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Comprehensive Overview of Hip Pain Causes and Solutions

Writer: Sara Becker, PT, DPTSara Becker, PT, DPT

Hip pain can be a frustrating and limiting condition, affecting everything from daily movement to sleep quality. Whether you’re experiencing hip pain at night, hip pain on both sides, or discomfort localized to the hip joint or muscle, understanding the root cause is the first step toward effective relief. In this guide, we’ll explore common hip pain causes, symptoms, and solutions to help you navigate your path to recovery.

Disclaimer: The content on this site and my posts are for educational and informational purposes only and not meant as medical advice. It is not intended as medical advice or to replace a relationship with a qualified healthcare professional. There is absolutely no assurance that any statement contained or cited in an article touching on medical matters is true, correct, precise, or up-to-date. Please consult a clinician that is familiar with your care, if you have specific questions for your own care.



Common Causes of Hip Pain

1. Arthritis Hip Pain

Arthritis, particularly osteoarthritis, is one of the leading causes of hip joint pain. This degenerative condition results from cartilage breakdown, leading to stiffness, inflammation, and discomfort. Rheumatoid arthritis can also contribute to hip pain due to chronic joint inflammation.

Hip bursitis occurs when the bursae (small fluid-filled sacs that cushion the joints) become inflamed. This can cause sharp pain on the outer hip and worsen with prolonged standing or repetitive movements.

3. Hip Impingement

Femoroacetabular impingement happens when extra bone growths (bone spurs) develop along the hip joint, causing friction and restricting movement. This condition often leads to deep hip joint pain and stiffness.

4. Hip Labral Tears

The labrum is a ring of cartilage that helps stabilize the hip joint. Tears in this structure can lead to pain, clicking, and a feeling of instability in the hip.

5. Muscle Strains and Tendinitis

Overuse, poor biomechanics, or sudden movements can lead to muscle strains or tendinitis in the hip region. This can manifest as hip pain near the groin, on the left side, or the right side, depending on the affected muscle.

6. Sciatica and Nerve Pain

Compressed or irritated nerves, such as the sciatic nerve, can cause radiating pain from the lower back into the hip. This is often confused with hip joint pain but originates from nerve involvement.

7. Hip Pain from Structural Imbalances

Weak core muscles, leg length discrepancies, or altered gait patterns can place excessive stress on the hips, leading to chronic discomfort and instability.


Recognizing Hip Pain Symptoms

Understanding the nature of your hip pain can help pinpoint its cause. Consider the following symptoms:

  • Sharp vs. Dull Pain: Sharp pain often indicates structural damage (e.g., labral tear, impingement), while dull, aching pain is more common with arthritis or muscular issues.

  • Pain at Night: Hip pain at night could suggest bursitis, arthritis, or tight hip flexors compressing nerves.

  • Pain in Specific Locations:

    • Hip pain near the groin: Often related to hip joint issues like arthritis or labral tears.

    • Hip pain on the right side or left side: May indicate a muscle imbalance, tendonitis, or a pinched nerve.

    • Pain on both sides: Can be linked to systemic conditions like inflammatory arthritis or overuse syndrome


Solutions for Hip Pain

1. Targeted Manual Therapy

Hands-on techniques such as myofascial release, dry needling, and neurokinetic therapy (NKT) can help release tension, improve mobility, and address muscular imbalances contributing to hip pain.

2. Stretching and Strengthening Exercises

Incorporating specific exercises to improve hip mobility and strength can be a game-changer. Focus on:

  • Hip flexor and hamstring stretches to reduce tightness

  • Piriformis and hip rotator stretches

  • Glute activation exercises to improve stability

  • Core strengthening to support proper hip alignment

3. Postural and Movement Corrections

Many cases of hip pain are linked to movement dysfunctions. Identifying and correcting improper walking, running, or sitting habits can help alleviate pain over time.

4. Pain Relief Modalities

  • Cupping therapy to improve circulation and relieve muscle tension

  • Cold therapy (e.g., ice massage, cryotherapy) to reduce inflammation. Thermipaq has a a great cold pack that stays cold or purchase a cold massager to roll over the symptomatic area.

  • Heat therapy to relax tight muscles and improve blood flow. Apply a moist heating pad for 15–20 minutes. Avoid excessive heat to prevent burns. NOTE that moist heating pads are the most effective. My favorite brands are Thermophore and Thermipaq

    Please Note: Some links on my site are affiliate links, which means that I collect a small portion of your sale, at no extra cost to you. This helps with the cost of running a website, providing services, etc.

  • Topical Magnesium - our muscles use magnesium to contract and relax so using it topically can decrease muscle tightness (without upsetting your stomach). My favorite is Trace Minerals products, their Magnesium Lotion has been out of stock recently, as I think they're switching to this spray. You can get 20% off with my Fullscript link, you just need to sign-up for an account but can continue to use this indefinitely

5. Lifestyle Modifications

  • Weight management: Reducing excess body weight can decrease joint stress.

  • Ergonomic adjustments: Using supportive footwear and optimizing workstation setup can help minimize strain on the hips.


The Releaseology Difference in Hip Pain

Unlike traditional approaches that focus only on symptom management, Releaseology takes a root-cause approach to hip pain. Through a combination of manual therapy, movement analysis, and nervous system regulation, I identify and treat the underlying dysfunctions contributing to your pain.

If you’re tired of dealing with hip pain and looking for lasting relief, let’s work together to restore balance and function in your body.


Ready to take the next step? Book a session with me today and experience the difference! Your hips will thank you.


These are my three services that include an assessment and evaluation of your pain. If you have specific questions for your care, you can always e-mail me at sara@releaseology.com or text 480.712.0699 or book a virtual consult



Medical Disclaimer

The content on this site and my posts are for educational and informational purposes only and not meant as medical advice. It is not intended as medical advice or to replace a relationship with a qualified healthcare professional. There is absolutely no assurance that any statement contained or cited in an article touching on medical matters is true, correct, precise, or up-to-date. Please consult a clinician that is familiar with your care, if you have specific questions for your own care.


More from Releaseology

Don't forget to check out other resources on my site! You can book a session with me here, find a list of conditions I treat here, find more about me here, learn how to regulate your own vagus nerve and nervous system here and read more on my blog here. Lastly, follow me on my social channels: Facebook, Instagram, YouTube and TikTok!


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Disclaimer: The content on this site and my posts are for educational and informational purposes only and not meant as medical advice. It is not intended as medical advice or to replace a relationship with a qualified healthcare professional. There is absolutely no assurance that any statement contained or cited in an article touching on medical matters is true, correct, precise, or up-to-date. Please consult a clinician that is familiar with your care, if you have specific questions for your own care.

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