Hip Pain & Injury Treatment

As the largest ball-and-socket joint in the body, hips can withstand a lot of repetitive motion. But with age and overuse, the cartilage can wear down, muscles can become exhausted and tendons can weaken. Traumatic falls and other sudden injuries can also cause the hip bone to fracture. These instances can lead to hip pain symptoms that can disrupt every day activities and limit athletic abilities.
Hip Pain

Hip injuries don’t favor one age group over another. Adolescent athletes can suffer from overuse or traumatic injuries, while senior adults can experience weakening joints and sudden falls. Access Sports Medicine’s goal is to establish the cause of the hip pain and utilize the least invasive treatment possible to resolve the problem.

Common conditions and injuries that can cause hip pain include:

  • Arthritis
  • FAI (femoral acetabular impingement)
  • Bursitis
  • Iliotibial band syndrome
  • Tendinitis
  • Labral tears
  • Bone fractures
  • Cartilage damage

Injuries to the hip may affect the hip socket joint (femoral acetabular joint) or the muscles and ligaments that surround and support the hip socket joint. There are some hip injuries that can become chronic because of wear and tear and degeneration of the hip joint.

Determining the Cause of Hip Pain

The first goal in assessing hip pain is to establish where the problem came from. Was it a sudden trauma? Or has the injury and pain been developing or worsening over time? A physical evaluation is also required to assess the function of the hip joint and any possibly deficits or abnormalities.

A physician will also request digital imaging of the hip joint, like an X-ray, MRI or ultrasound. This helps pinpoint where the cause of the hip pain is coming from.

Often, a simple problem can develop into something more complex and serious if left untreated. When joint pain and injuries don’t recover after resting, they should be evaluated to determine the severity of the injury and the appropriate treatment.

Hip Pain in Athletes

Overuse injuries such as bursitis and tendinitis can occur in athletes of all ages. Bursitis is an inflammation of the cushion between the muscle and hip bone, and is often seen in high-contact sports like football and ice hockey. Tendinitis can occur in any of the tendons around the hip joint and most frequently impacts athletes like long-distance runners. Athletes can also experience hip stress fractures, labral tears and pulled muscles.

Non-Surgical Treatment Options

The severity of the hip pain will determine the exact course of treatment, but many orthopaedic hip injuries can be successfully treated non-surgically with:

  • Anti-inflammatory medications
  • Temporary changes in activity
  • Biologics and injections
  • Physical therapy
  • Exercise to strengthen leg muscles
  • RICE (rest, ice, compression, elevation)

Arthroscopic Hip Surgery

For hip pain and injuries that can’t be solved non-surgically, hip arthroscopy is a minimally invasive surgical option. In hip arthroscopy, the joint is accessed through small incisions and an arthroscope (small camera) is inserted to take images. The surgeon then uses the images to guide miniature surgical instruments.

Hip arthroscopy can be used to treat many conditions including:

  • Labral tears – a tear in the cushioning of the joint.
  • Synovitis – inflamed tissues that surround the hip joint.
  • Snapping hip syndrome – when a tendon rubs across the outside of a joint.
  • Femoroacetabular impingement (FAI) – a condition where an extra bone develops along the acetabulum or the femoral head.


Auburn, NH Ambulatory Surgery Center

45 Dartmouth Dr.
Auburn, New Hampshire 03032

Dover, NH Orthopaedic Clinic

19 Webb Place
Dover, NH 03820

Rochester, NH Orthopaedic Clinic

120 Washington Street Suite 101
Rochester, NH 03839

Portsmouth, NH Orthopaedic Clinic (Walk-In Clinic)

155 Borthwick Avenue, Suite 102
Portsmouth, NH 03801

Raymond, NH Orthopaedic Clinic

6 Freetown Road
Raymond, NH 03077


The percentage of hip fractures caused by falling, according to the Centers for Disease Control and Prevention (CDC).

Managing Hip Pain

There are many treatment options available for the various hip conditions that may be causing pain. Our orthopaedic physicians can determine the best plan to help patients manage hip pain and resume daily activities.

Our staff understands and recognizes the importance of providing current and accurate workers’ compensation information and patient progress reports in a timely manner. Above all, our focus is on the recovery process and getting patients back to work quickly.

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Joshua A. Siegel, MD

Knee & Shoulder

Dr. Siegel is an award-winning surgeon with more than 20 years of experience. He is a US Olympic Committee team physician, a US ski team physician and covers USGA and PGA tour events. Locally, he is the team physician for several high schools, including Phillips Exeter Academy.

Meet Dr. Siegel

David Davis, MD

Knee & Shoulder

Dr. Davis specializes in the treatment of sports-related injuries and has contributed to numerous scholarly publications. His experience includes working as an assistant team physician for the Boston Celtics and Tufts University football and hockey programs. Currently, he is a team physician for several New Hampshire Seacoast high schools.

Meet Dr. Davis

What is FAI (femoral acetabular impingement)?

This condition occurs when an extra bone grows along the bones that form the hip joint. Because the extra bone prevents the rest from fitting together comfortably, movement and activity can cause pain. There are non-surgical and surgical options for treating this condition.

Do I need hip replacement surgery?

When non-surgical treatment options like physical therapy are ineffective, patients may be ideal candidates for hip replacement surgery. An orthopaedic surgeon will determine the how successful a hip replacement could be by assessing the patient’s overall health and activity level.