The Thinking Practitioner

🎙 Lateral Hip Pain: Stop Blaming the Bursa (with Whitney Lowe & Til Luchau)

Til and Whitney unpack why the old “trochanteric bursitis” diagnosis is almost always wrong—and what that means for your hands-on treatment.

✨ Topics discussed include:
• The shift from bursitis to tendinopathy: only about 8% of lateral hip cases involve true bursitis; the majority are gluteus medius/minimus tendinopathies compressed under the IT band
• Why women are affected at a 4:1 ratio—declining estrogen, wider pelvis geometry, and IT band bowstringing
• Why direct deep pressure on the greater trochanter can backfire—neural sprouting, pain prediction, and the GPR83 pathway
• Smarter treatment: targeting gluteus maximus and TFL to reduce IT band compression, rather than trying to “loosen” the band itself
• Simple assessment tools: the 30-second single leg stance, the shoelace test, and the bilateral night pain pattern
• Stretching caution: why aggressive IT band stretching increases the very compression you’re trying to relieve

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• Advanced-Trainings — Try one month free of Til Luchau’s A-T Subscription with code THINKING: https://a-t.tv/subscriptions/
• Academy of Clinical Massage — Grab Whitney’s free Assessment Cheat Sheet: https://academyofclinicalmassage.com/cheatsheet

✨ Watch the video / connect with us:
• Whitney Lowe – https://academyofclinicalmassage.com | https://facebook.com/WhitneyLowe | https://twitter.com/whitneylowe | https://www.youtube.com/@whitlowe 
• Til Luchau – https://advanced-trainings.com | https://facebook.com/advancedtrainings | https://instagram.com/til.luchau | https://www.youtube.com/@AdvancedTrainings/podcasts 

📧 Email us: info@thethinkingpractitioner.com

The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies — bodywork, massage therapy, structural integration, physical therapy, osteopathy, and similar professions. It is not medical or treatment advice.