Most adults get meaningful hip pain relief from a short course of safe home care, protecting the joint through daily activities, and a consistent mobility and strengthening routine done several times a week. Ice or heat, limited over-the-counter medication, and gentle movement handle the first few days. From there, targeted exercise is what closes the gap between “better” and “fixed.” Sudden inability to bear weight, fever, or rapidly spreading swelling means skip the home protocol and get evaluated now.
TL;DR:
- Most hip pain responds well to a short course of home care, including RICE protocol, gentle movement, and targeted exercises done several times a week.
- Understanding the cause of pain is crucial, with sharp outer hip tenderness usually indicating bursitis or tendon issues, while deep groin pain suggests osteoarthritis.
- Persistent symptom relief often requires combining mobility work with strengthening exercises, especially glute activation, rather than relying on stretching alone.
- If two to four weeks of self-care do not improve symptoms, professional assessment, physiotherapy, or injections may be necessary, with surgery reserved for advanced or structural problems.
- Assistive devices like canes are tools to aid recovery and should be used properly to offload pain, never as a sign of giving up on rehabilitation.
Table of Contents
- What Causes Hip Pain, and Why the Cause Changes Your Next Step
- Immediate Self-Care: RICE, Ice vs. Heat, and Safe Medication Use
- A Hip Mobility and Strengthening Routine You Can Actually Stick To
- When Home Care Isn’t Enough: Physiotherapy, Injections, and Surgery
- When to See a Doctor for Hip Pain
- How Everton Chiropractic Approaches Hip Pain
- Does Losing Weight Actually Reduce Hip Pain?
- Treating Hip Pain Differently by Age and Activity Level
- Should You Use a Cane or Walker While Your Hip Heals?
- What the Research Actually Supports
- Get a Real Diagnosis Instead of Guessing at Home Fixes
- Sources
- FAQ
What Causes Hip Pain, and Why the Cause Changes Your Next Step
Not all hip pain responds to the same fix, and treating a joint problem like a muscle strain (or vice versa) wastes weeks. The location and behavior of the pain usually tell you which category you’re in.
- Osteoarthritis: deep groin pain, worse with prolonged standing or after rest, often develops over months to years.
- Trochanteric bursitis: sharp pain on the outer hip, worse lying on that side at night or climbing stairs; often improves within weeks with rest, ice, and targeted strengthening.
- Muscle or tendon strain: pain tied to a specific movement or recent activity spike, usually in the front or side of the hip, improving over one to three weeks.
- Labral tear: catching, clicking, or a deep pinch during hip flexion, common in athletes and often needs imaging to confirm.
- Referred lumbar pain: pain that travels from the lower back into the buttock or hip, sometimes with tingling down the leg. It’s easy to mistake for a hip problem.
- Fracture: sudden, severe pain after a fall or trauma, especially in older adults with osteoporosis, and it demands immediate care.
A quick self-check: pain that worsens with hip rotation or deep bending points toward the joint itself. Pain that’s tender to the touch on the outside of the hip, without much restriction in rotation, points more toward bursitis or a tendon issue. Anything that came on gradually and worsens with sitting is worth ruling out as lumbar referral rather than a true hip mobility problem. Getting this distinction right early saves you from stretching a joint that actually needs rest, or resting a muscle that actually needs movement.
Immediate Self-Care: RICE, Ice vs. Heat, and Safe Medication Use
The first 48 hours set the tone for recovery. Overdoing rest or overdoing medication both slow things down, so the goal is a controlled, short protocol rather than an open-ended one.
- Rest the aggravating movement, not all movement. Total bed rest for hip pain tends to stiffen the joint further within days.
- Ice acute pain for 10 to 20 minutes at a time, several times a day, always with a cloth barrier between ice and skin.
- Compress mild swelling with a wrap if the area is puffy, without cutting off circulation.
- Elevate when lying down if there’s visible swelling in the hip or upper thigh.
- Switch to heat once the acute phase passes, typically after the first day or two, especially before doing mobility work on a chronically tight hip.
This is the classic RICE protocol, and it still holds up as first-line advice for minor injuries.
Pro Tip: Ice works best in the acute window (the first one to two days after a flare or injury), while heat tends to serve chronic stiffness better by loosening tissue before you stretch or exercise it, according to Cleveland Clinic.
On medication: acetaminophen is generally the gentler first choice for pain without much inflammation. NSAIDs like ibuprofen address inflammation directly but come with a real limit. NSAIDs should not be used continuously for more than 10 days without checking with a clinician, since prolonged use raises risks to the stomach lining and kidneys. If you’re already on blood thinners, have kidney disease, or are over 65, that conversation with a doctor should happen sooner, not after 10 days of self-treating.
A Hip Mobility and Strengthening Routine You Can Actually Stick To
Stretching alone rarely fixes chronic hip tightness. Most tight hip flexors pain traces back to weak glutes that aren’t doing their job, forcing the front of the hip to overcompensate. Lasting relief usually needs both mobility work and targeted strengthening, not one or the other.
Before starting, know the one rule that matters more than any exercise: nothing here should ever produce sharp, shooting pain. A dull stretch or muscle fatigue is fine. Sharp pain means stop and reassess.
A routine worth repeating three to five times a week:
- 90/90 stretch: sit with front leg bent 90 degrees in front, back leg bent 90 degrees behind, lean forward gently for 30 to 45 seconds per side.
- Controlled articular rotations (CARs): slow, full circles of the hip joint while standing on the other leg, 5 to 8 reps per direction, moving as far as control allows without pain.
- Glute bridges: lie on your back, feet flat, lift hips until body forms a straight line, hold 2 seconds, 10 to 15 reps.
- Side-lying hip abduction: lying on your side, lift the top leg slowly, 10 to 12 reps per side, keeping the hip from rolling backward.
- Mini-squats: partial squats to a comfortable depth, 10 reps, building toward deeper range as tolerance improves.
- Heel-to-buttock stretch: standing, pull heel toward the glutes to stretch the quad and hip flexor, 20 to 30 seconds per side.
- IT-band-friendly side stretch: standing cross-leg stretch leaning away from the tight side, 20 to 30 seconds.
Progression matters more than intensity. Start with isometric holds (bridges held longer, static stretches), then add resistance bands once those feel easy, then move to standing or single-leg variations. If any exercise increases pain the next day rather than the same day, back off the range or the reps rather than pushing through.
Pro Tip: A hip mobility routine done for 10 minutes daily beats one aggressive 45-minute session once a week. Joints and connective tissue respond to frequency, not intensity spikes, which is also why hip mobility for runners programs favor short daily resets, not occasional deep stretching sessions. Pairing this with broader lower-body stretching rounds out the routine for anyone dealing with stiffness beyond just the hip.
When Home Care Isn’t Enough: Physiotherapy, Injections, and Surgery
If two to four weeks of consistent self-care and exercise haven’t moved the needle, it’s time to bring in a professional rather than keep guessing.
- Physiotherapy builds a structured plan around strengthening, gait correction, and progressive loading. Programs combining strength, flexibility, and activity modification reliably reduce symptoms for bursitis and most overuse injuries.
- Corticosteroid injections reduce inflammation quickly, often within days, and can be useful for bursitis or arthritis flares. The benefit is usually temporary, lasting weeks to a few months, and clinicians generally limit how often they’re repeated because repeated injections can weaken surrounding tissue over time.
- PRP (platelet-rich plasma) injections are used for some tendon-related hip pain, though the evidence base is smaller than for corticosteroids.
- Surgery, including hip arthroscopy or full hip replacement, is typically reserved for structural problems or advanced arthritis that hasn’t responded to conservative care. Recovery from a hip replacement usually runs several months before full activity resumes.
Most hip conditions resolve with conservative management, and surgeons generally hold surgery in reserve for cases where function stays limited despite months of proper rehab. A good clinician will typically layer these approaches. This might mean physiotherapy alongside a single injection to make exercise tolerable, rather than treating them as separate tracks. For readers weighing conservative options more broadly, it’s worth comparing non-surgical approaches for back-related pain that overlap with hip treatment when the source is spinal.
When to See a Doctor for Hip Pain
Certain symptoms shouldn’t wait for a home protocol to run its course.
- Fever combined with hip pain (possible joint infection)
- Inability to bear any weight on the leg
- Rapidly increasing swelling or bruising, especially after a fall
- Recent significant trauma, even if the pain seems mild at first
- New numbness, tingling, or weakness in the leg
Outside of those red flags, give it about two weeks of consistent self-care before booking an appointment, or sooner if pain is severe enough to disrupt sleep or walking. A clinician visit for hip pain typically includes a focused physical exam, movement testing, and sometimes imaging like an X-ray or MRI if a structural cause is suspected. From there, expect a referral either to physiotherapy, an injection-based option, or orthopedics, depending on what the exam finds.
How Everton Chiropractic Approaches Hip Pain
A hip assessment at Everton Chiropractic starts by ruling out one thing many patients never consider: whether the pain is actually coming from the hip at all. Chiropractic assessment often adds value by identifying referred pain sources from the lumbar spine, since lower back dysfunction frequently masquerades as hip pain, and treating the hip alone in those cases goes nowhere.
When the hip itself is the source, Dr. Richard’s approach combines spinal alignment work with soft-tissue therapy and movement retraining rather than one isolated technique. Chiropractic and soft-tissue treatment tend to complement physiotherapy well for muscular and joint-related hip pain. However, structural findings such as a labral tear or advanced joint degeneration warrant a physiotherapy or orthopedic referral instead.
Most patients don’t need permanent decline to be treated as the default outcome of aging hips. A well-built plan over several weeks targets three things in sequence: reducing pain enough to move comfortably, restoring proper movement quality through the hip and pelvis, and rebuilding the strength needed to return to normal activity without recurring flares.
The clinic’s personalized treatment plans are built around each patient’s activity level and goals, whether that’s returning to running, sitting through a workday without stiffness, or simply walking without pain.
Does Losing Weight Actually Reduce Hip Pain?
Yes, and the mechanism is more direct than most people assume. Every pound of body weight translates into several pounds of additional load on the hip joint during walking, due to how leverage works across the pelvis and femur. That means even modest weight loss can produce a disproportionate drop in joint stress, particularly for anyone dealing with osteoarthritis where cartilage is already compromised.
Nutrition plays a supporting role beyond weight itself. Diets high in processed sugar and refined carbohydrates are linked to higher systemic inflammation, which can aggravate conditions like bursitis where inflammation is already part of the problem. Anti-inflammatory eating patterns (more omega-3 fats, vegetables, and fiber, less processed food) won’t reverse joint damage, but they can reduce the background inflammatory load your body is managing while you rehab.

Some patients ask about joint supplements like glucosamine or turmeric. The evidence for these is mixed and generally modest, so they’re worth understanding realistically rather than as a fix. A detailed, evidence-based breakdown of joint supplements is useful if you’re considering adding one, but supplements should sit alongside movement and weight management, not replace either. Weight and diet changes work slowly, typically over months, which is exactly why they pair well with an exercise routine rather than standing in for one.
Treating Hip Pain Differently by Age and Activity Level
A 28-year-old runner with hip pain and a 74-year-old with hip pain are not getting the same treatment plan, even if the symptom sounds identical on paper.
Younger, active adults more often deal with labral tears, tendon strains, or overuse injuries from repetitive loading. Treatment tends to lean aggressive: full-range strengthening, sport-specific retraining, and a faster return to loaded movement, because tissue in younger patients typically tolerates and recovers from load well. Hip mobility for runners specifically focuses on hip flexor length and glute activation, since running mechanics punish weakness in both.
Older adults more often present with osteoarthritis or bursitis layered on decades of accumulated wear, sometimes alongside reduced bone density. Hip mobility for seniors prioritizes fall prevention and joint protection over aggressive range-of-hip-work, and exercise progression moves more gradually, since connective tissue in older patients responds more slowly and injuries take longer to resolve. This doesn’t mean older adults should exercise less. If anything, maintaining mobility as you age matters more, not less, but the exercise selection and pace need adjusting to match tissue tolerance.
Sedentary adults with hip pain from prolonged sitting fall into a third category entirely. The problem here is usually tight hip flexors and weak glutes from posture, not injury or degeneration, which means the fix leans heavily on daily mobility breaks and glute activation rather than clinical intervention.
Should You Use a Cane or Walker While Your Hip Heals?
An assistive device isn’t a sign of giving up on recovery. It’s often what makes recovery possible in the first place, by taking enough load off the joint that inflammation can settle.
A cane used correctly reduces load on the opposite hip by a meaningful margin, since it shifts part of your body weight through your arm instead of the joint. The mistake most people make is holding the cane on the same side as the painful hip. It should be held in the hand opposite the affected hip, moving forward together with the injured leg, so it actually shares the load correctly.

Walkers make sense for more significant weight-bearing restrictions, such as after a fracture, surgery, or a severe bursitis flare where even short walks are painful. They’re a short-term bridge, not a long-term fixture. The goal is always to wean off the device as strength and pain allow, generally guided by a physiotherapist or clinician rather than guesswork.
Using assistive devices doesn’t mean stopping exercise altogether. Many of the mobility drills described earlier, like glute bridges or seated hip rotations, can be done regardless of whether you’re using a cane to get around the house that same week.
What the Research Actually Supports
The biggest gap between conventional hip pain advice and what actually works comes down to one word: rest. Most people hear “hip pain” and default to resting it completely, sometimes for weeks. That instinct is usually wrong. Rehabilitation should focus on controlled, pain-free range of motion and progressive loading, not immobilization, and joints that sit still for too long tend to stiffen further rather than heal.
The second miscalculation is treating stretching as the whole solution. Tight hips almost always come paired with weak glutes, and stretching a tight muscle without strengthening the muscle that’s failing to support it just resets the same imbalance a week later.
If you take one thing from all of this, prioritize consistency over intensity. A daily 10 minute mobility habit will outperform an occasional aggressive session every time, and it’s also far less likely to cause a setback. Home care buys you time. Structured movement is what actually changes the trajectory.
— Aman
Get a Real Diagnosis Instead of Guessing at Home Fixes
Home care and a solid exercise routine solve a lot of hip pain, but they can’t tell you whether your pain is coming from the joint, a tendon, or your lower back, and guessing wrong wastes weeks. Everton Chiropractic offers what a stretching app or generic exercise sheet can’t: a hands-on assessment from Dr. Richard that identifies the actual source of your hip pain before building a plan around it.

Everton Chiropractic’s long-term pain relief approach combines spinal assessment, soft-tissue work, and movement retraining tailored to your activity level, whether you’re a runner rebuilding after a strain or an older adult protecting mobility for the years ahead. Rather than a one-size routine, treatment plans get adjusted session to session based on how your hip actually responds. If home care and generic exercises haven’t moved the needle after a couple of weeks, book a consultation and get a plan built around what’s actually going on in your hip.
This article is general information, not a substitute for advice from a qualified doctor. Consult a qualified healthcare professional about your own circumstances before acting on anything here.
Sources
- RICE — UK HealthCare (orthopaedic surgery & sports medicine)
- Hip pain — NHS
- Hip pain — Mayo Clinic
- Trochanteric bursitis — Cleveland Clinic
- Hipkneeinfo
FAQ
What Are Some Ways to Relieve Hip Pain?
Short-term relief comes from RICE (rest, ice, compression, elevation), limited use of acetaminophen or NSAIDs, and gentle range-of-motion work. Longer-term relief comes from consistent mobility and strengthening exercises done several times a week, along with weight management if excess load is a factor.
What Is the Best Natural Remedy for Hip Pain?
There’s no single natural remedy that outperforms movement itself. Rest, heat or ice, and gentle stretching form the most evidence-backed home approach, while anti-inflammatory eating and gradual weight loss support recovery over time rather than replacing it.
Should I Keep Walking With Hip Pain?
Generally yes, as long as walking doesn’t cause sharp pain. Complete inactivity tends to stiffen the joint further, while modified, pain-free walking supports circulation and keeps mobility from declining, though you should shorten distance or use a cane if pain increases.
How Do I Know if My Hip Pain Is Muscle or Joint?
Muscle or tendon pain is typically tender to touch in a specific spot, worsens with a particular movement, and improves within one to three weeks. Joint pain, such as arthritis, tends to sit deeper in the groin, worsens with rotation or prolonged standing, and develops more gradually.
Can a Chiropractor Help With Hip Pain?
Yes, particularly when the hip pain is linked to referred lumbar issues, postural imbalance, or soft-tissue restriction rather than a structural joint problem. Everton Chiropractic evaluates whether the hip or the spine is the true source before building a treatment plan around movement retraining and alignment.