Hip Pain

Causes: There are many causes of hip pain. The source of hip pain can come from the joint itself, or from the soft tissue and bony structures surrounding the area. Also, pain from other areas can refer symptoms to the hip. For example, sciatica can cause hip pain, particularly if nerve roots L1 or L2 are involved. Hernia and nerve compression can also refer pain to the hip area. Causes of hip pain include fractures (most commonly in the elderly) from falling. A fracture may occur from falling due to osteoporosis, or from the osteoporosis before the fall itself. Bruising (contusions), sprains and strains due to overuse, arthritis, bursitis, or illnesses that cause a systemic inflammation can cause pain in the hip joint. Children who complain of hip or leg pain should be seen by a physician, and the following conditions should be ruled out: slipped capital femoral epiphysis, Legge-Calve-Perthes disease, avascular necrosis, or juvenile rheumatoid arthritis( Still’s disease). If a fever is present, septic arthritis or an infection of the hip joint may be involved.

Signs and Symptoms: If you suffer from any of the following symptoms you should be evaluated by a physician:

Limping on affected side

An injury resulting in hip deformity

Pain that occurs at night or while resting

Hip pain that lasts more than a few days

Inability to bend the hip

Swelling if the hip, or signs of infection including fever, redness, and heat

Hip Replacement Surgery. Physiotherapy within the first six weeks of hip replacement surgery is very important for recovery. Along with rehabilitation therapy in our clinic, our physiotherapists will assign exercises that also can be done at home. Patients should see physiotherapy as a crucial part of their recovery, and the more serious patients are about their daily exercises, the quicker they tend to return to their normal activities.

Treatment: Before commencing any treatment the cause of the pain must be determined. If inflammation is present ice and rest are indicated as the first step. A team approach may be used to treat hip pain, depending on the cause. Inflammation and joint pain, as well as torsions of the pelvis with soft tissue involvement can all be addressed by physiotherapy, chiropractic or massage therapy. Specific exercises for strength and flexibility will be assigned by our physiotherapist in our private gym. Chiropractic adjustments can address stubborn joint restrictions, and massage therapy will treat the muscular involvement.

For more information, or to book an appointment call 604-524-4446.


1). orthopedics.about.com.

2). emedicinehealth.com, bonesmart.org.