Hip Pain

What Are the Most Common Causes of Hip Pain?

Issues with your hip often stem from conditions that affect the joint, surrounding muscles, or connective tissues. Understanding these triggers is essential for effective treatment and long-term relief. While some issues develop gradually, others occur suddenly due to injury or strain. Here are the most frequent causes of hop pain and how they impact mobility and comfort:

• Arthritis – Osteoarthritis and rheumatoid arthritis are leading causes of hip pain. These conditions damage cartilage, resulting in stiffness, swelling, and a reduced range of motion.
• Bursitis – Inflammation of the bursae, small fluid-filled sacs that cushion the hip joint, can cause sharp pain on the outer hip. Repetitive activities or prolonged pressure often trigger this condition.
• Hip Fractures – Breaks in the hip bone typically occur after falls or trauma, especially in older adults. Fractures cause severe pain and require immediate medical attention.
• Tendon Injuries – Strains or tears in tendons around the hip often result from overuse or sudden movement. These injuries result in localized pain and difficulty with specific movements.

What Tests Help Diagnose the Cause of Hip Pain?

Accurate diagnosis helps determine effective treatment and achieve long-term relief from hip pain. Healthcare providers use several tests to identify the source of discomfort and determine the best approach for care. These tests provide detailed insights into joint structure, surrounding tissues, and possible underlying conditions. Here are the most common diagnostic methods used to evaluate hip pain:

• Physical Examination – A provider assesses range of motion, strength, and areas of tenderness during a physical exam. This helps identify patterns of pain and possible structural issues.
• X-Rays – X-rays reveal bone alignment, joint space narrowing, and signs of arthritis or fractures. They are often the first imaging test used for evaluating hip pain.
• MRI Scans – MRI provides detailed images of soft tissues, including cartilage, tendons, and ligaments. This test is useful for detecting labral tears or early joint damage.
• CT Scans – CT scans offer cross-sectional images of the hip joint, giving a clearer view of bone structure. They’re often used when X-rays do not provide enough detail.
• Arthrogram – An arthrogram involves injecting contrast dye into the joint before imaging. This technique highlights cartilage and ligament issues that standard scans may miss.

How Does Physical Therapy Compare to Surgery for Hip Pain?

When managing hip pain, physical therapy often serves as a non-invasive alternative to surgery. It focuses on improving joint mobility, strengthening surrounding muscles, and reducing inflammation through targeted exercises and manual techniques. However, surgery may be necessary for severe causes such as advanced osteoarthritis or irreparable structural damage. While surgery provides a direct solution to structural issues, physical therapy supports long-term functionality and minimizes recovery time. Many patients can achieve significant pain relief and improved movement with consistent physical therapy, avoiding the risks and extended downtime associated with surgery.

When Should You See a Doctor for Hip Pain?

Persistent discomfort should never be ignored, especially when it limits daily activities or worsens over time. Severe pain after an injury, sudden inability to bear weight, or swelling around the joint are clear signs that professional care is needed. If pain persists despite rest or over-the-counter medication, scheduling an evaluation is the best step toward effective treatment of hip pain. Early diagnosis can prevent complications and help restore mobility through targeted therapies. Seeking timely care ensures you receive the right treatment plan for lasting relief and improved quality of life.