01/08/2026
Trying to figure out what’s behind your stubborn glute or posterior hip pain?
It’s not always straightforward… and often, it’s not just about the hip.
This area is a busy crossroads for multiple structures that can mimic each other when irritated or overloaded. Some common culprits include:
– Lumbar spine referral
– Hip joint pathology
– Obturator internus (a deep pelvic floor muscle)
– Adductor tendinopathy
– Ischiofemoral impingement
– Pudendal neuralgia
– Sacral stress fracture
– SI joint pain
– Gluteal tendinopathy
– Piriformis syndrome
Many of these diagnoses can overlap with pelvic floor dysfunction. Why? Because the hip, pelvis, and pelvic floor are structurally and functionally linked.
For example, a tight obturator internus or overloaded adductor may affect pelvic floor muscle tension or coordination, contributing to symptoms like tailbone pain, pelvic pressure, or even pain with s*x or sitting.
Pain in this region varies person to person. It might show up as sit bone pain, deep buttock ache, pinching with hip movement, or nerve-like symptoms. And while it’s tempting to chase the exact pain spot, location alone rarely tells the full story.
A thorough pelvic PT evaluation considers all of this, helping you uncover the true driver, rather than just treating symptoms.
If you’ve been stuck in a cycle of glute pain and pelvic discomfort, don’t give up. There is a way through. It starts with zooming out and looking at the whole picture.
