Hip pain can be a real drag, limiting your mobility and interfering with daily activities. Whether it's a sudden sharp pain or a dull ache that's been lingering, hip problems can arise from various causes, from injuries to underlying conditions. The good news is, you don't have to suffer in silence. Here at LIPS, our team of specialists can diagnose the source of your hip pain and create a personalised treatment plan to get you back on your feet and moving comfortably.
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Understanding the cause of your hip pain is the first crucial step in treating the problem. The pain can come from any of the bones, ligaments, tendons, or muscles in the hip area. Common hip pain causes include:
The hip bone and the upper part of the femur can fracture under excessive load, sudden trauma, or overuse.
Stress fractures in the upper neck of the femur are particularly common among long-distance runners. Repetitive stress on the hip can cause microfractures on the femoral neck. Over time, these microfractures grow into problematic injuries. Femoral neck stress fractures (FNSFs) present as a persistent groin pain.
Arthritis is inflammation of joints. Osteoarthritis is the most prevalent type of arthritis and a common source of hip pain in those aged 45 and above. It’s a degenerative disease that worsens as the protective cartilage that cushions the ends of bones wears down. Hip osteoarthritis causes pain, tenderness, swelling, and stiffness in the hip joint.
The labrum is a thick cartilage ring surrounding the hip joint’s outer rim, cushioning the joint and holding it in place. This labrum can tear due to repeated stress, sudden trauma, or abnormalities in the hip. Labral tears are common hip injuries among athletes. The soft labral tissue can also get pinched between the hip joint bones.
A tear or pinch of the labrum results in hip or groin pain that worsens when walking, standing, or lying down. You may also feel an odd locking, clicking, or catching sensation in the affected hip.
Physical deformities on either hip joint can cause pain around the groin area and upper thigh. Hip deformities can be congenital, genetic, or related to poor posture or injury. There are two types of deformities commonly associated with hip pain:
Hip dysplasia
Hip dysplasia or acetabular dysplasia happens when the hip joint socket (acetabulum) is too shallow for the head of the hip bone (femoral head) to articulate properly. This causes the femoral head to partially or completely slip from the hip joint. If left unchecked, the deformity can cause painful complications such as a hip labral tear or osteoarthritis.
Hip impingement
Also known as femoroacetabular impingement (FAI), hip impingement is a condition where the femoral head and acetabulum don’t fit together properly due to the formation of bone spurs on either of the two. FAI causes the two bones to rub against each other, resulting in inflammation, stiffness, and pain around the hip joint.
A hip pointer is a bruise to the iliac crest, one of the three bones that fuse to form the hip bone. It’s typically the result of a blunt force impact to the side of the hip. Such a bruise can rupture blood capillaries, causing blood to leak into the surrounding soft tissues. The pain usually worsens the day after the injury, and you might notice swelling and a black-and-blue discolouration on the skin around the point of impact.
Pulling or straining muscles around the groin and hip can be excruciatingly painful. The muscles around the hips and groin (adductors, glutes, hamstrings, quads, etc.) are particularly vulnerable to strains since they support a lot of weight and force.
Hip bursitis is a painful inflammation of the bursae. Bursae are tiny fluid-filled sacs that cushion soft tissues against bones near joints. Bursitis is normally caused by injury, overuse, or infection. In addition to the pain, the affected hip may look swollen and reddish.
Bones are living tissues that require constant blood flow for sustenance. If the blood is disrupted or cut off, the affected bone gradually deteriorates and collapses. This condition is called osteonecrosis or avascular necrosis. It can occur in any bone but usually affects long bones such as the femur.
The disease is mostly felt as pain in weight-bearing joints such as the hip joint. This pain intensifies as the bone slowly “dies” until the eventual collapse of the joint.
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