Age over 50
Previous hip injury
Family history (genetic predisposition)
Obesity — every extra kilogram increases joint load
Called “wear-and-tear” arthritis — but genetics play a big role.
2. Bursitis
Inflammation of the bursa, a fluid-filled sac that cushions tendons and bones
Two main types:
Trochanteric bursitis: Outer hip pain, worse when lying on the side
Iliopsoas bursitis: Front/groin pain, aggravated by hip flexion
Often linked to repetitive activities (running, cycling) or prolonged standing
3. Tendinitis & Tendon Tears
Overuse or aging can cause inflammation or tearing of tendons around the hip
Common in glutes, hamstrings, or iliopsoas muscles
Pain worsens with activity and may improve with rest
Athletes and active individuals are at higher risk.
4. Labral Tear
The labrum is a ring of cartilage around the hip socket
Can be torn from injury, structural abnormalities (like FAI), or degeneration
Symptoms: Clicking, catching, or locking sensation; deep groin pain
Often seen in dancers, golfers, and young adults with hip impingement.
5. Injuries (Fractures, Dislocations, Strains)
Falls, sports collisions, or accidents can damage the hip joint or surrounding tissues
Stress fractures (common in runners) develop slowly from repetitive impact
Older adults are at risk for hip fractures due to osteoporosis
Always evaluate sudden trauma — especially if unable to bear weight.
6. Other Joint Diseases
Rheumatoid arthritis (RA) – Autoimmune condition causing symmetrical joint pain and swelling
Ankylosing spondylitis – Inflammatory disease affecting spine and hips
Septic arthritis – Rare but serious infection in the joint
These require prompt medical evaluation and treatment.
Signs That Should Alert You
While mild hip pain may resolve with rest, watch for these red flags:
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