
A woman holding her hip in pain.
Hip pain is one of the major complaints of women in any age group. It may hamper daily activities such as walking, sitting, sleeping and exercising. Unlike men, who naturally have no predisposition to hip discomfort, women will experience it more often due to differences in bone structure, hormonal changes, pregnancy-related strains and certain medical conditions that affect a woman's body particularly.
Being able to understand the causes of hip pain and to know when to seek professional help is quite important in promoting long-term comfort and mobility.
The hip is one of the major load-bearing joints in the human body. It connects the thigh bone with the pelvis and supports almost every movement, from all kinds of bends and sitting to standing and climbing stairs.
In women, the shape and angle of the pelvis are slightly wider to accommodate the passage of childbirth, which sometimes results in additional stress on the hip joint. Over time, it may make a woman more vulnerable to pain, inflammation and eventual joint problems.
There are a number of reasons why women suffer from hip pain more than men.
Estrogen fluctuation throughout the menstrual cycle, pregnancy and menopause affects ligaments and joints. The lower levels of estrogen during menopause contribute to decreasing bone density and weakening of the joint stability, thus enhancing the risk of osteoarthritis and hip fractures.
Because women naturally have a wider pelvis, their hip and knee joints come into a different alignment. This puts additional stress across the hip muscles and tendons, leading to strain and overuse injuries.
Relaxin is a pregnancy hormone responsible for loosening the ligaments in preparation for delivery. Though necessary, this may result in instability in the hip joint, leading to hip pain, lower back pain and pelvic pain.
The pain in the hips is due to weak core and glute muscles, especially among many women who have desk jobs. These muscles support the hips and their weakening results in imbalance and discomfort.
Many conditions can give rise to hip pain. Some are mild and temporary, while others require medical attention.
Osteoarthritis is one of the most common causes of chronic hip pain in women over 40. It's caused by a wearing down of cartilage that cushions a joint, leading to stiffness, swelling and pain. Menopause accelerates the process because low estrogen levels weaken bone and cartilage.
Bursa are small fluid-filled sacs that reduce friction between bones and tendons. Inflammation of the bursa on the outer side of the hip is called trochanteric bursitis and it's especially common in women. It typically causes sharp pain when lying on one side, climbing stairs or getting up from a chair.

An infographic illustrating hip bursitis.
The labrum is made of cartilage and forms a ring around the hip socket. It can tear due to sports, sudden movements or structural problems, which then may cause clicking, locking, or deep groin pain.
This pain radiates from the lower back to the hip and down the leg when there is compression on the sciatic nerve. Women with long sitting hours, poor posture.or pregnancy are more likely to develop sciatica.
Most often, inflammation of the hip tendons, especially the iliopsoas tendon.which is a major hip flexor causes pain in the front of the hip. Generally, it is accentuated by stair climbing or running.
This is a joint that links the spine and pelvis together. Pregnancy, falls or uneven weight distribution can cause joint pain, often masquerading as hip pain.
Postmenopausal women with low bone density are more susceptible to hip fractures. Even a minor fall may cause extensive injury, necessitating urgent orthopedic attention.
Seek an orthopedic specialist immediately if you are experiencing:
You risk chronic mobility problems and damaged joints by ignoring persistent hip pain.
Management of hip pain involves lifestyle modification, home care, and medical treatment as needed.
One of the main contributors to hip pain in women is having weak hip and core muscles. Strengthening exercises can help improve stability and reduce the pressure on the joint.
Effective exercises include:
Balanced muscles protect the joint and enhance posture.
Ice helps reduce inflammation from injuries like bursitis and tendinitis. Heat relieves stiff muscles and improves blood flow. Both can be applied for 10-15 minutes to achieve relief.
Extra body weight puts greater stress on the hip joint, accelerating wear and tear. A healthy weight decreases pressure and maximizes the health of one's joints over the long haul.
Poor sitting habits, slouching and wrong lifting techniques can aggravate hip pain. Such discomfort can be significantly reduced by making use of ergonomic chairs, avoiding long sitting hours and maintaining proper posture.
High heels and unsupportive shoes alter hip alignment and strain the muscles. Wearing comfortable shoes with good arch support will reduce pressure on the hip.
Avoid sleeping on the painful side if pain in the hip increases at night. Use a pillow between your knees to maintain the alignment of the hips.
Adequate nutrition with calcium, vitamin D, protein and omega-3 fatty acids supports bone health and decreases inflammation in the joints. This is particularly important for postmenopausal women who are at risk for osteoporosis.
Consult a physiotherapist who will help you with specific exercises that can enhance flexibility, reduce stiffness and strengthen the hip muscles.

A woman undergoing physiotherapy for pain relief.
The orthopedic doctor may prescribe anti-inflammatory medicines, injections or special treatments according to the cause of pain, for instance, arthritis or bursitis. In severe cases like fractures or advanced osteoarthritis, surgical procedures may be required. Early diagnosis often prevents the need for surgery.
If you are experiencing persistent hip pain, consulting an expert makes all the difference. Dr. Ankur Singh offers advanced orthopedic care backed by international training and years of clinical expertise. His patient-focused approach ensures accurate diagnosis and effective treatment for conditions like hip arthritis, bursitis, fractures and chronic pain.
For reliable and compassionate orthopedic care, Dr. Ankur Singh is one of the best specialists you can trust.
Hip pain is common in women, yet it's not normal. Finding the underlying cause is key to any effective treatment. Most types of hip pain are treatable with proper care, exercises, nutrition and orthopedic guidance. Pain ignored for a long time may lead to long-term complications and thus, seeking help early is critical for accurate diagnosis and relief.