Hip Pain
How does the hip work?
Your hip is a very stable and strong joint. It’s known as a ball-and-socket joint. This is because the top of the thigh bone is shaped like a ball. This ‘ball’ sits inside a hollow socket in your pelvis. Ball-and-socket joints give the most movement of all the different types of joints in the body.
The hip joint is held together by a covering of muscles which are secured to the bones by strong cords called tendons.
These muscles and tendons form a capsule around the joint and support its movements. They help move the joint, supporting your leg and upper body movement. Inside the capsule is the synovium, which lubricates the joint with synovial fluid and keeps the cartilage healthy. The cartilage sits between the bones of your hip joint to allow smooth movement of the joint and reduces any impact when you walk or move your hip.
As the hip joint is very deep and there is a lot of muscle support it is very stable, it is unusual for the hip to become dislocated, even after a high-impact injury.
Causes of Hip Pain
Most of the time there is a very simple explanation for hip pain.
- If you’ve overdone it while exercising pain is usually caused by strained or inflamed soft tissues, such as tendons, and it often clears up within a few days to weeks.
- As you get older, pain in your hip can flare up now and again, often for no reason. If you have a problem with your hip joint you may feel pain in the groin, down the front of the leg and in the knee. Sometimes knee pain is the only sign of a hip problem – this is called referred pain or radiated pain and is fairly common.
- You may feel pain on the outer side of your hip or in your buttock. This can come from the muscles/tendons around the outside of the hip (and is known as lateral hip pain), or it can be caused by problems with your lower back. Please click here for advice on managing lateral hip pain.
- If you have previously had a total hip replacement or dynamic hip screw (metal plating for a hip fracture) and have developed
new or unusual hip pain several years after having the operation, please arrange an appointment to discuss with you GP.
If you have fallen
If you’ve fallen and injured your hip you should urgently call 111 who will triage if you need urgent care. Fractures around the hip are very common, particularly in elderly people with osteoporosis.
Osteoporosis makes bones less dense and fragile, so they break or fracture more easily.
Self Help
Keeping active is an essential part of your treatment and recovery and is the single best thing you can do for your health.
- Prevent a recurrence of the problem
- Maintain your current levels of fitness – even if you have to modify what you normally do, any activity is better than none
- Keep your other muscles and joints strong and flexible
- Keep a healthy body weight
- Rest your hip but avoid long spells of not moving at all
- Move your hip gently for 10 to 20 seconds every hour when you are awake
- If you have muscle or ligament injury this video from “The Running Clinic” can help support you in managing your recovery.
- Slowly return to normal activity
- Do whatever you normally would including staying at, or return to work if possible
- Avoid sports or heavy lifting until you have less discomfort and good movement. Remember to warm up fully before you start sporting activities
If you would like advice about medication or other methods of pain relief to help you to manage your pain better speak to your community pharmacist.
Pain medication can help to reduce pain and help you to move more comfortably, which can aid your recovery.
When taking pain medication it is important to take it regularly.
Have you recently been diagnosed with Osteoarthritis of the Hip?
The Escape Pain hip programme may help you in managing your hip condition.
Please click to find out more about it and to self-refer to the programme
If you’re waiting for hip replacement surgery please refer to the following page:
How to Prepare for Hip Replacement Surgery for further information
