Many exercises, stretches, and other methods can treat the causes of hip pain.
Bursitis is the swelling and irritation of a bursa. A bursa is a fluid-filled sac that acts as a cushion between muscles, tendons, and joints.
When you have bursitis of the hip, you may notice:
A strain is when a muscle becomes damaged because of pulling or twisting.
This painful injury, also called a "pulled muscle," can be caused by a quick twist or pull of a muscle, overuse of a muscle, or an accident.
A muscle strain may be acute (start suddenly and more painfully) or chronic (be present over a long period of time). The injury may be from over-stretching or from contracting (or tightening) the muscle too strongly or too many times.
The muscles are often grouped based on which direction they move your hip.
When you have a muscle strain around your hip, you may notice:
Tendons are tough bands of tissue that connect muscles to bones. Tendinitis refers to swelling and irritation of a tendon. Tendinitis may be acute (start suddenly and more painfully) or chronic (be present over a long period of time).
Tendinitis can be caused by a quick twist or pull or by overuse of a muscle. As a person ages, their tendons become less elastic, or stretchable, and tendinitis is more likely to occur.
Iliotibial band syndrome is a hip disorder related to irritation or injury of the thick band that runs from the side of your hip to the outside of your knee.
When you have tendinitis, you may notice:
The hip joint is a ball (head of your thigh bone, called a femur, or leg bone) and socket (part of the pelvic bone) type of joint. Very strong cartilage, called the labrum, attaches along the rim of the hip socket.
The labrum makes the socket a little deeper and provides stability to your hip joint. It also helps cushion your hip joint.
A torn labrum may happen:
When you have a torn labrum, you may notice:
Snapping hip syndrome is when you hear or feel a snapping sensation when walking, getting up, or swinging your leg around. The snapping is from a tendon moving over a part of a bone in or near your hip.
Most of the time there is no pain. Younger athletes and dancers may complain of this problem. Bursitis may develop and cause some pain.
If the pain becomes more severe, or your hip joint seems to catch or lock up, you may have a more serious injury in your hip joint.
The hip joint is made up of a ball (the head of the femur, or leg bone) and socket (part of the pelvic bone).
Extra bone may grow on either the ball or the socket because of arthritis.
As a result, when your hip moves to its range of motion, the cartilage or the labrum is pinched (or impinged) by the extra bone. The cartilage and the labrum help to cushion the hip joint. Over time, they are damaged and may wear away or even tear.
This problem may also be called femoroacetabular impingement (FAI). The extra bone growth can be normal, or it may result from trauma, fractures, and certain hip problems occurring in childhood.
Repeated stress from playing certain sports may also cause this syndrome. Hockey, soccer, and football players, as well as runners, may develop this problem.
When you have impingement syndrome, you may notice that:
When the hip truly locks, it is a sign of a tear or other damage to the labrum.
Bennell KL, Buchbinder R, Hinman RS. Physical therapies in the management of osteoarthritis: current state of the evidence. Curr Opin Rheumatol. 2015;27(3):304-311. PMID: 25775185 www.ncbi.nlm.nih.gov/pubmed/25775185.
Bennell KL, Egerton T, Martin J, et al. Effect of physical therapy on pain and function in patients with hip osteoarthritis: a randomized clinical trial. JAMA. 2014;311(19):1987-1997. PMID: 24846036 www.ncbi.nlm.nih.gov/pubmed/24846036.
Cameron M, Chrubasik S. Oral herbal therapies for treating osteoarthritis. Cochrane Database Syst Rev. 2014;5:CD002947. PMID: 24848732 www.ncbi.nlm.nih.gov/pubmed/24848732.
Cibulka MT, Bloom NJ, Enseki KR, Macdonald CW, Woehrle J, McDonough CM. Hip pain and mobility deficits-hip osteoarthritis: revision 2017. J Orthop Sports Phys Ther. 2017;47(6):A1-A37. PMID: 28566053 www.ncbi.nlm.nih.gov/pubmed/28566053.
Clarke A, Pulikottil-Jacob R, Grove A, et al. Total hip replacement and surface replacement for the treatment of pain and disability resulting from end-stage arthritis of the hip (review of technology appraisal guidance 2 and 44): systematic review and economic evaluation. Health Technol Assess. 2015;19(10):1-668. PMID: 25634033 www.ncbi.nlm.nih.gov/pubmed/25634033.
Doroshow JH. Malignant tumors of bone, sarcomas, and other soft tissue neoplasms. In: Goldman L, Shafer AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 202.
Goodnough LT, Monk TG. Patient Blood Management. In: Miller RD, Cohen NH, Eriksson LI, Fleisher LA, Wiener-Kronish JP, Young WL, eds. Miller's Anesthesia. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 57.
Harkess JW, Crockarell JR. Arthroplasty of the hip. In: Azar FM, Beatty JH, Canale ST, eds. Campbell's Operative Orthopaedics. 13th ed. Philadelphia, PA: Elsevier; 2017:chap 3.
Hayashi J, Leff B. Home care. In: Ham RJ, Sloane PD, Warshaw GA, Potter JF, Flaherty E, eds. Ham's Primary Care Geriatrics. 6th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 12.
Hochberg MC, Altman RD, April KT, et al. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologictherapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res (Hoboken). 2012;64(4):465-467. PMID: 22563589 www.ncbi.nlm.nih.gov/pubmed/22563589.
Huddleston JI, Goodman S. Hip and knee pain. Firestein GS, Budd RC, Gabriel SE, McInnes IB, O’Dell JR. Kelley and Firestein’s Textbook of Rheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017:chap 48.
Lavelle DG. Hip resurfacing. In: Azar FM, Beaty JH, Canale ST, eds. Campbell's Operative Orthopaedics. 13th ed. Philadelphia, PA: Elsevier; 2017:chap 4.
Leong M, Murphy KD, Phillips LG. Wound healing. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 20th ed. Philadelphia, PA: Elsevier; 2017 chap 6.
Lieberman JR, Engstrom SM, Solovyova O, Au C, Grady JJ. Is intra-articular hyaluronic acid effective in treating osteoarthritis of the hip joint? J Arthroplasty. 2015;30(3):507-511. PMID: 25542833 www.ncbi.nlm.nih.gov/pubmed/25542833.
Lowe CJ, Davies L, Sackley CM, Barker KL. Effectiveness of land-based physiotherapy exercise following hospital discharge following hip arthroplasty for osteoarthritis: an updated systematic review. Physiotherapy. 2015;101(3):252-265. PMID: 25724323 www.ncbi.nlm.nih.gov/pubmed/25724323.
Manyanga T, Froese M, Zarychanski R, et al. Pain management with acupuncture in osteoarthritis: a systematic review and meta-analysis. BMC Complement Altern Med. 2014;14:312. PMID: 25151529 www.ncbi.nlm.nih.gov/pubmed/25151529.
Matteson EL, Osmon DR. Infections of bursae, joints, and bones. In: Goldman L, Shafer AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 272.
Percope de Andrade MA, Campos TV, Abreu-E-Silva GM. Supplementary methods in the nonsurgical treatment of osteoarthritis. Arthroscopy. 2015;31(4):785-792. PMID: 25633815 www.ncbi.nlm.nih.gov/pubmed/25633815.
Schnitzer TJ, Marks JA. A systematic review of the efficacy and general safety of antibodies to NGF in the treatment of OA of the hip or knee. Osteoarthritis Cartilage. 2015;23 Suppl 1:S8-S17. PMID: 25527221 www.ncbi.nlm.nih.gov/pubmed/25527221.
Sershon R, Balkissoon R, Valle CJ. Current indications for hip resurfacing arthroplasty in 2016. Curr Rev Musculoskelet Med. 2016;9(1):84-92. PMID: 26830851 www.ncbi.nlm.nih.gov/pubmed/26830851.
Svege I, Nordsletten L, Fernandes L, Risberg MA. Exercise therapy may postpone total hip replacement surgery in patients with hip osteoarthritis: a long-term follow-up of a randomised trial. Ann Rheum Dis. 2015;74(1):164-169. PMID: 24255546 www.ncbi.nlm.nih.gov/pubmed/24255546.
U.S. Food and Drug Administration. U.S. Department of Health and Human Services. Blood and blood products. www.fda.gov/BiologicsBloodVaccines/BloodBloodProducts/default.htm. Updated February 2, 2018. Accessed November 13, 2018.
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