July 27, 2026
Hip Joint Pain: What Causes It and What Helps
Hip joint pain can be frustrating because it is not always easy to tell where the problem is coming from.
Some people feel pain deep in the front of the hip or groin. Others feel pinching when they squat, stiffness after sitting, aching when they run, or discomfort when they pivot, lunge, climb stairs, or play sports. The pain may feel like it is coming from inside the joint, but that does not always mean the joint itself is the only issue.
Hip pain can come from the joint, the muscles around the hip, the tendons, the low back, the pelvis, or the way the body is handling load during movement.
That is why hip joint pain should not be treated with random stretches or generic exercises alone.
The location of pain matters, but the bigger question is why the hip is becoming irritated in the first place. Is the joint lacking mobility? Are the surrounding muscles underprepared? Is the low back referring symptoms? Is the hip being overloaded during running, lifting, golf, or daily activity? Is the pain related to workload, strength, control, or movement mechanics?
In this article, we will break down what hip joint pain usually feels like, what causes hip joint pain, why the hip is not always the root problem, which activities commonly trigger symptoms, and what actually helps active adults and athletes get back to moving with confidence.
What Hip Joint Pain Usually Feels Like
Hip joint pain can show up in several different ways.
Some people feel a deep ache. Others feel sharp pinching. Some feel stiffness or tightness that never seems to fully loosen up. The symptoms may appear during exercise, after activity, or after long periods of sitting.
Common descriptions include:
Deep pain in the front of the hip
Groin pain
Pinching when squatting or bending the hip
Aching after running or walking
Stiffness after sitting
Pain with stairs
Discomfort when pivoting or changing direction
Pain during lunges, deadlifts, or deep squats
Clicking, catching, or a blocked feeling in the hip
Pain that spreads into the thigh, glute, or low back
Front-of-hip or groin pain is commonly associated with hip joint irritation, but that does not mean every case is the same. The hip is a complex joint surrounded by strong muscles, tendons, ligaments, and connective tissue. Pain in this area may involve multiple structures.
For example, a runner with groin pain may have a hip joint mobility issue, adductor irritation, training load problem, or low back contribution. A golfer with front hip pain may have limited hip rotation, trunk mobility restrictions, or poor control during rotation. A lifter with pinching during squats may have hip impingement, limited hip mobility, or a squat pattern that does not match their anatomy.
The symptom location is the starting point, not the full answer.
What Causes Hip Joint Pain?
There are several possible causes of hip joint pain.
Some are related to the joint itself. Others are related to the muscles and tendons around the joint. Others come from the way the body moves, loads, or compensates during activity.
Here are some of the most common contributors.
Hip Impingement
Hip impingement, often called femoroacetabular impingement, can cause pinching or discomfort in the front of the hip, especially when the hip moves into deeper flexion or rotation.
This may show up during squats, deadlifts, lunges, sitting, cycling, skating, rowing, or certain sport positions.
Hip impingement does not always mean someone needs to stop activity. Many people can improve symptoms by modifying movement, improving hip and trunk control, building strength, and changing how they load the hip.
The key is understanding which positions irritate the hip and what the body needs to tolerate activity better.
Hip Flexor Irritation
Hip flexor irritation can feel like pain or tightness in the front of the hip.
This is common in runners, lifters, soccer players, hockey players, dancers, and people who sit for long periods before training hard.
The hip flexors help lift the leg, stabilize the pelvis, and assist with running, kicking, climbing, and athletic movement. When they are overloaded or overworked, they can become painful.
Many people respond by stretching the hip flexors repeatedly. Sometimes that helps temporarily. But if the hip flexors are irritated because they are overworking or underprepared, stretching alone may not solve the issue.
Strength, trunk control, load management, and better hip mechanics may be needed.
Labral Irritation
The labrum is a ring of cartilage that helps support the hip joint.
Labral irritation may contribute to deep hip or groin pain, clicking, catching, or discomfort with rotation and deep hip positions.
It is important to understand that imaging findings do not always match symptoms perfectly. Some people have labral changes and no pain. Others have symptoms that improve significantly with conservative care.
Physical therapy often focuses on improving hip mobility, strength, control, and activity tolerance rather than only focusing on the structure seen on imaging.
Tendon Pain Around the Hip
The hip is surrounded by several important tendons.
Tendon pain can develop when the tissue is exposed to more load than it can tolerate. This may happen with sudden increases in running, lifting, jumping, hills, sports, or new exercises.
Common tendon-related hip symptoms may involve the hip flexors, glute tendons, hamstring tendons, or adductors.
Tendon pain usually responds best to progressive loading, not complete rest forever. The goal is to calm symptoms while gradually rebuilding capacity.
Arthritis or Joint Irritation
Hip arthritis can cause stiffness, aching, groin pain, reduced range of motion, and difficulty with walking, stairs, or getting in and out of cars.
Arthritis does not always mean activity must stop. Many people with hip arthritis benefit from strength training, mobility work, walking modifications, and activity planning.
The goal is to keep the hip moving, build strength around the joint, and improve tolerance to daily activity.
Low Back Referral
Hip pain does not always come from the hip.
The low back can refer symptoms into the hip, glute, groin, or thigh. This can make it difficult to tell whether the issue is truly hip joint pain or pain coming from another region.
Signs that the low back may be contributing include pain that changes with spinal movement, symptoms that travel down the leg, numbness or tingling, or hip pain that does not change much with hip-specific exercises.
Poor Hip Mobility
Hip mobility matters because the hip is built to move in multiple directions.
If the hip lacks flexion, extension, rotation, or control through those ranges, the body may compensate somewhere else.
This may create pain during squatting, running, lifting, golf, skating, or pivoting.
But mobility is not just about stretching. A hip may feel tight because it is stiff, weak, guarded, irritated, or lacking control. The best solution depends on why the mobility is limited.
Strength Deficits
The muscles around the hip help control the pelvis, support the joint, absorb force, and transfer power.
If the glutes, adductors, hip flexors, hamstrings, or trunk muscles are underprepared, the hip joint may absorb more stress than it should.
This can matter for runners, lifters, athletes, and active adults who repeatedly ask the hip to tolerate load.
Training Load Changes
Hip joint pain often appears after a change in activity.
This might include:
Increasing running mileage
Adding hills or speed work
Returning to lifting after time off
Starting a new sport
Increasing squat or deadlift volume
Playing more golf, tennis, soccer, or pickleball
Doing more deep hip flexion movements
Training through fatigue
When workload increases faster than the body can adapt, the hip may become irritated.
Why Hip Pain Is Not Always Where the Problem Starts
The hip does not work in isolation.
It sits between the pelvis and the leg. It is influenced by the low back, rib cage, trunk, knee, ankle, and foot. That means hip joint pain can be affected by how the entire body moves.
For example, if the ankle lacks mobility, the hip may compensate during squatting or running. If the trunk cannot rotate well, the hip may absorb extra rotation during golf or throwing. If the glutes are not managing load well, the hip joint or surrounding tendons may become irritated. If the low back is sensitive, symptoms may be felt near the hip even though the hip joint is not the main driver.
This is why pain location does not always equal root cause.
A complete approach to hip pain should consider:
Hip range of motion
Hip strength
Trunk control
Pelvis position and control
Low back contribution
Foot and ankle mechanics
Gait pattern
Lifting mechanics
Training load
Sport-specific movement demands
When hip pain keeps returning, the solution is often bigger than stretching the painful area.
Common Activities That Trigger Hip Joint Pain
Hip joint pain often becomes noticeable during specific activities.
These triggers can help identify what the hip is struggling to tolerate.
Squatting
Squatting places the hip into flexion and often requires rotation, trunk control, and ankle mobility.
If the hip feels pinchy at the bottom of a squat, the issue may involve hip impingement, limited mobility, squat depth, stance width, pelvic position, or how the person is loading the movement.
For some people, adjusting stance width, foot angle, depth, tempo, or load can reduce symptoms while strength and mobility are addressed.
Running
Running involves repeated impact and single-leg loading.
Hip pain during running may be related to hip strength, stride mechanics, training volume, cadence, running surfaces, or recovery.
Runners with hip joint pain may feel symptoms during the run, after the run, or the next morning.
Lunging
Lunges require hip mobility, single-leg control, and trunk stability.
Front-of-hip pain during lunges may happen when the hip is irritated in deeper flexion or when the pelvis and trunk are not well controlled.
Sitting
Hip joint pain with sitting is common because sitting places the hip in flexion.
Some people feel pinching, stiffness, or aching after sitting for long periods, especially when standing up afterward.
This does not always mean sitting is damaging the hip. It may mean the hip does not tolerate prolonged flexed positions well right now.
Pivoting or Cutting
Sports that require pivoting, cutting, rotating, or sudden direction changes can irritate the hip if the joint and surrounding muscles are not prepared for those demands.
This is common in soccer, lacrosse, basketball, tennis, football, hockey, and field sports.
Golf Swing
The golf swing requires hip rotation, trunk rotation, weight shift, and control.
If the hip cannot rotate well or the trunk is limited, the hip may become irritated during repeated swings.
Deadlifting or Lifting
Deadlifts, squats, cleans, and other loaded movements can expose hip mobility or strength limitations.
Hip pain during lifting does not always mean the exercise is bad. It may mean the body needs a better setup, modified range, improved hip control, or more gradual loading.
Stairs
Stairs require the hip to flex, extend, and control body weight on one leg.
Pain with stairs may involve hip joint irritation, glute weakness, tendon sensitivity, or difficulty controlling the pelvis and leg.
When Hip Joint Pain Is a Warning Sign
Many cases of hip pain improve with the right plan, but some symptoms deserve more attention.
You should get assessed if you experience:
Sharp catching or locking in the hip
Pain that worsens over time
Pain that affects walking
Significant loss of hip motion
Pain after a fall, collision, or trauma
Night pain that does not change with position
Numbness, tingling, or weakness
Pain that travels below the knee
Hip pain with fever, unexplained weight loss, or feeling unwell
Symptoms that do not improve with activity modification
These symptoms do not always mean something serious is happening, but they are signs that guessing is not the best approach.
A professional evaluation can help determine whether the issue is joint-related, muscle-related, tendon-related, spine-related, or something that needs further medical attention.
What Helps Hip Joint Pain?
The right treatment depends on what is driving the symptoms.
For many active adults and athletes, hip joint pain improves when the plan addresses movement, strength, mobility, load, and the specific activities that trigger symptoms.
Movement Assessment
A movement assessment helps identify which positions and patterns irritate the hip.
This may include looking at squats, lunges, hip rotation, walking, running, stairs, balance, single-leg control, and sport-specific movements.
The goal is not to find one “wrong” movement. The goal is to understand what the hip can tolerate and where the body needs more capacity.
Hip Mobility Work
Mobility work can help if the hip is limited in a way that affects movement.
But mobility should be specific.
Some people need more hip rotation. Others need more hip extension. Others need to avoid aggressive stretching because it creates pinching or irritation.
Mobility should create more usable motion, not just temporary looseness.
Strengthening the Hips, Glutes, and Adductors
Strength training can help the hip tolerate load better.
This may include strengthening the glutes, hip flexors, adductors, hamstrings, and deep hip stabilizers.
For many people, hip pain improves when the muscles around the joint become better prepared to support movement.
Core and Trunk Control
The hip and trunk work together.
If the trunk cannot control rotation, extension, or side-to-side motion, the hip may take on extra stress during running, lifting, or sport.
Core training for hip pain should focus on real movement control, not just planks or crunches.
Load Management
If hip pain started after a training spike, load management is critical.
This may mean temporarily reducing running volume, modifying squat depth, adjusting lifting intensity, limiting painful sport positions, or changing how often the hip is exposed to high-stress activity.
The goal is not to rest forever. The goal is to reduce irritation while rebuilding capacity.
Gait, Lifting, or Sport Modifications
Sometimes small changes in movement can reduce symptoms while the hip gets stronger.
This may include modifying stride, cadence, squat stance, hinge mechanics, golf setup, cutting drills, or training volume.
These changes should be individualized rather than guessed.
Gradual Return to Activity
Once symptoms improve, the hip needs a progressive return to activity.
Jumping straight back into the same running, lifting, or sport volume often causes symptoms to return.
A good plan builds tolerance step by step.
Best Exercise Categories for Hip Joint Pain
Exercises for hip joint pain should be chosen based on the person’s symptoms and goals.
The following categories are commonly helpful, but they should be matched to what your hip tolerates.
Hip Mobility Exercises
Hip mobility exercises may help improve range of motion and reduce compensation.
Common examples include:
90/90 hip transitions
Hip controlled articular rotations
Adductor rock backs
Half-kneeling hip flexor mobility
Hip airplanes
Quadruped rock backs
These should not create sharp pinching. If they do, the exercise may need to be modified.
Glute Strength Exercises
The glutes help control the hip, pelvis, and leg during walking, running, lifting, and sport.
Common examples include:
Glute bridges
Hip thrusts
Side steps
Step-ups
Split squats
Single-leg deadlifts
Glute strength is not a magic fix for every hip problem, but it is often an important part of building hip capacity.
Adductor Strength Exercises
The adductors, or inner thigh muscles, help support the hip and pelvis.
They are important for runners, field athletes, hockey players, soccer players, lifters, and anyone who changes direction.
Common examples include:
Side-lying adduction
Copenhagen plank progressions
Adductor squeezes
Lateral lunges
Sliding lateral lunges
Adductor work should be progressed gradually, especially if groin pain is present.
Core and Trunk Control Exercises
Core training can help the hip by improving how the trunk and pelvis manage force.
Common examples include:
Dead bugs
Side planks
Pallof presses
Loaded carries
Rotational cable work
Medicine ball progressions
The goal is to improve control during movement, not just make the core tired.
Single-Leg Control Exercises
Hip pain often shows up during single-leg tasks like running, stairs, cutting, lunging, and changing direction.
Common examples include:
Step-downs
Split squats
Single-leg balance reaches
Single-leg Romanian deadlifts
Lateral step-downs
Controlled bounds when appropriate
These exercises help improve hip control, pelvis control, and load tolerance.
Squat and Hinge Retraining
If hip pain appears during lifting, the solution is not always to avoid lifting forever.
Instead, the movement may need to be modified and rebuilt.
This might include changing squat depth, stance width, tempo, range of motion, load, or exercise variation.
For example, someone with pinching at the bottom of a squat may tolerate box squats, goblet squats, split squats, or trap bar deadlifts better while hip capacity improves.
What Not to Do for Hip Joint Pain
When hip pain starts, it is easy to try anything that promises quick relief.
Some strategies may help short term, but others can keep the problem going.
Do Not Force Aggressive Stretching Into Pinching
If stretching creates sharp pinching in the front of the hip, forcing deeper is usually not helpful.
Pinching may mean the hip does not like that position right now. The better option may be changing the angle, improving control, modifying the exercise, or choosing a different mobility drill.
Do Not Ignore Training Load
If symptoms started after a spike in running, lifting, sport, or activity, exercises alone may not fix the issue unless the workload is also adjusted.
The hip needs the right dose of stress to adapt.
Do Not Assume Rest Solves Everything
Rest may reduce pain temporarily, but it does not always rebuild strength, mobility, or tolerance.
If pain returns every time activity resumes, the hip likely needs a progressive plan.
Do Not Chase Only the Painful Spot
Rubbing, stretching, or treating the painful area may provide temporary relief, but the deeper issue may involve strength, mechanics, or movement limitations elsewhere.
A better approach looks at the whole system.
When Physical Therapy Makes Sense
Physical therapy can be helpful when hip joint pain keeps returning, limits activity, or does not improve with basic modifications.
It may be time to get assessed if:
Hip pain limits running, lifting, golf, or sport
You feel pinching every time you squat or lunge
Pain keeps returning after rest
You are unsure whether the pain is hip, back, or tendon related
Exercises are not helping
Pain affects walking, stairs, or sitting
You have clicking, catching, or locking
You need a plan to return to activity safely
Physical therapy can help identify what is actually driving symptoms and build a plan around your goals.
That plan may include mobility work, strengthening, hands-on care, load management, gait analysis, lifting modifications, sport-specific progressions, or return-to-running planning depending on what you need.
The Bottom Line on Hip Joint Pain
Hip joint pain can come from many different sources, including the joint itself, the surrounding muscles and tendons, the low back, mobility limitations, strength deficits, training load changes, or sport-specific movement demands.
The pain location matters, but it does not always tell the full story.
For some people, the answer is improving hip mobility. For others, it is building strength, changing workload, improving trunk control, modifying running or lifting mechanics, or addressing low back contribution.
The best plan is not random stretching or guessing. It is understanding what the hip can currently tolerate, why it is irritated, and how to rebuild capacity over time.
If hip joint pain is limiting your ability to walk, run, lift, golf, train, or stay active, a movement-based assessment can help you find the next step.
Need Help With Hip Joint Pain?
At Next Level Physical Therapy, we help athletes and active adults address hip pain by identifying the deeper mobility, strength, movement, and loading factors that contribute to symptoms.
Our approach goes beyond treating the painful spot. We look at how your hip, pelvis, trunk, and entire body work together so you can return to the activities that matter most.
If hip joint pain is keeping you from moving, training, or performing the way you want, our team can help guide the process.
Learn more about our approach to hip pain treatment here.
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