6 Causes of Hip Pain in Athletes

Hip pain can prevent you from performing everyday activities, including your favorite sports. Athletes most often encounter hip pain when they play sports that have repetitive movements, but direct impacts or other injuries can also cause hip joint pain.

We’re exploring hip pain, so you can understand the symptoms of common hip conditions and get effective treatment to prevent the development of a more serious condition.

Symptoms of a Hip Injury

A hip injury can be extremely painful. There is a difference between general soreness and an injury requiring medical treatment. Symptoms that may indicate a serious injury or condition include:

  • Pain in the hip, groin, buttocks, or lower abdomen
  • Limited range of movement
  • Clicking, popping, or other sounds during movement
  • Inability to walk without limping
  • Stiffness
  • Weakness and unable to perform everyday activities
  • Swelling or bruising

It is important that you have symptoms evaluated. Recall the physical motions that preceded the pain, the location and severity of the symptoms, and the physical movements that exacerbate the problem. Heiden Orthopedics can evaluate the level of the injury and create an effective treatment plan to bring you relief.

Common Hip Conditions

The majority of hip injuries develop as a result of excessive use of the joint. Athletes who do a lot of running or sprinting may experience muscle strains or groin pulls, or other more serious conditions. The following are some of the most common hip conditions:

Bursitis

The hip bursa is a sac of fluid in the joint that reduced friction between the muscles, bones, and tendons. Hip bursitis, also known as trochanteric bursitis, occurs when the bursa becomes inflamed or irritated. Without the cushioning effect of the bursa, pain will occur during most movement of the hip joint. Hip bursitis occurs most commonly in runners and contact sports such as football or ice hockey.

Muscle Strains or Pulls

Athletes who perform sudden accelerations or decelerations can experience a hamstring pull, resulting in sharp pain in the back of the thigh. Groin strains are common in athletes who often strain the muscles in the front or inside of the thigh. Muscle strains lead to limited range of motion, pain, inflammation, muscle spasms, cramping, bruising and weakness. The level of injury will determine the treatment required to resolve the condition.

Iliotibial Band Syndrome

The iliotibial band (also called the IT band) stabilizes the hip and knee joints and can cause pain in one or both joints. The ligament can become tight from overuse, which causes it to rub against the thigh bone. Long-distance runners are particularly susceptible to IT band syndrome and may experience pain that worsens with increased activity.

Hip Pointer

Contact sports athletes can sustain a hip pointer injury after a direct impact to the side. The impact injures the ileum, or part of the pelvis. The bone and muscle in the area can be bruised and very painful. Immediate first aid is critical in treating this injury and speeding recovery.

Osteoarthritis

Athletes and non-athletes can experience osteoarthritis over time resulting from overuse or natural degeneration. The protective cartilage in the joint will wear down over time and expose the bone, causing pain while bearing weight or during movement. The condition can vary in severity, along with treatment.

Labral Tear

The labral cartilage lines the hip joint to cushion and support the joint. Twisting movements, falls, and degeneration of the cartilage can cause a labral tear. During unnatural movements some of the tissue may get pinched in the joint and cause a catching sensation or pain and limited movement.

Treatment for Hip Pain

We will create a custom treatment plan for you based on the type and severity of your injury. As the hip joint is deep in the body, X-rays and CAT scans may be necessary tests in planning treatment.

Minor injuries may only require some rest and relaxation at home. Ice will help with swelling, and over the counter painkillers will alleviate pain.

Heiden Orthopedics offers a variety of treatment options for moderate to severe hip injuries. Your treatment may involve cortisone shots, surgery, or in serious cases, hip replacement. Our hip specialist, Dr. Daniel Gibbs, will guide you through the treatment and rehabilitation process, so you can get back on the court or field. Dr. Gibbs has an extensive background caring for and treating athletes. If you experience hip pain, connect with us at Heiden Orthopedics – we have access to the most advanced treatments and techniques to assist you.

10 Comments


My son is a 17 year old sprinter that has a labrum tear at the top of his hip not as severe but causes him some pain this is a senior year in high school and a lot is writing on the line for scholarships with desperately needing help and would ask for your assistance thank you

Reply

    William,
    Have you taken your son to see an orthopedic hip specialist? I would start there, especially if he is still participating in his sport. Depending on the extent of the injury, competitive athletes may return to their sport sometime between 2 and 6 months. But he will need to see a doctor to determine his course of treatment and recovery time. If you are located in our are Dr. Daniel Gibbs would be happy to see your son. Give us a call @435-615-8822

    Reply

My son 7 year old. He started learning football after 1 month he is complaining his hip back joint getting pain during running in football.. But when out of it not getting baby pain..

Reply

    Hi Kumar,
    If there was no injury involved then I would recommend a period of rest from football for your son, as well as ice and anti-inflammatories as needed (per the recommended dosage from his pediatrician). It is not unusual to experience occasional aches and pains while he is growing, but if it does not improve and it is limiting his activities then I would recommend he see an orthopedist.

    Reply

I need help, none of these static stretches I do help and can actually make things worse. Since I’m a Track & Field sprinter, I’m constantly strengthening my lower body muscles including all glute muscles, hamstrings, core, etc. I’m flexing my legs which results in this tightness. The tightness inhibits my hip mobility by preventing me from extending my legs all the way which prevents greater stride length, thus slowing down my speed greatly, it also negatively affects my breathing by causing the anterior pelvic tilt. I can’t fully inhale and exhale which causes anxiety and fatigue due to the lack of oxygen while reducing endurance. ANXIETY is not the cause of the tightness but the Result of the shallow breathing which can cause even more anxiety. I test positive for the Thomas test which tests for hip flexion. When I bend my knees 90 degrees while flatting and keeping my opposite leg on the ground, my opposite leg isn’t parallel to the ground anymore and instead flies in the air which means tightness is present. When extending my leg, no change is made which means quad tightness isn’t present. I also massage my IT band, stretch my adductors and even my TFL but nothing helps. Do I need to continue doing pandiculation for my psoas and posterior pelvic tilting?

Reply

    Hi Julius,
    Sorry to hear about your hip issues! It seems from what you’ve said that you are going to need to take a more hands on approach with the guidance of a medical professional. You could start out with a Physical Therapist if you are not wanting to see a doctor quite yet. If you do not experience any improvement within a month or so, your best option would be to see an Orthopedic or Sports Medicine specialist. They will be able to properly diagnose the issue and offer the proper treatment so you can recover as quickly and successfully as possible.

    Reply

I am 16 years old basketball player. Sometimes my hip is cracking. When i stretch i feel pain in that place

Reply

    Do you have any pain associated with the cracking?
    The sensation of your hip cracking or clicking when rotating is often caused by tightness in the muscles and tendons surrounding the hip. This can be common in young adult athletes during growth spurts.
    If it is painless it is usually harmless, though in some cases it can lead to bursitis.
    There are steps you can take and things you can try at home:
    -Modify your activity
    -Focus more on stretching and strengthening
    -Visit a Physical Therapist
    If you have pain associated with it, if it doesn’t improve with home treatment, or if you are worried it may be something more, talk to your doctor.

    Reply

I’m 16 years old footballer who plays in goal and I keep on having this hip pain which feels more muscle related I’ve rested for 8 weeks now and had my first session back yesterday and the pain is back. It’s more the bum/hip area what should I do

Reply

    If you’ve been experiencing persistent hip pain and it has returned after your first session back, it’s essential to visit a medical professional. Consult a sports medicine specialist or orthopedic doctor who can conduct a physical examination and perform imaging tests to determine the root cause of your hip pain. While waiting for a diagnosis and treatment plan, it’s crucial to give your hip ample rest. Overuse or returning to activity too soon can worsen the issue. Based on the assessment, your healthcare provider may suggest physical therapy. A physical therapist can provide exercises and stretches to strengthen and rehabilitate the hip muscles, improve flexibility, and address underlying issues. Applying ice to the affected area can help alleviate inflammation and pain, and over-the-counter anti-inflammatory medications, if advised by a healthcare professional, can also provide relief. Be sure to warm up properly before your football activities, and ensure that your form is correct, as incorrect technique can contribute to hip pain.

    Reply

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