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10 Common Hip Problems, When to Worry and When to See a Doctor
Here’s a guide to 10 common hip problems, including when to worry and when to see a doctor.
- Symptoms: Pain in the groin, thigh, or buttock, stiffness, limited mobility
- When to worry: Sudden severe pain, fever, or inability to bear weight
- When to see a doctor: Be referred to orthopaedics if symptoms persist or worsen despite conservative management
2. Femoroacetabular Impingement (FAI)
- Symptoms: Groin pain, clicking or catching sensation in the hip
- When to worry: Persistent pain, limited mobility, or failure to improve with physiotherapy
- When to see a doctor: Be referred to orthopaedics for further evaluation and possible arthroscopy
3. Trochanteric Bursitis
- Symptoms: Pain on the outer hip, tenderness, swelling
- When to worry: Fever, redness, or swelling that worsens over time
- When to see a doctor: Manage conservatively with NSAIDs and physiotherapy; be referred to orthopaedics if symptoms persist
4. Hip Fracture
- Symptoms: Severe pain, inability to bear weight, shortening or rotation of the leg
- When to worry: High-energy trauma, displaced fractures, or neurovascular compromise
- When to see a doctor: See orthopaedics urgently for surgery
5. Labral Tears
- Symptoms: Groin pain, clicking or catching sensation, limited mobility
- When to worry: Persistent pain, failure to improve with physical therapy
- When to see a doctor: Be referred to orthopaedics for further evaluation and possible arthroscopy
6. Hip Dislocation
- Symptoms: Severe pain, deformity, inability to move the hip
- When to worry: Neurovascular compromise or delayed reduction
- When to see a doctor: See orthopaedics urgently for surgery
7. Piriformis Syndrome
- Symptoms: Buttock pain, numbness or tingling in the leg
- When to worry: Sudden severe pain, worsening neurological symptoms
- When to see a doctor: Manage conservatively with physiotherapy and NSAIDs; be referred to orthopaedics or neurology if symptoms persist
8. Septic Arthritis
- Symptoms: Severe pain, swelling, redness, fever, limited mobility
- When to worry: Suspected joint infection, fever, or worsening symptoms
- When to see a doctor: See orthopaedics urgently for joint aspiration and antibiotics
9. Stress Fractures
- Symptoms: Pain in the groin or thigh, worsening with activity
- When to worry: Persistent pain, failure to improve with rest
- When to see a doctor: Be referred to orthopaedics for imaging and management
10. Iliopsoas Tendinitis
- Symptoms: Groin pain, snapping or clicking sensation
- When to worry: Persistent pain, limited mobility, or failure to improve with physical therapy
- When to see a doctor: Manage conservatively with NSAIDs and physiotherapy; be referred to orthopaedics if symptoms persist
Key Points
- A thorough history and physical examination are crucial in diagnosing hip problems.
- Imaging studies (e.g. x-rays, MRI) may be necessary to confirm the diagnosis.
- Referral to orthopedics is often necessary for persistent or severe symptoms, or when surgical intervention is considered.
