spine. At Thrive, accurate diagnosis comes first, followed by a targeted program that addresses load, strength and movement quality.

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Hip OA & bursitis Gluteal tendinopathy Hip replacement rehab
~10%
of Australians over 45 experience significant hip pain
Most common
cause of lateral hip pain in women over 40 is gluteal tendinopathy — frequently misdiagnosed as bursitis
6–12 wks
typical improvement timeline for gluteal tendinopathy with a structured loading program
Understanding Your Condition

What is Hip Pain?

Hip pain presents in many ways — groin ache, lateral (outer hip) pain, deep buttock pain or referred pain down the thigh. The location of pain does not always indicate the source: the lumbar spine, SIJ, hip joint and gluteal tendons all refer differently, and getting the diagnosis right is critical to choosing the right treatment.

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Hip Osteoarthritis

Joint degeneration causing groin pain, stiffness and restricted range of motion. Exercise therapy delays joint replacement and improves function significantly.

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Gluteal Tendinopathy

Degeneration of the gluteal tendons at their insertion on the greater trochanter — causing lateral hip pain, especially with sitting cross-legged or lying on the side.

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Greater Trochanteric Pain

Also called ‘hip bursitis’ — though the bursa is often not primarily involved. Load management and progressive tendon loading is the evidence-based approach.

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Hip Replacement Rehab

Total hip replacement rehabilitation — in clinic and home visits. We follow precaution protocols and build strength, gait and function progressively.

Treatment

How physiotherapy treats hip pain

Full hip, lumbar spine and SIJ assessment to identify the true pain source
Progressive gluteal and hip abductor strengthening — the most important intervention for lateral hip pain
Load management advice — activity modification to settle symptoms while building capacity
Manual therapy for hip joint stiffness and soft-tissue restriction
Gait retraining for pain-free walking and stair climbing
Post-hip replacement rehab — following hip precautions and building to independence
Falls risk assessment for older patients with hip pain
Medicare CDM, NDIS, aged care and WorkCover accepted
Common Misconception

"Hip bursitis needs a cortisone injection to settle it down."

Cortisone injections provide short-term relief in some cases but do not address the underlying cause of gluteal tendinopathy — and their effects typically diminish within 3 months. The evidence consistently shows that progressive tendon loading programs produce superior long-term outcomes compared to injection alone. We treat the cause, not just the symptom.

Our Approach

What to expect at Thrive

01

Hip complex assessment

We assess the hip joint, gluteal tendons, lumbar spine and movement patterns to determine the true source of your pain — not just the location of it.

02

Progressive loading program

A structured, phase-based exercise program starting with isometric holds and progressing to dynamic loading — guided by your symptoms and tissue response.

03

Return to activity

Walking, stairs, sport, gardening — we plan your return with realistic timelines and objective function benchmarks.

FAQs

Frequently asked questions

Is my hip pain coming from my hip or my back?

This is the key diagnostic question. Back-related hip pain is typically felt in the buttock and thigh, and often varies with lumbar movements. True hip pain is usually felt in the groin and restricts internal rotation. A physiotherapy assessment can distinguish between these clearly.

Can exercise really help hip arthritis?

Yes — comprehensively. The research on hip OA consistently shows that exercise therapy reduces pain, improves function and delays the need for joint replacement. The GLA:D Australia program (which Thrive follows) is specifically designed for hip and knee OA with strong evidence behind it.

I’m on a waiting list for a hip replacement. Should I see a physio now?

Absolutely. Pre-surgical physiotherapy (‘prehab’) strengthens the muscles around the joint before surgery and significantly improves outcomes afterward — faster recovery, better strength and lower complication rates.

Do home visits apply for hip replacement rehab?

Yes. Many patients recovering from hip replacement find it difficult to travel in the first 2–4 weeks. Thrive offers home visits across Greater Western Sydney — we come to you and progress your rehab on-site.

Related Conditions

We also treat

Ready to Get Better?

Get to the bottom of your hip pain.

We’ll identify the source, not just the symptom, and build a plan that gets you moving comfortably again.

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