Hip Pain

hip pain advice and information

Osteoarthritis

What it is? 

Osteoarthritis is the most common type of arthritis, affecting 8.5 million people in the UK. It develops gradually over time, causing joints to become stiff and painful.

With osteoarthritis of the hip you're likely to have pain mainly in the front of your groin, but sometimes around the side and front of your thigh, buttock or down to your knee.

 

How to deal with it? 

You may be diagnosed with osteoarthritis of the hip - which is a normal part of getting older, but can lead to pain and disability. This shared decision aid can help you decide, what the best management might be for you.

Exercise 
If possible, exercise regularly – swimming is ideal and even just a regular walk will help to strengthen the muscles around affected joints, to keep you fit, and to maintain a good range joint movement.

Weight control 
If you are overweight, try to lose some weight. Even a modest weight loss can make quite a difference.

Shoe insoles and walking aids 
When walking, try using a cane (walking stick). Hold it in the hand on the opposite side of the body to the affected joint.

Physiotherapy 
Sometimes advice or treatment from a physiotherapist can be helpful.

Simple painkillers 
Click here to find out more information about the use of paracetamol, co-codamol and anti-inflammatory painkillers.

Other therapies 
Some people have found that transcutaneous electrical nerve stimulator (TENS) machines help to ease pain from osteoarthritis. Acupuncture may also help to ease symptoms in some cases.

Surgery for osteoarthritis 
Most people with osteoarthritis do not have it badly enough to need surgery. However, hip replacement surgery has become a standard treatment for severe osteoarthritis.

This shared decision aid can help you decide, what the best management might be for you.

 

How to avoid it? 

  • Make sure you are not overweight as this will increase the load on your hip joint

  • Keep active

  • Keep the muscles in your legs and around your hip flexible by doing stretches regularly

  • Keep the muscles in your legs and around your hip strong by doing regular strengthening exercises

Trochantric bursitis

What is it? 

Trochantric bursitis is a pain on the outside of your hip, made worse by:

  • Walking, climbing stairs

  • Sleeping on the affected side

  • Sporting activities, especially running
     

How to deal with it? 

To deal with trochanteric bursitis, reduce any activity that you know makes your symptoms worse.

  • Wear appropriate footwear if you enjoy sport.

  • Stretch the muscles on the outside of your leg

  • Keep the muscles around your hip strong by doing regular strengthening exercises
     

How to avoid it? 

  • Keep the muscles in your legs flexible by doing stretches regularly

  • Keep the muscles around your hip strong by doing regular strengthening exercises

  • Wear appropriate footwear at all times when doing sporting activities

Labral tear

What is it? 

The labrum is a type of cartilage that surrounds the socket of ball-and-socket joints. A labrum is found in both the shoulder and the hip joint. The labrum forms a ring around the edge of the bony socket of the joint. It helps to provide stability to the joint by deepening the socket, yet unlike bone, it also allows flexibility and motion.

There are two general types of hip labral tears: degenerative tears and traumatic injuries.

degenerative tear is a chronic injury that occurs as a result of repetitive use and activity. Degenerative labral tears can be seen in the early stages of hip arthritis.

traumatic hip labral tear is usually an acute injury as a result of a sports injury, fall, or accident. Hip labral tears are commonly associated with sudden, twisting movements that cause immediate pain in the hip.

 

How to deal with it? 

To deal with a labral tear, reduce any activity that makes your symptoms worse.

  • You should also keep the muscles in your legs and hips flexible and strong by performing stretching and strengthening exercises reguarly.

 

How to avoid it? 

  • Keep the muscles in your legs and around your hip flexible by doing stretches regularly
  • Keep the muscles in your legs and around your hip strong by doing regular strengthening exercises

Clicking/snapping hip

What is it? 

Clicking/snapping hip is when you experience a clicking or snapping sensation on the outside of your hip which may be painful.

It may be made worse by:

  • Flexing your hip
  • Rotating your hip
  • Sporting activities
     

How to deal with it? 

A clicking/snapping hip can be helped by reducing the activity that you know makes your symptoms worse.

Stretching the muscles on the outside of your leg may also help.
 

How to avoid it? 

  • The clicking/snapping sensation may reduce on its own accord
  • Keep the muscles in  your legs flexible by doing stretches regularly

Additional Resources

Patient Resources

Click the link for patient information on shared decision making  Shared Decision Making _ OA Hip [pdf] 874KB

Click the link for Information on Hip Pain  Hip Pain exercises [pdf] 986KB

Self refer into our service

It is important that you apply the advice and guidance provided above for around 8 weeks by which time we would expect you to notice improvement, and in some cases complete recovery. If not, we have a team of trained physios who can help.

Click here to self refer into our service today.

Think you need more urgent or emergency treatment? Click here to see if you need to see someone quicker. 

You can also visit your GP for more informaion and advice on;

  • Women's and Men's Health including pelvic floor and incontinence
  • If you have had a series of falls and want to learn more to help avoid them
  • If you have reduced mobility and require a stick or frame
  • If you require neurological support for example if you have had a stroke or Parkinson's
  • If you are housebound
  • If you are under 16 years old