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Conditions › Lower Limb › Hip Pain

Lower Limb

Hip Pain

Hip pain can come from the joint itself, the surrounding muscles, or even refer from your lower back.

Hip Joint Outer Thigh Groin

A deep joint with many possible sources of pain

The hip is a deep ball-and-socket joint surrounded by large, powerful muscles. Pain here can come from the joint itself, the surrounding muscles and tendons, the bursa (a fluid-filled cushion), or can be referred from the lower back β€” making accurate assessment particularly important.

CAUSE
Prolonged sitting or sudden activity increase
TCM MECHANISM
Stagnation along the Gallbladder & Stomach meridians of the hip
EFFECT
Pain in the groin, outer hip or buttock

What commonly causes hip pain?

πŸƒRunning / High-Impact Sport
πŸͺ‘Prolonged Sitting
πŸ‹οΈOveruse or Sudden Load Increase
🚢Altered Walking Pattern
😴Sleep Position
πŸŽ‚Age-Related Joint Wear

Hip Pain may also cause

Pain in the groin, outer hip, or buttock
Stiffness getting up from sitting
Pain with walking or climbing stairs
A clicking or catching sensation
Pain lying on the affected side
Reduced range of motion

How the tissues involved actually behave

Hip Flexors

These muscles at the front of the hip commonly become tight with prolonged sitting.

Gluteal Muscles & Tendons

Tendon irritation on the outer hip (greater trochanteric pain) is a very common cause of side hip pain.

Bursa

A fluid-filled cushion near the outer hip can become irritated and inflamed, contributing to localised pain.

Hip Joint Itself

Cartilage and joint changes can contribute to deeper, groin-focused pain, particularly with age.

Referred Pain

The lower back and sacroiliac joint can refer pain into the hip and buttock region.

Muscle Imbalance

Weakness in the hip stabilising muscles is commonly associated with recurring hip and lower limb issues.

How Traditional Chinese Medicine views this condition

Qi, Blood & the Meridian Pathways

The hip is traversed by the Gallbladder and Stomach meridians in Traditional Chinese Medicine, running along the outer hip and front of the thigh respectively. Persistent hip pain and stiffness is traditionally understood as stagnation of Qi and Blood along these pathways.

This is the traditional framework that guides our treatment approach β€” not a claim that has been scientifically proven. We combine it alongside modern musculoskeletal assessment, never in place of it.
  • Gallbladder Meridian Outer hip and thigh
  • Stomach Meridian Front of hip and thigh
  • Bladder Meridian Back of hip and buttock

Assessment first, then a plan built around you

Assessment
Remedial Massage
Chinese Tuina
Fire Cupping
Dry Needling
Trigger Point Therapy
Stretching
Self-Care Advice

Hip Pain β€” your questions answered

Is my hip pain coming from the joint or the muscles?

This is exactly what a proper assessment helps determine, since the treatment approach differs depending on the source.

Can lower back problems really cause hip pain?

Yes, referred pain from the lower back and sacroiliac joint is a common and sometimes overlooked cause of hip discomfort.

Should I stop running with hip pain?

Often a temporary reduction in load or a change in training is wise until you've been assessed, rather than complete rest.

Is hip pain always related to ageing?

No, it's common across all ages, though the specific causes do shift somewhat with age.

Can massage help hip pain?

Many clients find release of the surrounding hip and thigh muscles helpful, especially for muscular and tendon-related causes.

Will dry needling help?

It may help with trigger points in the gluteal or hip flexor muscles contributing to pain.

How long does hip pain usually take to resolve?

This varies considerably by cause β€” muscular tightness may ease in weeks, while joint-related issues can take longer.

Is cracking or clicking in my hip a problem?

Painless clicking is common and often not concerning, but clicking accompanied by pain is worth assessing.

Can sitting all day really affect my hips?

Yes, prolonged hip flexion from sitting is a very common contributing factor to hip flexor tightness.

When should I get a scan?

If pain is severe, follows an injury, or isn't improving with appropriate conservative care, discuss imaging with your doctor.

What you can do between sessions

Stretching

Gentle hip flexor and outer hip stretches can ease tightness.

Movement Breaks

Avoid prolonged sitting; stand and move regularly.

Gradual Strengthening

Strengthening the gluteal muscles supports hip stability.

Sleep Position

A pillow between the knees when side-sleeping can ease pressure on the hip.

Load Management

Gradually build up running or training volume rather than sudden increases.

Know the red flags

Seek medical attention if you experience:

  • Sudden severe pain after a fall, especially in older adults (possible fracture)
  • Inability to bear weight on the leg
  • Significant swelling or deformity
  • Fever alongside hip pain
  • Numbness or weakness spreading down the leg
  • No improvement after several weeks of appropriate care

This page is general education, not a diagnosis. If anything above applies to you, please see a doctor or visit an emergency department rather than booking a massage.

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