We hypothesize that the addition of a unilateral neutral shoe insert combined with standard physical therapy (PT+SI) will have greater improvements in pain and function at 12 weeks and 6 months compared to physical therapy with sham inserts (PT+Sham) and physical therapy (PT) alone. In addition, we hypothesize that the addition of a neutral shoe insert in the involved limb will immediately improve biomechanics and pain with the single-leg stance test.
Subjects with a history of unilateral hip pain lasting more than three months.
Subjects with a VAS pain score of at least 3/10 localized to the lateral hip.
Subjects with pain with palpation to lateral hip.
Subjects with pain with either resisted hip abduction in relative adduction testing position and/or single leg stance test
Subjects wearing custom foot orthoses at the time of recruitment.
Subjects who endorse current low back pain ≥ 3 on the NRS or lumbar radiculopathy
Subjects with a medical history of spinal or lower limb surgery in the past 6 months.
Subjects with a medical history of total joint replacement of hip, knee, or ankle on the symptomatic side