The hip joint is a ball and socket joint that connects the ball-shaped top of the leg bone (femur) to the hip socket. It is a strong, stable joint that can endure a lot of stress. Of course, there are limits. Hip pain is common and has many causes. Common causes of hip pain include:
Fortunately, there are actions you can take that will allow you to keep going. Here are some home treatments that may help relieve your pain.
Rest your hip when you need to and avoid any activity that causes pain. Complete rest is not necessary as movement helps keep the joint strong and flexible. If you workout on a regular basis, try different exercises until your hip feels better. Consider using a cane or crutches to help keep weight off your hip while it heals.
Recovery may take up to two weeks or more.
Ice and heat are used frequently, but it can be confusing to know which is better. Ice is used for acute injuries during first few days to reduce swelling and pain. Heat can be used for more chronic pain. Heat increases blood flow to affected area while relaxing and loosening the tissues. Heat can also be used before you exercise, especially if you have an overuse injury.
In general, apply ice and heat for up to 20 minutes at a time. Be sure to use a towel between the ice or heat pack to avoid irritation to your skin.
In most cases, you can take an over-the-counter nonsteroidal anti-inflammatory drug (NSAID). NSAIDs, such as aspirin, ibuprofen, or naproxen help relieve both swelling and pain. Be aware that long-term NSAID use is associated with many adverse effects, including gastrointestinal bleeding and drug interaction. Talk to your doctor before taking pain relievers to avoid these problems.
Physical therapy can help reduce pain with specific exercises that can help with stretching, strength training, and flexibility. Ice, heat, and ultrasound can help eliminate pain and restore movement. You may need to do some exercises at home in between visits.
Return to normal activity may take time and should go slowly. Do not return to activity or sports until your doctor says it is okay to do so.
Bad health habits add stress to your joints. If you are overweight and do not exercise, it may contribute to or worsen your pain. Any movement is better than no movement. Start with short walks a few times a day. Your goal should be to get at least 30 minutes on most days of the week.
Losing as little as 10 pounds reduce pain and will help you feel better. If you need help with how to lose weight, consider talking to a dietitian who can help you with meal planning.
If your pain was activity related, here are some steps you can take to prevent recurrence:
If home treatments do not work and you still have pain after a couple of weeks, it may be time to call your doctor for an appointment. Hip pain can be a sign of more serious problems. Your doctor will give you a physical exam and ask about your hip pain history. Call your doctor for:
You may be referred for blood tests, x-rays, or other imaging tests. Treatment for your hip pain will depend on the underlying cause. Treatment may include:
Some aches and pains are normal, while others need more attention. Do not neglect your hip pain. If you have any questions about hip pain or treatments, call your doctor.
National Institute of Arthritis and Musculoskeletal and Skin Diseases
Canadian Arthritis Network
Degenerative joint disease of the hip. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated December 6, 2013. Accessed January 7, 2014.
Ganz, R, Gill, TJ, Gautier, E, et al. Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg Br. 2001; 83:1119.
Hip bursitis. American Academy of Orthopaedic Surgeons Ortho Info website. Available at:http://orthoinfo.aaos.org/topic.cfm?topic=A00409. Updated August 2007. Accessed January 7, 2014.
Hip strains. American Academy of Orthopaedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00361. Updated August 2007. Accessed January 7, 2014.
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Tammareddi K, Morelli V, et al. The athlete's hip and groin. Prim Care. 2013;40(2):313-333.
Last reviewed January 2014 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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