Medically Reviewed by Dr Wang Lushun
Senior Consultant Orthopaedic Surgeon
MBBS (S’pore), MRCS (Edinburgh), MMed (Ortho), FRCS (Ortho) (Edinburgh)
Hip pain is a common complaint among older adults and can significantly affect mobility, independence, and quality of life. While arthritis is often assumed to be the cause, many other conditions can also lead to hip pain. Read on to find out what they are, as identifying the correct cause will help determine appropriate treatment options and outcomes.
As we age, natural wear and tear occurs in the joints, muscles, and tendons. Reduced muscle strength, decreased flexibility, and changes in bone quality can all contribute to hip discomfort. Older adults are also more prone to degenerative conditions and injuries from minor falls or repetitive strain, making hip pain more prevalent with age.
Hip osteoarthritis is one of the most common causes of hip pain in older adults. It occurs when the cartilage that cushions the hip joint gradually wears away, leading to friction between bones.
Typical symptoms include pain in the groin, thigh, or buttock, stiffness especially in the morning or after prolonged sitting, and reduced range of motion. Over time, activities such as walking, climbing stairs, or standing for long periods may become increasingly difficult.
Not all hip pain is due to arthritis and other conditions can also produce similar symptoms.
The location and nature of pain can often provide useful clues. For example, arthritis-related pain is often deep in the groin and associated with stiffness, particularly in the morning. Pain from bursitis is usually felt on the outer hip and worsens with pressure or certain movements. Referred pain from the spine may be accompanied by back pain, numbness, or tingling.
However, symptoms often overlap and self-diagnosis can be misleading. Therefore, a proper medical assessment by an orthopaedic specialist is key for an accurate diagnosis.
Hip pain that persists for weeks, worsens over time, or affects walking and daily activities should be evaluated. Additionally, sudden hip pain after a fall, difficulty bearing weight, or significant loss of hip movement will also require prompt medical attention.
An orthopaedic surgeon will assess hip pain through a detailed history, physical examination, and imaging studies such as X-rays or MRI scans when needed.
Treatment depends on the underlying cause and may include pain relief medication, physiotherapy, lifestyle modifications, or joint injections.
In cases of advanced arthritis or structural damage, surgical options such as hip replacement surgery may be considered to restore mobility and reduce pain.
As hip pain in older adults is not always caused by arthritis, it should be reviewed by a doctor, especially if the pain is persistent or debilitating. Early diagnosis can prevent further joint damage and improve treatment outcomes. For a detailed consultation and effective relief from hip pain, please make an appointment with our experienced orthopaedic surgeon, Dr Wang Lushun, 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.
