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  • Writer's pictureAdam Whatley



The hip joint is a strong joint designed to cope with repeated motion and a fair amount of wear and tear.

The joint is covered with a strong cushion of cartilage that helps prevent friction during movement. Despite its durability, the hip joint is prone to age related degenerative changes; the cartilage can become damaged due to prolonged low level trauma, this then making muscles and tendons in the hip overused.

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Possible causes of hip pain

· Arthritis. Arthritic degenerative conditions such as osteoarthritis (OA) and rheumatoid arthritis (RA) are common causes of hip pain, especially OA in older adults. Arthritis ultimately begins with inflammation of the hip joint and then lead to breakdown of the cartilage, this then leading to complications when pain as the condition further develops. Symptoms include stiffness reduced range of motion and deep hip discomfort.

· Hip fractures. More common with the elderly people as the bones can become weak and brittle.

· Bursitis. Inflammation of a small, fluid-filled sac that prevents friction and protects muscles and tendons from repetitive activities.

· Tendinitis. Tendons connecting muscle to bone. Tendinitis is inflammation of the tendons usually caused by repetitive stress from overuse.

· Muscle or tendon strain. Muscle strains are normally caused from muscular overuse or from a fast hard movement without appropriate warmup. This can then commonly lead to pain and prevent the hip from normal function.

· Cancers. Tumours that start in the bone (bone cancer) or that spread to the bone can cause pain in the hips, as well as in other bones of the body.

· Avascular necrosis. This condition occurs when blood flow to the hip bone is reduced and the bone tissue dies as a result. Avascular necrosis most often occurs in the hip. It can be caused by a hip fracture or dislocation, or from the long-term use of high-dose steroids (such as prednisone), among other causes.

· Other conditions may include – labral damage (a tough cartilaginous ring that goes around the hip socket to provide added stability), hip dislocation, often due to high load trauma.

Also repetitive type injuries may include; illiotibial band syndrome, which is come in runners.


Symptoms can include:

· Thigh pain

· Inside and deep hip joint pain

· Groin pain

· Buttocks pain

· Sometimes pain can refer to other areas of the body, such as the back or groin, can radiate to the hip

You might notice that your pain gets worse with certain activities but also, the hip can get reduced symptoms from activity, this can often be seen with arthritic conditions that cause prolonged stiffness.- activity promoting blood flow to the hip and therefore allowing increased range of motion. Along with the pain, some people may develop a limp from persistent hip pain.

Treatment of Hip Pain

Acute hip pain relief can be aided by 15 minutes of ice a few times a day. If you have arthritis, exercising the hip joint with low-impact exercises, stretching, and resistance training can reduce pain and improve joint mobility. Swimming is a great example.

Here at Dynamic Osteopaths, we focus our attention on finding route causes for why and how the hip may have become injuries in the first place. This may involve a full mobility assessment and then a biomechanical examination, to seek possible predisposing and maintain factors to the hip pain. For example: sacroiliac joint pain or dysfunction is another common cause of hip pain. Osteopathy for hip pain then consists of combined manual therapy and physical therapy to correct factors relating to the problem.

When osteoarthritis becomes so severe that the pain is intense or the hip joint becomes deformed, a total hip replacement (arthroplasty) may be a needed. Osteopathy can often delay this happening in certain cases.

Please doesn't hesitate to contact us (details below_ or your GP is symptoms are persistent, or if you notice swelling, redness, or warmth around the joint. Also, if you have hip pain at night or when you are resting.

Get medical help right away if:

· The hip pain came on suddenly.

· A fall or other injury triggered the hip pain.

· Your joint looks deformed or is bleeding.

· You heard a popping noise in the joint when you injured it.

· The pain is intense.

· You can't put any weight on your hip.

Any further questions or advise please contact Dynamic Osteopaths on:


T: 07966 317712 (Clinic Mobile)


Related Keyword:

Hip joint diagnosis

Hip joint treatmnet and management

Hip joint rehabilitation

Hip injuries and pain.

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