Medically Reviewed by Dr Wang Lushun
Senior Consultant Orthopaedic Surgeon
MBBS (S’pore), MRCS (Edinburgh), MMed (Ortho), FRCS (Ortho) (Edinburgh)
Hip pain during exercise is something many people experience at some point, whether during a workout, a run, or even a simple stretching routine. Because it often starts as mild discomfort, it is easy to dismiss it as normal muscle soreness or a temporary issue that will go away on its own.
However, not all hip pain is harmless. In some cases, it can be an early warning sign of an underlying problem that may worsen if left unaddressed. Understanding why hip pain occurs and why it should not be ignored can help you protect your joint health and avoid serious complications in the future.
It is important to distinguish between general muscle soreness and pain that may be indicative of a deeper issue. After a new or intense workout, it is normal to feel some level of muscle stiffness or aching that typically subsides within a few days as the body recovers.
However, hip pain that is sharp, persistent, or occurs repeatedly during specific movements is different. Pain that is localised deep within the joint, worsens with activity, or does not improve with rest is not considered normal. Continuing to exercise through this type of discomfort may place additional strain on the hip and increase the risk of injury.
Hip pain during exercise can arise from a variety of causes, ranging from mild muscle strain to more complex joint conditions. Identifying the source of the pain is key to preventing it from becoming a long-term issue.
One of the most common causes is muscle strain or overuse. This often occurs when there is a sudden increase in activity level, intensity, or frequency without adequate conditioning. Tight or overworked muscles around the hip—such as the hip flexors, glutes, and adductors—can become irritated and painful during movement. While mild strains may improve with rest, repeatedly pushing through the pain can delay recovery and lead to recurring discomfort.
The way you move plays a major role in how stress is distributed across the hip joint. Incorrect form during exercises such as squats, lunges, or running can place excessive load on the hip structures. For example, poor alignment of the hips and knees, inadequate core stability, or improper foot positioning can gradually strain the joint. Over time, these inefficient movement patterns can lead to persistent or recurring hip pain.
Hip impingement, also known as femoroacetabular impingement (FAI), occurs when there is abnormal contact between the ball and socket of the hip joint. This can cause pain during movements that involve bending or rotation, such as squatting or sitting for prolonged periods. Those with hip impingement often notice discomfort at the front of the hip, especially during exercise. Left untreated, it can lead to further damage within the hip joint.
Repetitive movements, especially in sports or high-impact activities, can lead to inflammation of the tendons around the hip. This condition, known as tendinitis, is commonly seen in runners and active individuals. Pain from tendinitis may start off mild but can worsen over time with continued activity. Without proper management, it can become a chronic condition that limits performance and mobility.
The labrum is a ring of cartilage that lines the hip socket and helps stabilise the joint. A tear in the labrum can result from repetitive stress, structural abnormalities, or sudden movements.
Symptoms of a labral tear of the hip may include:
Because these symptoms can be subtle initially, they are often overlooked until the condition progresses.
In some cases, hip pain during exercise may be an early sign of joint degeneration. While commonly associated with ageing, conditions like osteoarthritis can also affect younger individuals, particularly those who are physically active or have a history of joint injury. This type of pain may gradually worsen over time and become more noticeable during weight-bearing activities.
While occasional discomfort may not be a cause for concern, certain symptoms suggest that the pain may be more serious. These include:
These signs often indicate that the issue extends beyond simple muscle soreness and requires further evaluation.
Ignoring hip pain may seem harmless at first, especially if the discomfort is mild. However, continuing to exercise without addressing the underlying problem can lead to more serious consequences.
Minor injuries, such as muscle strains or tendon irritation, can worsen over time if repeatedly aggravated. What may have initially been a manageable condition can develop into a more significant injury that requires a longer recovery period.
Persistent strain on the hip joint can also contribute to chronic pain. As the condition progresses, the pain may become more frequent, more intense, and harder to treat. In some cases, untreated hip problems may lead to long-term joint damage.
Structural issues such as hip impingement or labral tears can gradually wear down the joint, increasing the risk of early arthritis. When conditions reach this stage, treatment may become more complex and invasive.
Hip pain during exercise is your body’s way of signalling that something may not be right. While it may be tempting to push through the discomfort, doing so can lead to more serious problems over time. If you are experiencing recurring or persistent hip pain, seeking professional evaluation can help you take the right steps towards lasting relief.
At Arete Orthopaedic Centre, we strive to help patients return to their active lifestyles safely and with confidence. Dr Wang Lushun is experienced in the diagnosis and treatment of various hip conditions, and is committed to seeing you through to recovery. For more information or appointments, please contact us today.
MBBS (S’pore), MRCS (Edin), MMed (Ortho), FRCS (Ortho) (Edin)
With over 20 years of experience, Dr Wang Lushun is an orthopaedic surgeon who specialises in treating a wide range of sports injuries and musculoskeletal conditions. He has in-depth experience in minimally invasive surgery and advanced robotic surgery. Dr Wang provides orthopaedic care to athletes and everyday individuals throughout their journey to recovery.
