Hip pain is common, but the cause is not always the same.

Sports medicine surgeons at Salem Health Orthopedics say two frequent sources of hip pain are hip bursitis and hip arthritis.

“Hip bursitis usually refers to pain on the outside of the hip near the greater trochanter, or the area at that top of the thighbone that connects to the hip joint,” said Ognjen Stevanovic, MD. “However, this is often not just inflammation. In many patients, it is related to gluteal tendinopathy, which means irritation, degeneration or overload of the buttock muscles connecting to the hip bone.”

Causes of outer hip pain

The orthopedic surgeon said outer hip pain often hurts when lying on a particular side, climbing stairs, standing up for long periods or getting up from a chair.

“It may be caused by overuse, hip weakness, tight muscles, altered walking mechanics, spine or knee problems or a fall onto the outside of the hip,” said Dr. Stevanovic.

Hip arthritis is different.

Signs of arthritis

“Arthritis affects the hip joint itself, where cartilage normally allows smooth movement between the ball and socket,” said Dr. Stevanovic. “Arthritis pain is often felt deeper in the groin, at the front of the thigh, buttock or hip.”

This pain can cause stiffness, limping and loss of motion. It can also make daily tasks more difficult, such as getting out of the car or putting on shoes.

“Treatment for outer hip pain usually starts with activity modification, ice, anti-inflammatory medication when appropriate and physical therapy,” said Dr. Stevanovic. “Treatment for hip arthritis may include physical therapy, medication, injections and, in advanced cases, hip replacement surgery.”

Working with a sports medicine surgeon can help identify where the pain is coming from through a careful exam, X-rays and MRI if needed.

Patients should seek care if hip pain lasts more than a few weeks, occurs after an injury or interferes with sleep or daily life.

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