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Common Causes of Hip Pain

What causes hip pain

Hip pain can result from a variety of conditions, each with distinct underlying causes.
As a physical therapist, it is essential to identify the specific cause to tailor treatment appropriately.

Common causes include:

  1. Osteoarthritis (OA):
    A degenerative condition where the cartilage cushioning the hip joint wears down, leading to pain, stiffness, and reduced range of motion. 
  2. Hip Bursitis
    Inflammation of the bursae (fluid-filled sacs that cushion the joint), typically caused by repetitive stress or overuse.
  3. Hip Labral Tears
    Damage to the labrum (the cartilage ring around the hip socket), often due to trauma, repetitive movements, or structural abnormalities like femoroacetabular impingement (FAI).
  4. Tendinitis or Tendinopathy
    Inflammation or degeneration of tendons around the hip, commonly affecting the iliopsoas or gluteal tendons due to overuse or biomechanical issues.
  5. Muscle Strains
    Overstretching or tearing of muscles around the hip, such as the hip flexors, hamstrings, or adductors, typically caused by sudden movements or inadequate warm-up.
  6. Sciatica or Referred Pain
    Nerve compression in the lower back (e.g., herniated disc) can cause pain radiating into the hip region.
  7. Fractures or Stress Fractures
    More common in older adults or those with osteoporosis, these injuries result from trauma or prolonged overuse.
  8. Hip Dysplasia
    A congenital or developmental condition where the hip socket doesn’t fully cover the femoral head, leading to instability and wear.
  9. Avascular Necrosis (AVN)
    Loss of blood supply to the femoral head, resulting in bone death and joint pain.
  10. Post-Surgical or Traumatic Pain
    Pain following a hip replacement, arthroscopy, or significant injury
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