If Your Hip Hurts, Don't Ignore It: Understanding the Possible Causes and When to Seek Medical Care

Hip pain is a common complaint that affects people of all ages, although it becomes more frequent as we get older. While occasional soreness after exercise may simply result from overuse, persistent or worsening hip pain can sometimes signal an underlying medical condition that deserves attention.

The hip is one of the body's largest and strongest joints. It supports your weight when you stand, walk, climb stairs, and even when you're sitting. Because so many muscles, tendons, ligaments, and bones work together around the hip, pain can originate from many different structures.

Although hip pain is often caused by conditions such as arthritis or muscle strain, it may occasionally indicate a more serious problem. Understanding the possible causes and recognizing warning signs can help you know when it's time to consult a healthcare professional.

What Does the Hip Joint Do?

The hip is a ball-and-socket joint formed by:

• The head of the femur (thigh bone)
• The acetabulum (socket of the pelvis)
• Cartilage that cushions movement
• Strong ligaments that stabilize the joint
• Muscles and tendons that allow movement

Because the hip bears much of your body weight, even minor damage can cause noticeable discomfort.

Image 1 – Anatomy of the Hip Joint

The hip is one of the largest weight-bearing joints in the body and is essential for everyday movement.

1. Osteoarthritis

One of the most common causes of hip pain is osteoarthritis, particularly in adults over the age of 50.

Over time:

• Cartilage gradually wears away.
• Bones begin rubbing against one another.
• Inflammation develops.
• Movement becomes painful.

Common symptoms include:

• Groin pain
• Hip stiffness in the morning
• Pain that worsens after activity
• Reduced range of motion
• Difficulty putting on shoes or socks

Symptoms often develop slowly over several years.

2. Bursitis

Small fluid-filled sacs called bursae reduce friction around the hip.

When these sacs become inflamed, the condition is called bursitis.

Symptoms include:

• Pain on the outside of the hip
• Tenderness when lying on one side
• Pain when climbing stairs
• Discomfort after prolonged walking

Bursitis often improves with rest, physical therapy, and anti-inflammatory treatment when appropriate.

3. Muscle or Tendon Strain

Athletes and physically active individuals frequently experience muscle injuries around the hip.

These may result from:

• Running
• Heavy lifting
• Sudden twisting
• Sports injuries
• Overtraining

Symptoms usually include:

• Sharp pain during activity
• Muscle tenderness
• Swelling
• Difficulty walking

Most mild strains improve with rest and gradual rehabilitation.

Image 2 – Muscles Around the Hip Can Also Cause Pain

Not all hip pain originates inside the joint itself—muscles, tendons, and ligaments are also common sources.

4. Hip Fracture

Hip fractures occur most commonly in:

• Older adults
• People with osteoporosis
• Individuals who experience falls

Typical symptoms include:

• Sudden severe hip pain
• Inability to stand
• Difficulty bearing weight
• One leg appearing shorter or turned outward

A hip fracture is a medical emergency requiring prompt evaluation.

5. Labral Tear

The hip labrum is a ring of cartilage that helps stabilize the joint.

A tear may occur because of:

• Sports injuries
• Repetitive hip movements
• Structural abnormalities
• Degenerative changes

Symptoms may include:

• Clicking or locking sensations
• Groin pain
• Hip stiffness
• Pain during twisting movements

Diagnosis often requires MRI or other specialized imaging.

6. Referred Pain

Sometimes the hip itself is healthy, but pain comes from another part of the body.

Common sources include:

• Lower back problems
• Sciatica
• Sacroiliac joint dysfunction
• Hernias

This is known as referred pain.

Healthcare professionals evaluate both the hip and surrounding structures to identify the true source.

Image 3 – Hip Pain May Originate Outside the Hip

The lower back, pelvis, and hip are closely connected, making accurate diagnosis important.

7. Hip Pain at Night

Pain that worsens while lying in bed may occur with:

• Arthritis
• Bursitis
• Tendon disorders
• Certain inflammatory conditions

If nighttime pain becomes persistent or severe, medical evaluation is recommended.

8. Hip Pain While Walking

Pain during walking may indicate:

• Arthritis
• Tendon injuries
• Muscle weakness
• Hip impingement
• Stress fractures

A healthcare provider may observe your walking pattern (gait) to help identify the cause.

9. Hip Pain with Fever

If hip pain occurs together with:

• Fever
• Chills
• Redness
• Significant swelling
• Inability to move the joint

An infection of the joint (septic arthritis) is one possible cause and requires urgent medical attention.

10. Rare but Serious Causes

Although much less common, hip pain can occasionally be associated with:

• Bone tumors
• Avascular necrosis (loss of blood supply to the femoral head)
• Certain inflammatory diseases
• Metastatic cancer affecting bone

These conditions are uncommon but may be considered when symptoms are persistent, severe, or accompanied by other concerning findings.

Image 4 – Medical Imaging Helps Identify the Cause

X-rays, MRI, CT scans, and ultrasound may be used to determine the underlying cause of persistent hip pain.

Who Is Most at Risk?

Risk factors include:

• Age over 50
• Osteoporosis
• Obesity
• Previous hip injuries
• Repetitive athletic activities
• Rheumatoid arthritis
• Family history of joint disease
• Long-term corticosteroid use (for some conditions)

Not everyone with these risk factors develops hip problems, but awareness can encourage earlier evaluation.

How Is Hip Pain Diagnosed?

Your healthcare provider may recommend:

• Physical examination
• Review of your medical history
• X-rays
• MRI
• CT scan
• Ultrasound
• Blood tests if infection or inflammatory disease is suspected

Treatment depends entirely on the underlying cause.

Treatment Options

Depending on the diagnosis, treatment may include:

• Rest and activity modification
• Physical therapy
• Weight management
• Pain-relieving or anti-inflammatory medications (when appropriate)
• Assistive devices such as a cane
• Corticosteroid injections for selected conditions
• Surgery, including hip replacement, in severe cases

The best treatment plan varies from person to person.

Image 5 – Exercise Can Help Maintain Hip Health

Appropriate strengthening and flexibility exercises may improve hip function and reduce pain for many conditions.

How Can You Protect Your Hips?

Simple lifestyle habits can support long-term hip health:

• Maintain a healthy body weight.
• Stay physically active.
• Strengthen the muscles around the hips and core.
• Stretch regularly.
• Wear supportive footwear.
• Avoid smoking.
• Consume enough calcium and vitamin D if appropriate for your needs.
• Take steps to reduce fall risk, especially in older adults.

When Should You See a Doctor?

Seek medical evaluation if you experience:

• Hip pain lasting more than a few weeks.
• Pain that interferes with walking.
• Pain after a fall or injury.
• Swelling or redness around the hip.
• Fever with hip pain.
• Inability to bear weight.
• Severe or worsening pain.
• Pain accompanied by unexplained weight loss or persistent nighttime symptoms.

Prompt assessment is especially important if symptoms are sudden or severe.

Final Thoughts

Hip pain is not always a sign of a serious condition, but it should never be ignored if it is persistent, worsening, or affecting your daily activities. In many cases, the cause is something treatable, such as arthritis, bursitis, or a muscle strain. Less commonly, hip pain may point to fractures, infections, or other significant medical conditions that require timely care.

The key is not to assume the cause based on symptoms alone. A proper evaluation by a qualified healthcare professional can identify the underlying problem and guide the most appropriate treatment. Early diagnosis often leads to better pain control, improved mobility, and a higher quality of life.