Condition
Most hip pain comes from hip flexor tightness, gluteal weakness, SI joint dysfunction, or referred pain from the lumbar spine. We identify the exact cause and treat it.
Your hip pain is not a mystery. It has a cause. Usually, it’s one of a few specific structural problems — hip flexor tightness, gluteal weakness, SI joint dysfunction, or referred pain from your lumbar spine — that produce predictable patterns and respond to targeted treatment.
Most people with hip pain either stop doing the activities they love or chase pain relief without understanding what actually broke. You can’t fix hip flexor tightness with painkillers. You can’t resolve gluteal weakness with stretching. You can’t correct a lumbar spine problem by treating the hip.
The Endura Method treats hip pain differently. We start with a complete structural assessment: your hip joint mobility, hip muscle strength and tightness, lumbar spine alignment, SI joint position and mobility, and movement patterns. That assessment reveals the actual problem — whether it’s hip flexor tightness, glute dysfunction, SI joint misalignment, or referred pain from your lower back.
Once we know what’s broken, treatment is straightforward. If it’s hip flexor tightness, we release it and restore mobility. If it’s glute weakness, we activate and strengthen it. If it’s SI joint dysfunction, we correct it. If it’s lumbar-referred pain, we address the spine. Everything is targeted to the root cause, not just symptom management.
Most patients notice meaningful improvement in two to three visits. That’s because we’re treating the problem, not masking the symptom.
Your hip is built to support your body weight and control movement of your leg. It needs strong muscles (especially glutes) to stabilize it, flexible muscles (especially hip flexors) so you can move freely, and proper alignment of your pelvis and SI joint to distribute load evenly. When any of these fail, pain follows.
Hip flexor tightness: Your hip flexors (iliopsoas) bring your leg toward your chest. Sitting shortens them. Over time — especially if you sit for work — they get tight. Tight hip flexors tilt your pelvis forward, increasing lumbar curve, changing how your hip joint loads, and creating anterior hip pain. They also weaken your glutes by putting them in a lengthened position.
Gluteal dysfunction and weakness: Your glutes are your hip stabilizers. They control how your hip moves during walking, running, and single-leg activities. When they’re weak or inhibited (often because tight hip flexors are suppressing them), your hip becomes unstable. Your hip joint takes more load, and pain follows. Hip pain from glute weakness is extremely common in desk workers and sedentary people.
Piriformis tightness: Your piriformis is a small muscle deep in your buttock. When it’s tight or has trigger points, it can produce referred pain into the buttock and hip. Sometimes it irritates the sciatic nerve, causing leg pain. Piriformis syndrome is often misdiagnosed as sciatica.
SI (sacroiliac) joint dysfunction: Your SI joint connects your sacrum to your pelvis. It’s designed to be stable, not mobile. When it shifts out of alignment or loses stability, it can produce buttock pain, hip pain, or referred pain down one leg. SI dysfunction often happens after falls, pregnancy, or from chronic pelvic misalignment.
Referred pain from the lumbar spine: Your L4 and L5 nerve roots travel to your hip and leg. If your lumbar spine is misaligned, has a disc bulge, or has facet joint problems, you can get referred pain into your hip, buttock, or leg. This pain can mimic local hip problems but requires spine treatment, not just hip work.
Visit one is diagnostic. You describe your pain patterns, we assess your hip joint, your hip muscles, your pelvis position, your lumbar spine, and your movement patterns. We identify whether your problem is local hip dysfunction or referred from your spine. You leave with a diagnosis and a specific plan.
Treatment typically includes hip flexor release and lengthening, glute activation and strengthening, SI joint correction if needed, lumbar spine mobilization if the pain is referred, movement pattern retraining, and activity modification. We also address whatever daily pattern (sitting, running, lifting) may be contributing.
Most patients notice improvement in 2–3 visits as hip mobility improves, glutes activate, and referred pain resolves. The full course of 6 visits is designed to restore hip stability and lumbar-hip coordination so you can return to your activities pain-free.
If you complete all 6 visits, follow the home protocol, and don’t experience a meaningful improvement in your ability to do the activity pain was keeping you from — the next two visits are on us. No asterisks. No awkward conversations. No fine print.
Many practitioners treat hip pain as a chronic management issue. Stretch, strengthen, rest, repeat. It provides temporary relief, but pain often returns because the root cause was never identified. Is your pain from tight hip flexors? Weak glutes? SI joint dysfunction? Lumbar-referred pain? Different causes need different treatments.
The Endura Method is different. We don’t manage hip pain. We resolve it. That’s why the guarantee exists. If the structural problem is resolved, the pain goes away. If it doesn’t, we keep working — at no charge.
Hip pain doesn’t have to limit your movement or keep you from the activities you love. It’s a structural problem with a specific solution. Call Dr. Devon at (647) 951-5841 to discuss your case and find out whether the Endura Method can close the gap between who you are now and who you were before the pain.
We assess your hip joint, hip muscles, lumbar spine, and SI joint to identify whether your pain is local to the hip or referred from your lower back. Treatment targets the root cause directly — releasing tight hip flexors, activating glutes, correcting SI joint dysfunction, and addressing lumbar spine problems if present. You leave with [a plan](/method) and all six visits scheduled.
Not always. Hip pain can be localized to the hip joint and muscles, or it can be referred pain from your lumbar spine (which can look like sciatica). Dr. Devon will assess your lumbar spine, SI joint, and hip musculature to identify the source. Treatment depends on where the pain is actually coming from.
Sitting shortens your hip flexors and glutes. Over hours, tight hip flexors tilt your pelvis, changing the load on your lumbar spine and hip joint. Weak glutes mean your hip stabilizers aren't working, so your hip joint takes more load. When you stand up, pain follows. We address both the tightness and the weakness.
Yes. Your L4 and L5 nerve roots travel to your hip and leg. If your lumbar spine is misaligned or has a disc problem, you can get referred pain into your hip, buttock, or leg. We always assess your lumbar spine when evaluating hip pain.
Some movements will aggravate the problem; others will help fix it. During your first visit, Dr. Devon will identify which movements are safe and which to avoid. Treatment includes specific exercises designed to restore hip strength and mobility.
You'll speak directly with Dr. Devon — not a receptionist.