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Hip Pain: Causes, Symptoms, Treatment, and Cost

Last Updated: Jul 06, 2023

What is Hip Pain?

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Hip pain is a frequent problem that can be brought on by many different issues. The hip pain's exact location may hold important information about its actual reason.

The hip joint is strong, yet it is not unbreakable. The cartilage may deteriorate or suffer injury with time and usage. Muscles and hip joints get excessively used. Sometimes while accidents, or by falling hip bones and muscles get torn or fractured.

Types of Hip Pain

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Hip pain might be due to a number of reasons. There are different types of hip pain. These include:

Hip Osteoarthritis

Hip osteoarthritis is a prevalent condition that can cause excruciating joint pain and impairment. Degenerative joint diseases like osteoarthritis gradually deteriorate the joint over time.

It is the most prevalent type of hip arthritis. Hip osteoarthritis usually results from aging-related damage to the joints and worsens with time.

Hip Bursitis

Bursae are situated amid tissues comprising bones, muscles, and tendons. They minimize the force produced by the friction of these tissues. Bursae lead to pain when they get inflamed.

Bursae swelling is typically brought on by jerking movements that strain or hurt the hip joint.


Labral Tear

The cartilage ring (labrum), which circles the hip joint socket on the outside, is affected by a hip labral tear. In addition to protecting the hip joint, the labrum functions as a gasket or rubber seal to keep the ball situated at the top of the thigh bone firmly inside the hip socket. causes of hip labral tears Hip, groin, or buttock pain, especially when running or walking, and occasionally while you're sleeping. stiffness or restricted movement range in the hip. a clamping or snapping sound as you flex your hip joint.

Hip Impingement

When the femoral head (hip ball) presses up on the acetabulum, it causes hip impingement, also known as femoroacetabular impingement (FAI) (cup of the hip). When this takes place, the labrum—the cartilage which protects the acetabulum—may sustain damage, which can result in hip stiffness and pain as well as arthritis.

Ankylosing Spondylitis

Back muscles and hip discomfort and soreness may be the first signs and symptoms of ankylosing spondylitis, particularly in the early morning and then after prolonged periods of inactivity. The axial skeleton is the main target of ankylosing spondylitis (AS). AS sufferers frequently experience hip pain.

What are the symptoms of Hip Pain?

Hip pain doesn't originate in a day. It gives certain signs and symptoms. You may feel pain in any of the following areas, based on the problem causing the hip pain:

  • Inside of the hip joint,
  • On the outside of hip joint
  • Groin
  • Buttocks
  • Hip pain can also expand itself to other parts of the body, like the back.

If you are suffering from arthritis, you might notice that your discomfort grows worse when you move around. You can also experience a limited range of movement in addition to the pain. Some persons who experience chronic hip pain have a limp.

What causes Hip Pain?

Hip pain may be caused by many factors. Some of them include:

  • Arthritis: Particularly among elderly persons, rheumatoid and osteoarthritis are two of the most prevalent reasons for hip pain. Arthritis causes the cartilage that protects the hip bones to disintegrate and inflame the hip joint. The discomfort intensifies over time. People who have arthritis also experience discomfort and have less hip motion range.
  • Hip fractures: The joints may weaken and fracture as we grow older. During an accident, fragile bones are more susceptible to breaking.
  • Bursitis: Bursae are situated amid tissues comprising bones, muscles, and tendons. They minimize the force produced by the friction of these tissues. Bursae lead to pain when they get inflamed. Bursae swelling is typically brought on by jerking movements that strain or hurt the hip joint.
  • Tendinitis: Tendons are the substantial tissue bands which join bones to muscles. Swelling or irritability in the tendons is known as tendinitis. Overuse-related repetitive stress is typically the reason.
  • Tendon or muscle tension: The ligaments, tendons, and muscles which support the hips can get strained from repetitive motions. Overusing them can lead to inflammation, which can hurt and impair the hip's natural function.
  • Hip labral damage: It's a tear in the labrum, a band of cartilage which surrounds the outer rim of the hip's socket. The labrum supports the hip joint in addition to serving as a silicone seal to keep the ball at the tip of the thigh bone firmly inside the hip socket. The likelihood of getting this condition is greater in twisting motion repeaters and athletes.
  • Cancers: Hip pain, along with discomfort in plenty of other bones throughout the body, can be brought on by tumors that begin in the bones or which move to the bone.
  • Osteonecrosis: Blood circulation to the pelvic bone gradually decreases and the bone tissue deteriorates in this situation. Avascular necrosis typically affects the hips, although it may also happen to certain other bones. Along with other things, it can result from long-term usage of high-dose steroids, hip fractures or displacement, or both.

What are the Risk Factors of Hip Pain?

Hip pain might lead to various risks if left unattended. Some of them include:

  • Arthritis,
  • Inflammatory and noninflammatory arthritis
  • Fracture
  • Sprain
  • Infectious arthritis (septic arthritis)
  • Avascular necrosis
  • Gaucher's disease
  • Sciatica
  • Muscle strain
  • Iliotibial band syndrome (IT band syndrome), and
  • Hematoma

How can you prevent Hip Pain?

Hip pain might become the bone in your throat if it aggravates with time. However you might prevent it in certain ways. You can avoid hip pain by evading any action which hurts the hip joint. Injury while playing sports also comes under this category.


Keep a Normal Weight, Adopt Good Alignment, and Support Your Knees and Hips While You Rest.

Use sturdy, comfy shoes, warm up prior to and after exercise, and try stretching.

Include strength exercises in your routines and make necessary modifications to the exercises.


Avoid frequent hip flexion and applying pressure directly to the hips. Try to refrain from sleeping on the afflicted side and limit your time spent seated.

Hip Pain - Diagnosis and Tests

There are a number of methods and techniques which are used to diagnose hip pain.

Medical experts use a medical examination and a medical history background to identify hip discomfort.

Pain: Exacerbating postures can be found using physical examination techniques like inwardly and outwardly twisting the hip.

By pressing on swollen areas, one can evoke pain. Sciatica symptoms can be identified by straight leg lifting.

To clarify the specific reasons for hip pain, imaging investigations such as X-rays, CT scans, and MRIs could be prescribed. Nuclear medicine bone scanning is occasionally used to visualise inflammatory or broken bones.

What are possible complications of Hip Pain?

Hip Pain might lead to severe complications like:

  • Discomfort or stiffness in the hip joint.
  • Groin, outer hip, thigh, or buttocks pain.
  • Difficulty lifting the legs or hips.
  • Resting on the hip becomes painful.
  • Hip snapping or cracking noises

Home Remedies for Hip Pain?

Using ice packs on the hip for more than 10 minutes might reduce the pain. As much as you can, try to relax the injured bone till you start feeling better. Another option is to try warming the area. A hot shower or bath might assist your muscles get prepared for pain-relieving exercises.

Stretching, strength exercises, and minimal hip exercises can all help arthritis sufferers feel less discomfort and have better joint function. For people with arthritis, swimming is a terrific low-impact exercise. The motion range might also be improved with physiotherapy.

What to eat in Hip Pain?

A good diet may help to relieve hip pain. Certain foods that reduce the pain include:

Fish oils and omega-3 fatty acids, nuts, seeds, vegetables, colourful fruits, olive oil, lentils and beans, garlic, and root vegetables, as well as whole grains.

What not to eat in Hip Pain?

Consuming certain food items might aggravate the pain. Patients should avoid foods like:

Nitrites and purines are found in processed foods. These substances worsen joint discomfort and swelling. Hamburgers, meat and sausages are examples of cured foods that are to be shunned.

Why You May Have Hip Pain When You’re Sitting

Hip pain might be severe while you are sitting. There might be a reason for it.

Hip pain while sitting could be caused by bad alignment and posture, however if you sit for 40 to 50 hrs a week for five to six months or more, you definitely have weaker hips. The buttocks, core, and hip extensors will be lower once you eventually get out of your chair and you won't be feeling as strong.

Hip Pain Treatments

The specific reason for the hip pain will determine how it is treated.

Rest, avoiding compressive load, applying ice, and anti-inflammatory drugs are all possible treatments of hip pain. Injections of cortisone medicine (steroids) may occasionally be used to reduce localized swelling.

Medicines are given if an infection exists. Surgery to cure fractures, such as pins, screws and plates and complete joint replacement, may be necessary. If viable, total joint replacement is done for severe arthritis.

Which doctor to consult for Hip Pain?

Hip pain is treated by orthopedic surgeons, general physicians, and family doctors, rheumatologists, and sports medicine experts. Hip pain is frequently treated by physiotherapists and doctors who specialize in rehabilitation.

Who is not eligible for the treatment?

Pain killers or non-steroidal anti-inflammatory medicines like naproxen or ibuprofen acetaminophen help reduce hip pain to a great extent.

How long does it take to recover from Hip Pain?

The majority of issues should be resolved after six weeks. It's an excellent idea to discuss your problems with a medical professional if your hip issue has not been resolved after following this advise for six weeks.

Are the results of the treatment permanent?

The treatment's effects last forever. Nevertheless, patients must take great care to avoid putting the hip in risk of getting hurt. Elderly patients undergoing hip replacement surgery must be treated with great consideration.

Who is eligible for the treatment?

People who exhibit problems such as hip swelling, groin or joint pain, limping, loss of hip mobility, sleeping problems because of the pain, etc. are all suited for the procedure.

Who is not eligible for the treatment?

People who don't have any symptoms of hip pain or discomfort are not eligible for the treatment.

What are the post-treatment guidelines?

Patients who have undergone hip replacement surgery must be cautious not to overstress their bodies. It is acceptable to engage in light exercise. For an acceptable period of time, such persons are not permitted to drive.

Individuals don't need to take a significant break from their regular activities if their hip discomfort is mild. Physicians recommend optimal activity to maintain fitness and well-being.

What is the price of Hip Pain treatments in India?

You may have to pay between Rs 3 and 8 lakhs for surgical treatment. The cost of the treatment differs based on the healthcare facility. You can be charged between Rs. 100 and Rs. 500 for using medicine.

The physician's appointment fee might start from Rs 400 and can go upwards based on the doctor's price.

What are side-effects of Hip Pain treatments?

Hip pain treatments range from painkiller medicines to hip replacement surgeries. These might also lead to some negative effects

Ibuprofen, naproxen, and acetaminophen are examples of drugs with side effects that include sleepiness, diarrhea, dysentery, stomachache, swelling, moderate irritation, and ringing of the ears.

Risks with surgery for hip replacement might include displacement, fractures, inflammation, and alterations in the length of the leg.

Hip Pain - Outlook / Prognosis

The cause and outcome of treatment determine the hip pain outlook. The majority of minor sprain injuries have a favourable prognosis and heal quickly in response to home treatments.

Addressing the issue requires first visiting a doctor. By rotating the hips internal and external, one can identify postures that cause pain. If the hip pain has a root cause or problem, appropriate treatment cannot begin until a doctor has been consulted and the root issue has also been addressed.


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Written ByDr. Sidharth Verma PDCC - Pain Management,MD - Anaesthesiology,DNB Anaesthesiology,MBBSOrthopaedics
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