Hip Pain, Tenby, Pembrokeshire

Hip pain is a common complaint that can affect people of all ages, from active individuals with tendon or soft tissue problems to older adults with age-related joint changes. 

Pain in this area does not always originate from the hip joint itself - the outer hip, groin, lower back and buttock can all produce pain that feels like it is coming from the hip.

At Tenby Health we focus on identifying the underlying cause before recommending treatment.

We take an assessment-led approach. 

Every appointment begins with understanding your symptoms and identifying the most likely cause of your pain.  

Depending on your symptoms, this may involve a detailed clinical assessment, diagnostic ultrasound where appropriate, and a clear explanation of your diagnosis and treatment options.

• Pain on the outer hip
• Pain walking, climbing stairs or rising from sitting
• Hip stiffness or reduced movement
• Pain lying on the affected side at night
• Groin pain
• Buttock pain

Gluteal tendinopathy

Irritation of the gluteal tendons on the outer hip. One of the most common causes of persistent outer hip pain, particularly in middle-aged women.

Greater trochanteric pain syndrome

A common cause of outer hip pain involving the gluteal tendons and sometimes the surrounding bursa. Although often referred to as "hip bursitis", tendon related pain is frequently an important part of the problem.

Hip bursitis

Inflammation of the bursa around the hip. Often occurs alongside tendon problems.

Hip osteoarthritis

Age-related joint changes causing groin or deep hip pain and stiffness.

Referred pain from the lower back

Lumbar spine problems can refer pain into the hip and buttock area.

Muscle strains

Gluteal, hip flexor or groin muscle injuries.

Your assessment includes a thorough case history and physical examination to identify which structure is causing your pain.

For outer hip conditions, including gluteal tendinopathy and bursitis, diagnostic musculoskeletal ultrasound can be used to visualise the tendons and bursa directly.

Many people with outer hip pain have never had imaging and arrive with a non-specific or inaccurate diagnosis.

Important: Ultrasound at Tenby Health assesses outer hip soft tissues - tendons and bursa. It does not examine the hip joint itself. For suspected hip osteoarthritis or deep joint conditions, clinical assessment is used and if required, we can refer for X-ray or MRI.

• Focused shockwave therapy for gluteal tendinopathy and outer hip tendon conditions
• Rehabilitation exercise targeting gluteal strength and hip mechanics
• Load management and position modification advice
• Hands on manual therapy
• Referral for imaging or specialist opinion where needed

• Diagnosis-led care - we focus on understanding the cause of your pain before recommending treatment. Where appropriate, diagnostic musculoskeletal ultrasound can be used to provide additional detail.
• West Wales' specialty clinic combining diagnostic ultrasound, focused and radial shockwave therapy, chiropractic care and  rehabilitation under one roof.
• Evidence-based treatment - guided by current research, relevant professional guidance and your individual clinical findings. 
• Tailored plans - your treatment is specific to your diagnosis, your goals and your lifestyle.
• Qualified MSK sonographer - Ben holds a Postgraduate Certificate in Musculoskeletal Medical Ultrasound with distinction.
• No long waits - appointments usually available within days. No referral needed.
• Serving West Wales - supporting patients across Pembrokeshire, Carmarthenshire and Ceredigion.

If this is affecting your daily life, the most important first step is an accurate assessment.

Book a new patient consultation (£65) and your clinician will assess you thoroughly, explain clearly what is causing your symptoms and discuss all your options.

No referral is needed. Appointments are usually available within days.

If a diagnostic ultrasound scan is appropriate, it can usually be carried out in the same appointment for an additional fee of £100.

Most people leave their first appointment with a clear diagnosis and a plan for the first time.

• Gluteal Tendinopathy
• Outer Hip Ultrasound Scan
• Focused Shockwave Therapy