General information

Hip pain in active adults

Hip and groin discomfort is common in runners, field athletes and anyone who sits a lot and then moves hard. Many cases settle with a well-structured plan of activity changes and strengthening.

Common causes

  • Muscle and tendon irritation around the outer hip or groin
  • Labral or impingement-type pain with deep bending or pivoting
  • Bursitis-type pain on the side of the hip, often worse lying on that side
  • Early wear-related changes in older active adults

Where care usually starts

  • Reduce, rather than stop, the activities that clearly flare it
  • Hip and core strengthening guided by a therapist or a home program
  • Short courses of over-the-counter pain relief if safe for you
  • Gradual return with a clear weekly plan

If it isn’t improving

  • Examination and imaging review to clarify the source
  • Ultrasound-guided injections in selected cases
  • Orthobiologic options using your own cells, discussed only after conservative care has had a fair trial
  • Surgery considered only when structure and symptoms clearly call for it

Get seen promptly if you notice

  • Unable to bear weight after a fall or injury
  • Fever, redness or feeling unwell with hip pain
  • Night pain that does not ease or unexplained weight loss

For a medical emergency, call 911.

Read more in the free guide, Non-Arthritic Hip Discomfort and Activity, or browse Patient Education and home exercises.

General education only — not medical advice or a diagnosis. Treatment decisions are made together after an examination.