Young to middle aged woman dealing with hip pain, dressed in casual wear holding her hip with her right and left hand with a look of pain and distress

Hip Pain:

8 Common Causes

Hip pain in young and active adults is often caused by non-arthritic conditions—problems involving the soft tissues, cartilage, or bone alignment rather than hip arthritis. These conditions can result from repetitive motion, sports activity, or underlying structural issues that affect hip stability and joint mechanics.

Below is a summary of 8 common causes of hip pain in young adults, along with their typical symptoms and treatment options.

Labral Tear

Injury to the acetabular labrum - the cartilage ring that lines the rim of the hip socket (acetabulum). It often results from repetitive hip motion or twisting movements (commonly in athletes) and may occur in the setting of structural issues such as femoroacetabular impingement (FAI) or hip microinstability.

Femoroacetabular Impingement

Abnormal contact between the head-neck of the femur and the rim of the hip socket (acetabulum). These bony abnormalities can pinch or tear the acetabular labrum and damage the joint cartilage.

Hip Microinstability

Occurs when the hip joint lacks sufficient stability to keep the femoral head (the "ball" centered within the acetabulum (the "socket"). It is often related to hip dysplasia (a shallow socket) or capsular laxity (a loose joint capsule).

Greater Trochanteric Pain Syndrome (GTPS)

GTPS refers to pain on the outer (lateral) aspect of the hip, near the prominent bony area called the greater trochanter. This pain is commonly due to inflammation or bursitis at the greater trochanter.

Stress Fracture

Repetitive mechanical loading can cause microscopic damage to the bone, which can progress to a stress fracture without adequate rest and nutrition.

Core Muscle Injury

Repetitive twisting, cutting, or kicking motions can cause a core muscle injury that often involves the lower abdominal and inner thigh muscles that attach to the pubic bone.

Spinal Nerve Pain

Hip pain can sometimes originate from the spine. When a spinal nerve root becomes compressed or inflamed, it can cause radiating pain and numbness along a nerve distribution that includes the hip, thigh, or buttocks.

Sacroiliac (SI) Joint Pain

The SI joint connects the base of the spine (sacrum) to the pelvic bone (ilium). Inflammation or arthritis of this joint causes pain between the low back and buttocks region and may radiate towards the posterior hip.

Schedule an Appointment with a Hip Pain Specialist

If you are suffering from hip pain, please schedule an appointment with Dr. Pappas today.

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