The most salient feature of the presentation of gluteal tendinopathy is pain and tenderness primarily at the greater trochanter [13, 42–44]. There may be some radiation around the trochanter and often down the lateral thigh [42, 44]. The onset of pain is frequently insidious, tends to worsen over time and is sometimes associated with chan- ges in training load or physical activity [42, 43], though it can occur acutely after a strong contraction of the abductor musculature, such as that occurring during a slip or fall or a forceful sporting action, such as a sidestep.