09/21/2026
Pain on the outside of your hip that travels down your leg doesn't automatically mean the problem is coming from your spine
Let’s look at a vignette, courtesy of Michelle Bomyea, PT, DPT.
Imaging showed degenerative disc disease, then mild hip arthritis. Neither one explained why sitting, sleeping, and walking kept getting worse, because the real driver was never on either scan.
The local tissue was under strain.
Pain along the outside of the hip, worse with sitting, sleeping on that side, and prolonged standing, pointed toward gluteal tendinopathy; irritation of the gluteal tendons rather than the spine or joint itself.
The driver was misattributed.
Degenerative disc disease and mild hip osteoarthritis were real findings, but they didn't match her symptom pattern closely enough to explain the pain, and treating them directly (core work, medication) never resolved it.
The load mattered.
An irritated tendon can be aggravated by well-intentioned "hip strengthening" exercises done at the wrong intensity or timing. The tendon needed a specific, gradually progressed load it could actually tolerate, not more exercise or less exercise, but the right exercise.
Chasing a diagnosis on an image isn't the same as understanding what's driving your pain.
Restoring what your tissue can actually tolerate is what gets you back to the life you want.
Read Michelle’s full article at the link below or book an in-home evaluation with a MovementX provider today 📅
https://movement-x.com/orthopedic-pain-and-injuries/why-does-the-outside-of-my-hip-hurt-a-common-story-for-women-getting-back-to-exercise/
📸 Michelle Bomyea, PT, DPT (MovementX in Annapolis, MD)