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Hip Pain

Information to help you understand your symptoms and who to consult for prevention or treatment.

Hip pain interferes a lot with everyday activities because the hip plays an important role in how we move around. Various healthcare professionals can help you relieve pain, stiffness, or inflammation to get your hip back to normal function.

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What are the symptoms of a hip problem?

The most common symptom is pain, usually located in the groin, on the side of the hip, or in the buttock region. The pain may sometimes radiate down into your thigh. In some cases, the pain can be constant, while in others it may be associated with specific movements. The second most common symptom is joint stiffness, limiting the full mobility of your hip. Some people may feel a “click” during movement or experience a loss of balance when bearing weight on the affected leg. Visible swelling in the hip area is relatively rare, even if an inflammatory process is present.

What are the main causes of hip pain?

Several factors can explain hip pain, in both men and women. The location of the pain can provide clues about the cause.

  • Pain in the groin is often related to a joint issue, such as osteoarthritis.
  • Pain on the side of the hip is often related to bursitis or tendinitis.
  • Pain in the buttock region is often related to tendinitis or involvement of the sciatic nerve.

Hip osteoarthritis

Osteoarthritis is caused by the wear and tear of the cartilage that covers the ends of the bones. It is a natural, gradual degenerative process of the joints that occurs throughout adulthood and will eventually affect everyone as they age. Osteoarthritis can remain painless for a long time. It generally becomes symptomatic when friction between the bones becomes too significant. Typical symptoms include deep pain inside the joint and/or in the groin. Osteoarthritis also causes stiffness, which leads to reduced hip mobility. Some people experience joint crepitus or sensations of catching.Is it good to walk with hip osteoarthritis?

Yes! It is essential to stay active to nourish your joints. Joint movement promotes a natural lubrication process that helps limit and prevent stiffness. However, if you are limping or experiencing pain while walking, it may be appropriate to use an assistive device to help you stay active without worsening the situation. Some activities are gentler on your hip than others. Advice from a physiotherapist can help you choose appropriate activities and/or adapt them to your condition to minimize discomfort.

Read our article on the benefits of walking for osteoarthritis.

Sciatic nerve pain

Pain caused by irritation of the sciatic nerve typically presents as pain (often described as burning), tingling, numbness, or even electric shock-like sensations in the affected leg, following the path of the sciatic nerve. The pain may occur anywhere from the lower back to the foot and is sometimes accompanied by lower back pain. It is generally worse in prolonged positions (for example, sitting or standing for long periods) or in positions that stretch the leg.

Irritation of the sciatic nerve, known as sciatica, is usually caused by irritation or compression of the nerve, either at its root in the lumbar spine or elsewhere along its path in the leg. At the hip level, compression often occurs in the piriformis muscle (also called the pyramidal muscle), located in the buttock region. When this muscle compresses the sciatic nerve, it is referred to as piriformis syndrome.

Hip bursitis

Hip bursitis is inflammation of a bursa, an anatomical structure that resembles a small fluid-filled sac. Bursae are usually located near bones and help absorb shock and reduce friction between tendons, muscles, and bones.

With prolonged compression of a bursa, a direct impact (for example, following a fall), repeated and unusual muscle contractions, or a muscle imbalance, inflammation can develop and cause pain.

The most common type of hip bursitis is trochanteric bursitis, located on the outer side of the upper thigh. It mainly presents as pain on the side of the hip, which may sometimes radiate to the thigh or buttock. The pain is generally present when lying on the affected side, sitting with legs crossed, walking, climbing stairs, or exercising.

In some cases, swelling around the hip may be observed, along with redness and warmth due to inflammation.

Hip tendinitis

Tendinitis is inflammation of a tendon, the structure that connects muscle to bone, usually following a significant or unusual muscle contraction or impact. It is often confused with tendinosis, which is more common and refers to chronic tendon irritation often caused by repetitive movements. At the hip, the gluteal muscles are frequently involved.

The main causes of hip tendinitis include repetitive movements, excessive or unusual demands during a task or activity, working in awkward postures, or increasing certain training parameters too quickly.

Hip tendinitis generally presents as pain in the buttock region and/or on the side of the hip. There may be some limitation in hip mobility as well as muscle weakness, often leading to changes in walking pattern, difficulty climbing stairs, or difficulty performing certain sports movements.

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How can you relieve hip pain?

It is essential to remain active even when a hip condition occurs, but you must ensure that the type and intensity of your activities do not increase the pain you are experiencing. You can apply ice or heat, depending on what provides the most relief. Using an assistive device such as a cane can reduce weight-bearing on the affected leg by approximately 25% and help improve your hip condition.

Expert tip: relieve pain with heat

Try applying heat to your hip using a heating pad or a moist pack warmed in the microwave. Apply it to the painful area for 15 to 20 minutes. If the pain increases, stop using it. If it decreases, repeat several times a day to promote movement, which is essential for healing. Pay attention to your symptoms: if the pain increases, take a break.

Which professional should you consult?

Different healthcare professionals often work together to maximize results. If you are unsure, we recommend first consulting a physiotherapist who can assess your needs and determine the appropriate treatments for your specific hip condition. If necessary, they will recommend the appropriate professional(s) to optimize your rehabilitation.

Why consult a physiotherapist?

After a thorough assessment of your hip, a physiotherapist will explain which structures are affected and offer you a treatment plan based on your goals. Different options can be considered such as exercises specific to your condition, joint mobilizations, muscle relaxation techniques, etc. Your physiotherapist will also give you advice on how to relieve pain and get back to your activities.

Learn more about physiotherapy

Why consult an occupational therapist?

An occupational therapist will assess the impact of your hip condition on your normal abilities such as working, doing household chores and hobbies. Their treatments, which can take the form of strengthening exercises or simulating work tasks, for example, will help you maximize your autonomy at each stage of your recovery.

Learn more about occupational therapy

Why consult an osteopath?

Using various manual techniques, an osteopath will treat mobility restrictions that can affect all the structures of your body (bones, muscles, ligaments, viscera, etc.) related to your hip. Improved mobility enables the body to recover better and decreases pain.

Learn more about osteopathy

Why consult a massage therapist?

A massage therapist will work primarily to release tension in the superficial and deep tissues that affect your hip to help you reduce pain and move more freely. Their treatments will also help increase blood circulation to promote better recovery.

Learn more about massage therapy

Why consult an acupuncturist?

Through various techniques and using therapeutic tools such as needles and suction cups, an acupuncturist will act to reduce pain, stress, muscle tension and inflammation that can occur following a hip injury.

Learn more about acupuncture

Why consult a kinesiologist?

A kinesiologist will teach you how to do adapted exercises, based on their evaluation of your ability to move your hip and your physical condition, so that you can resume your activities.

Learn more about kinesiology

Frequently asked questions (FAQ)

Is hip pain different in women and men?

There is no systematic difference, but certain conditions may be more common depending on sex. An assessment is necessary to determine the exact cause of the pain.

What does pain directly in the hip joint mean?

Pain located in the joint itself may stem from osteoarthritis or damage to the joint surfaces. However, an evaluation is required to identify the specific structure involved.

Why does my hip hurt at rest?

Pain that is present at rest is often a sign that an inflammatory process is ongoing.

Why does my hip hurt when I walk?

Pain while walking is often linked to a mechanical component. It may be associated with tendinitis, bursitis, or osteoarthritis.

Why does my hip hurt when I lie on my side?

When you lie on your side, you compress the trochanteric bursa as well as certain gluteal tendons. If tendinitis or bursitis is present, this position tends to trigger pain.

What does sudden hip pain mean?

Sudden pain may be caused by an acute inflammatory flare-up.

Why does the pain radiate to the thigh (right, left, or outer thigh)?

Pain may spread to the thigh depending on the structure involved (tendon, bursa, joint, etc.).

Why does the pain travel down to the foot?

When pain travels from the hip down to the foot, it may be related to irritation of the sciatic nerve.

What does pain at the top of the thigh mean?

Pain localized at the top of the thigh is frequently associated with a muscular, tendon, or bursal condition.

Why do I have hip and pelvic pain at the same time?

The sacroiliac joint (pelvis) is very close to the hip joint. A problem in either area can therefore generate pain that radiates to the other region.