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A lot of things can contribute to hip pain. One cause is an injury/overuse pattern involving the hip muscles, including the gluteus medius muscle and the attachment to the hip bone [femur]. Like any tendon in your body, it joins a muscle to a bone and has a lot of force going through a narrow area. Just like muscles, tendons get stronger with exercise and weaker with disuse. If there is excessive force going through a tendon, and it doesn’t get the chance to recover and heal, and over time the structure of the tendon begins to break down, resulting in gluteus medius tendinopathy.