Hip Pain

Hip pain can present in several ways, and the location often provides important clues. Pain in the groin is frequently tied to problems inside the hip joint itself. This includes cartilage injuries, early arthritis, or a labral tear. Patients often describe this as a deep ache that worsens with weight-bearing activities such as walking, running, or getting up from a chair. The pain is typically in the groin area and in severe cases it can be reproduced in non-weight-bearing activities such as putting shoes and socks on. Pain on the outside of the hip is more likely related to the structures surrounding the joint, such as the bursae or tendons. This lateral hip pain can radiate down the outer thigh and is often aggravated by lying on the affected side. Meanwhile, pain in the buttock region may be due to referred pain from the spine or surrounding soft tissues, and not necessarily the hip joint at all.

Other symptoms often accompany hip pain and can help narrow down the diagnosis. Stiffness, especially first thing in the morning or after prolonged sitting, can indicate an arthritic process. Clicking, popping, catching, or a feeling of instability points more toward a labral tear. Swelling is less common in the hip than in other joints but may occur with bursitis. Weakness and reduced range of motion also suggest structural issues within the joint. For athletes, hip pain may worsen during twisting, pivoting, sudden acceleration, or kicking motions, which frequently signals problems with the labrum.

A precise diagnosis begins with a detailed evaluation. Our providers conduct a comprehensive history to understand how symptoms began, what movements worsen the pain, and whether any prior injury occurred.

• A physical exam then helps pinpoint the source of symptoms through targeted maneuvers that stress specific tissues. Imaging is often essential.
• X-rays can identify arthritis, bone abnormalities, or structural misalignment. MRI provides a clearer view of the labrum, cartilage, and soft tissues.
• In some cases, an ultrasound-guided injection is used not only for pain relief but also as a diagnostic tool; if the numbing medication reduces pain, it confirms the issue is coming from inside the hip joint rather than surrounding structures.

Although many potential causes of hip pain exist, three of the most common conditions treated are hip arthritis, hip bursitis, and hip labral tears. Each condition affects different structures and produces distinct symptoms, yet they often overlap enough to require a precise and thorough evaluation.

Hip arthritis

Hip arthritis is a degenerative condition where the cartilage covering the joint surfaces wears down over time. Without smooth cartilage, bones begin to rub together, creating inflammation, pain, and stiffness. Early arthritis often presents as groin pain that worsens with activity. Patients may notice reduced range of motion, such as difficulty tying shoes or crossing legs. As the condition progresses, daily activities become more challenging. While arthritis is associated with aging, active adults and former athletes may experience earlier onset due to prior injuries or repetitive stress. Joint preservation strategies aim to address symptoms early, maintain mobility, and delay more invasive procedures whenever possible.

Hip bursitis

Hip bursitis is a different problem altogether. The bursae are fluid-filled sacs that act as cushions between bones and soft tissues. When the bursa on the outside of the hip becomes irritated or inflamed, it causes sharp pain along the outer hip. This pain can radiate toward the knee and typically worsens when lying on the affected side, climbing stairs, or standing for long periods. Unlike arthritis, bursitis does not involve damage inside the joint. Instead, friction from tight muscles, repetitive overuse, or abnormal gait patterns contributes to inflammation. Though often very painful, bursitis responds well to conservative care when identified early.

Hip labral tears

Hip labral tears are another frequent cause of hip pain, especially in athletes and physically active individuals. The labrum is a ring of cartilage that surrounds the hip socket, providing stability and a seal that allows smooth, fluid motion. When the labrum tears due to trauma, structural abnormalities, or repetitive twisting motions, patients may experience sharp groin pain, clicking, catching, or a sense that the hip is “giving out.” Labral tears can significantly restrict function, particularly for those who run, skate, lift weights, or participate in sports requiring rotation. An untreated tear may cause additional stress on the joint cartilage over time, increasing the risk of arthritis.

Accurate diagnosis matters because each of these conditions demands a different treatment strategy. What works for bursitis will not address a labral tear. What helps arthritis will not resolve pain caused by inflammation in surrounding soft tissues. Our joint preservation approach emphasizes identifying issues early, minimizing long-term damage, and optimizing function with the least invasive method necessary.