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Lateral hip pain associated with gluteal tendinopathy is a prevalent condition, particularly in post-menopausal women. It is associated with substantial impacts on sleep and weightbearing function with quality-of-life similar to that of end stage hip osteoarthritis. Diagnosis is often delayed, and first line management usually involves corticosteroid injection with little or no active intervention. A substantial body of evidence is now available that has elucidated likely pathoaetiology, diagnostic utility of clinical tests, and reported kinematic variations and impairments of the abductor musculotendinous complex in this population. Early recognition of the condition through appropriate differential diagnosis and diagnostic tests, when followed quickly with an active, evidence-based intervention is likely to optimise outcomes. High-quality randomised clinical trial evidence has established that a specific load management education and exercise approach is highly effective and superior to corticosteroid injection or wait-and-see in both the short and long term.