Arthritis is a common cause of hip pain and can affect one or both joints. You are likely to feel pain deep in the hip and often within the groin, as well as pain at the front of the thigh and buttock. You may also experience referred pain to the knee. You may feel your affected leg is slightly shorter than the other and the joint may feel crunchy.

GP referral for further investigation may be advised but there are various treatment options are available including: joint mobilisation, exercise rehabilitation


Hip bursitis commonly affects the greater trochanter “trochanteric bursitis”. Less commonly “ischial bursitis” can be problematic.

Symptoms include pain on the outer hip or a deep dull ache in the upper buttock.

Treatment can include: PRICE (protection, rest, ice, compression, elevation), stretching, exercise rehabilitation

GP advice on anti-inflammatories and or steroid injection can be sought if symptoms persist.

Piriformis Syndrome

This is a very common condition. It affects the piriformis muscle located in the buttock region. Due to its relationship with the sciatic nerve symptoms can vary from deep dull ache, referred pain to the back of the leg and foot as well as numbness and pins and needles. Interestingly it is one of the most common cause of low back pain.
Causes of this injury include injury to the muscle leading to spasm and swelling. Bleeding within the area and irritation of the sacroiliac and hip joints can also aggravate the condition.

Treatment can include: electrotherapy, deep tissue massage, soft tissue release, frictions, exercise rehabilitation and stretching. Biomechanical imbalances may also need to be addressed and corrected.

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