Why Does My Hip Hurt When I Walk? Common Causes and What You Can Do

Why Does My Hip Hurt When I Walk? Common Causes and What You Can Do

May 05, 20254 min read

Why Does My Hip Hurt When I Walk?

Common Causes and What You Can Do

You’re out for a walk—maybe with the dog, down at the beach, or just around the shops—and then it hits. That ache, pinch, or stiffness in your hip that makes every step a little less enjoyable.

If you’ve been asking yourself, “Why does my hip hurt when I walk?” you’re definitely not alone. Hip pain is a common issue, especially as we get older, but here’s the good news: in many cases, it can be managed or even fixed with the right support.

Let’s take a look at what might be going on, and how physiotherapy can help you get back to walking comfortably again.


First, Where Is the Pain?

Your hip joint is a deep ball-and-socket joint, surrounded by muscles, tendons, and connective tissues. When we say “hip pain,” it can show up in a few places:

  • At the front of the hip or groin

  • Along the side of the hip

  • In the buttock

  • Or even down into the thigh or knee

Different locations often point to different issues. That’s why a proper assessment is so important.


Common Causes of Hip Pain While Walking

Here are some of the most common reasons people feel hip pain when they’re out and about:


1. Hip Osteoarthritis

This is one of the most common culprits, especially in adults over 50. Over time, the cartilage in the hip joint wears down, causing stiffness, swelling, and that familiar grinding or aching feeling.

What it feels like:

  • Stiffness in the morning

  • Pain after walking or standing for a while

  • Limited range of motion


2. Bursitis

Around your hip are small fluid-filled sacs called bursae. These help cushion the joint—but if they get irritated, they can cause sharp, aching pain, especially along the outer side of the hip.

What it feels like:

  • Tender to touch

  • Pain when lying on your side

  • Pain that flares after walking or climbing stairs


3. Tendon Strain or Tendinopathy

The muscles that support the hip—like the glutes or hip flexors—can become overworked or irritated. This is especially common in people who’ve recently increased their walking or activity levels.

What it feels like:

  • A pulling or pinching feeling

  • Pain that builds with movement

  • Soreness that lingers after activity


4. Lower Back Referrals

Sometimes, the pain isn’t coming from your hip at all! Nerves in the lower back can refer pain down into the hip, buttock, or thigh.

What it feels like:

  • A deep, hard-to-pinpoint ache

  • Pain that changes with posture

  • Possible tingling or numbness


5. Muscle Weakness and Imbalance

When the muscles around the hip aren’t strong enough—or one side works harder than the other—your walking pattern can change. Over time, this creates extra strain on the hip joint and surrounding tissues.

What it feels like:

  • A gradual build-up of pain

  • Discomfort on one side more than the other

  • Feeling unsteady or off-balance


What You Can Do About It

The good news? Most hip pain can be managed without surgery.
Here’s how we help at Forster Tuncurry Physiotherapy:


✅ Step 1: A Proper Assessment

We’ll look at:

  • How you walk and move

  • Where exactly the pain is

  • Muscle strength, joint mobility, and any imbalances

This helps us get to the real cause of the problem—not just treat the symptoms.


✅ Step 2: Hands-On Treatment

We use gentle techniques to:

  • Ease tight muscles

  • Improve joint movement

  • Reduce inflammation and stiffness

This often provides relief quite quickly, especially when paired with movement.


✅ Step 3: Tailored Exercises

We’ll guide you through simple, safe exercises that:

  • Strengthen your hip muscles

  • Improve balance and posture

  • Build support around the joint

No gym gear needed—just consistent movement that fits into your daily life.


✅ Step 4: Movement Advice

We’ll also show you:

  • How to walk more comfortably

  • When to rest (and when not to)

  • Small changes you can make at home to take pressure off your hips

Sometimes just adjusting your stride or switching to better shoes can make a huge difference.


Final Thought

If your hip hurts when you walk, don’t just put up with it or slow down your lifestyle.
Your body’s trying to tell you something—and physio can help you listen, understand, and get back on track.

Whether your pain is new or something you’ve had for years, we’re here to help you move better, feel better, and enjoy walking again—without that nagging ache.

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