Hip joint pain can affect walking, standing, climbing stairs, sitting, sleeping, and many other everyday activities. The pain may develop gradually due to joint changes or repetitive stress, or it may occur following an injury or another underlying condition.
Some people experience pain directly around the hip, while others may feel discomfort in the groin, buttock, thigh, or surrounding areas. Hip pain can have several causes, including osteoarthritis, muscle or tendon problems, injuries, bursitis, and conditions such as AVN (Avascular Necrosis).
At DPRC (Dhaka Pain Physiotherapy & Rehabilitation Center), we provide hip joint pain assessment, physiotherapy, pain management, and rehabilitation services in Shyamoli, Dhaka, Bangladesh. Treatment and rehabilitation are individualized according to the patient’s condition, symptoms, mobility limitations, physical findings, and functional needs.
The hip is a large ball-and-socket joint formed where the upper end of the femur (thigh bone) meets the pelvis. The joint is supported by cartilage, muscles, tendons, ligaments, and other surrounding structures that help provide stability and movement.
Hip joint pain refers to pain or discomfort involving the hip or nearby structures. Depending on the cause, symptoms may be felt around the groin, outer hip, buttock, or upper thigh.
Because pain around the hip can originate from different structures—and can sometimes be referred from the lower back—proper assessment is important before deciding on an appropriate treatment and rehabilitation plan.
Hip pain can develop for many different reasons. Common causes and contributing conditions include:
Hip Osteoarthritis involves changes in the cartilage and other structures within the hip joint. It may cause pain, stiffness, reduced range of motion, and difficulty walking or performing everyday activities.
Avascular Necrosis (AVN) occurs when the blood supply to part of a bone becomes reduced or interrupted, which can lead to damage of the bone tissue. When AVN affects the femoral head, patients may experience hip or groin pain and progressive difficulty with weight-bearing and movement.
Strain, overuse, weakness, or irritation involving muscles and tendons around the hip may contribute to pain and difficulty with movement.
Inflammation or irritation of a bursa around the hip may cause pain, particularly around the outer side of the hip. Symptoms may become more noticeable during walking, climbing stairs, or lying on the affected side.
Running, football, gym activities, repetitive movements, falls, or sudden changes in direction can injure muscles, tendons, or other structures around the hip.
Certain structural or movement-related problems can cause abnormal contact within the hip joint, potentially contributing to pain and restricted movement.
Falls, accidents, or direct impacts can injure the bones, joints, muscles, or surrounding soft tissues of the hip.
Not all pain felt around the hip originates from the hip joint itself. Problems involving the lower back, pelvis, or nearby nerves can sometimes produce symptoms around the hip or buttock.
Symptoms vary according to the underlying condition and severity. Common symptoms may include:
Professional assessment may be appropriate when hip pain:
Severe pain following trauma, inability to bear weight, obvious deformity, a hot or significantly swollen joint, fever associated with severe hip pain, or rapidly worsening symptoms require prompt medical assessment.
Treatment for hip pain depends on the underlying condition, severity, physical findings, mobility limitations, and individual goals. At DPRC, an individualized hip rehabilitation program may include:
Physiotherapy may help appropriate patients improve hip mobility, muscle function, physical capacity, and the ability to perform everyday activities.
Individualized exercises may be prescribed to improve strength, flexibility, mobility, balance, and movement control around the hip and lower limbs.
Appropriate hands-on techniques may be incorporated into a broader rehabilitation program when clinically suitable.
Pain-management approaches may be incorporated according to the patient’s condition, symptoms, and clinical assessment.
Progressive strengthening exercises may help improve the function of muscles supporting the hip, pelvis, and lower limbs.
Patients experiencing difficulty walking may benefit from appropriate balance, gait, and functional mobility training.
Rehabilitation can progressively address activities such as standing, walking, stair climbing, sitting-to-standing, and other movements required in daily life.
Patients may receive guidance regarding appropriate activity levels, movement strategies, exercise progression, and ways to avoid unnecessary stress on the affected area.
At DPRC, we do not use the same rehabilitation program for every person with hip pain. Treatment begins with understanding the patient’s condition and functional difficulties.
The rehabilitation team evaluates symptoms, medical history, hip movement, muscle strength, walking ability, functional limitations, and other relevant findings.
Clinical findings and available medical information are considered to understand factors that may be contributing to pain or mobility problems.
A rehabilitation program is developed according to the patient’s condition, physical abilities, symptoms, and functional goals.
Early rehabilitation may focus on improving comfort and appropriate hip movement while managing activity according to the underlying condition.
Progressive exercises may be introduced to improve muscle strength, endurance, balance, and movement control.
Functional rehabilitation may address walking, stair climbing, standing, transfers, and other activities important to the patient.
Patients may receive guidance regarding exercise, activity progression, healthy movement habits, and strategies for maintaining physical function.
AVN (Avascular Necrosis) of the femoral head is an important condition to consider in patients with persistent hip or groin pain.
AVN occurs when blood supply to part of the bone is reduced, potentially causing progressive damage to the femoral head. Symptoms may initially be mild but can progress to pain during weight-bearing, reduced hip movement, limping, and difficulty performing everyday activities.
Management depends strongly on the stage and severity of AVN. Some patients may be managed with medical care and rehabilitation as part of their treatment plan, while more advanced cases may require orthopedic or surgical evaluation.
At DPRC, rehabilitation for patients with AVN should be planned according to the individual’s medical assessment, stage of the condition, weight-bearing recommendations, physical limitations, and treatment goals.
If DPRC already has a dedicated AVN page, link Avascular Necrosis (AVN) in this section directly to it.
Hip osteoarthritis can cause pain, stiffness, reduced mobility, and difficulty with activities such as walking, climbing stairs, getting up from a chair, and putting on shoes or socks.
For appropriate patients, management may involve medical care, physiotherapy, therapeutic exercise, weight management where relevant, pain-management strategies, and rehabilitation.
The rehabilitation program should be individualized according to symptoms, physical capacity, joint mobility, and functional needs.
Many causes of hip pain can be managed conservatively depending on the diagnosis and severity of the condition. Non-surgical management may include:
However, non-surgical treatment is not appropriate for every hip condition or every stage of disease. Significant fractures, advanced joint damage, advanced AVN, severe structural problems, or other conditions may require orthopedic or surgical evaluation.
The treatment decision should therefore be based on an appropriate diagnosis rather than an assumption that surgery should always be avoided.
Not every hip condition can be prevented, but maintaining physical activity and appropriate movement habits can support hip and lower-limb health. Helpful strategies may include:
Hip rehabilitation may be appropriate for:
DPRC provides an integrated approach to physiotherapy, pain management, and rehabilitation for musculoskeletal conditions. Our hip joint rehabilitation services focus on:
DPRC (Dhaka Pain Physiotherapy & Rehabilitation Center) provides hip joint pain physiotherapy, pain management, and rehabilitation services in Shyamoli, Dhaka, Bangladesh.
DPRC is located at 12/1 Ring Road, Shyamoli, Dhaka-1207, Bangladesh. Patients experiencing hip pain, groin pain, reduced hip mobility, difficulty walking, hip osteoarthritis, AVN-related functional problems, or other appropriate musculoskeletal conditions can contact DPRC for assessment and rehabilitation information.
FAQ
Hip pain can have several causes, including osteoarthritis, muscle or tendon problems, bursitis, sports injuries, trauma, structural hip problems, and conditions such as AVN. Pain around the hip can also sometimes originate from the lower back or surrounding nerves.
Physiotherapy may help many people with hip pain by addressing mobility, muscle strength, balance, walking ability, and functional limitations. The rehabilitation program should be based on the underlying diagnosis and individual assessment.
Many hip conditions can be managed conservatively with physiotherapy, therapeutic exercise, pain management, activity modification, and rehabilitation. However, some severe or advanced conditions may require orthopedic or surgical evaluation.
Avascular Necrosis (AVN) of the hip occurs when the blood supply to part of the femoral head becomes reduced or interrupted, potentially damaging the bone. Symptoms can include hip or groin pain, reduced movement, limping, and difficulty bearing weight.
Management of AVN depends strongly on its stage, extent, symptoms, and medical findings. Some patients may receive conservative management and rehabilitation as part of their care, while advanced AVN may require orthopedic or surgical treatment. An appropriate medical assessment is essential.
No. Pain felt around the hip or buttock can sometimes originate from the lower back, surrounding muscles, tendons, nerves, or other structures. Proper assessment helps determine the likely source of symptoms.
Appropriate exercise can help improve strength, mobility, balance, and physical function in many hip conditions. The type and intensity of exercise should be selected according to the diagnosis, symptoms, and individual physical condition.
Severe hip pain following trauma, inability to bear weight, obvious deformity, a hot or severely swollen joint, fever associated with severe joint pain, or rapidly worsening symptoms require prompt medical evaluation.
DPRC (Dhaka Pain Physiotherapy & Rehabilitation Center) in Shyamoli, Dhaka, provides physiotherapy, pain management, and rehabilitation services for patients with hip joint pain, reduced mobility, hip osteoarthritis, and other appropriate musculoskeletal conditions.
If you are experiencing persistent hip or groin pain, hip stiffness, difficulty walking, or reduced mobility, contact DPRC – Dhaka Pain Physiotherapy & Rehabilitation Center for assessment and rehabilitation information.
