Hip Pain and Athletes

From Yankee slugger Alex Rodriguez to the high school hockey star next door, hip pain is bringing athletes to sports medicine specialists in increasing numbers. It's important to pay attention to hip pain when it begins in order to prevent a chronic condition from developing.

Common Sports-Related Hip Injuries Among Athletes

Bursitis and Tendonitis

Hip overuse injuries such as bursitis and tendonitis occur commonly in active individuals. Inflammation of the cushion (bursa) between the muscle and the hip bone can cause bursitis. The main symptom is pain at the point of the hip. This can be seen in contact sports such as football and ice hockey.

Tendonitis can occur in any of the tendons that surround the hip joint. The most frequently encountered hip tendonitis is iliotibial (IT) band tendonitis, which can cause pain in both the knee and hip. It most frequently affects endurance athletes such as long-distance runners.

Hip Pointer

Hip pointer injuries are caused by direct impact with the top of the hip bone (iliac crest). The bone and overlying muscle are often bruised, and the pain can be intense.


Osteoarthritis is one of the most common causes of chronic hip pain for older athletes. It is the wearing out of the cartilage that protects the bones in the joints. As we age, this protective cartilage slowly erodes until the underlying bone is exposed, resulting in pain when the joint moves and bears weight.

Hip Labral Tear

Hip labral tears caused by injury to the hip labrum, which functions as a bumper around the hip socket. They often cause pain in the groin and a catching sensation in the hip.

Hip Impingement

Hip impingement is a sports medicine condition often detected in young and middle-aged athletes in which the bones of the hip are abnormally shaped and do not fit together perfectly. The bones rub against one another and damage the joint.

Stress Fracture

Stress fractures, which are caused by repetitive trauma to the hip bone over time, are most often seen in long-distance runners.

Avascular Necrosis

Avascular necrosis can be defined as the death of bone due to a lack of adequate blood flow. When this occurs in the hip it is usually in the ball of the joint, called the femoral head. It causes a dull ache or throbbing in the hip, groin or buttock and pain when walking or moving the hips from side to side.

Hip Injury Treatment

Many minor hip injuries can be treated safely at home. Get off your feet, rest and apply ice for 10-20 minutes every 2 to 4 hours. For pain, try over-the-counter pain relievers such as acetaminophen, aspirin, ibuprofen, etc.

Seek immediate medical attention if your hip pain is caused by a sports injury and is accompanied by:

  • A joint that appears deformed
  • Inability to move your leg or hip
  • Inability to bear weight on the affected leg
  • Intense pain
  • Sudden swelling

Any pain that limits your ability to walk or run normally should be evaluated by a sports medicine physician.

Many patients respond to conservative treatment options for their hip pain, such as medication and physical therapy. If these measures fail to restore your pre-injury condition, surgery may be considered.

Fortunately, advanced diagnostic imaging makes it possible to more precisely determine the best treatment for you. That, combined with recent developments in less invasive surgical procedures, has resulted in more options to get you quickly back to your active self.

Hip arthroscopy is a minimally invasive procedure performed through tiny incisions, using a small camera inside the joint to visualize the damaged structures. A variety of instruments repair torn tissue, remove bone spurs, re-shape abnormal bones and treat injured cartilage.

Partial or total hip replacement surgical techniques and devices are constantly improving to enhance the lives of those with hip injuries.

Hip Injury Prevention

Strengthening or resistance exercises, such as using weight machines, swimming or walking on hills or climbing stairs, can make the muscles and tendons of your hip area stronger.

An ounce of prevention can head off hip pain before it becomes a major problem. If you are starting to have hip pain, don't push through the pain. Allow the area to calm down for a few days before getting back into your training regimen, and if the pain persists and does not go away with rest, visit a sports medicine specialist.