Hip Pain That Radiates Down The Leg: Causes, Symptoms, And Management

By Gary Little

Updated On

Hip pain that radiates down the leg can be a debilitating and frustrating experience, affecting daily activities and overall quality of life. If you’re dealing with this type of pain, you’re not alone. Many people struggle with hip and leg pain, and understanding the underlying causes is crucial for effective management and treatment. In this blog post, we’ll explore the common causes of hip pain that radiates down the leg, discuss symptoms, and provide insights on how to manage this condition effectively.

Key Takeaways

  1. Hip pain that radiates down the leg can be caused by various factors, including osteoarthritis, sciatica, bursitis, and muscle strains.
  2. Nerve-related issues, such as sciatica and nerve impingement, are common culprits behind hip pain that radiates down the leg.
  3. Seeking medical evaluation and obtaining an accurate diagnosis is essential for determining the appropriate treatment plan and managing hip pain effectively.

Anatomy Of The Hip And Leg

To better understand the causes of hip pain that radiates down the leg, it’s essential to have a basic understanding of the anatomy involved. The hip joint serves as a ball-and-socket connection linking the thigh bone (femur) with the pelvis. Surrounding the joint are various muscles, tendons, and ligaments that work together to provide stability and allow for a wide range of motion.

The hip joint is also in close proximity to several important nerves, including the sciatic nerve, which runs from the lower back, through the buttocks, and down the leg. When any of these structures are damaged, irritated, or inflamed, it can result in hip pain that radiates down the leg.

Common Causes Of Hip Pain

There are several common conditions that can cause hip pain and contribute to pain radiating down the leg. Some of these include:

1. Osteoarthritis

This degenerative joint disease occurs when the cartilage that cushions the hip joint breaks down, causing pain, stiffness, and reduced range of motion. As the condition progresses, pain may radiate down the leg.

2. Bursitis

Bursae are small, fluid-filled sacs that reduce friction between tissues in the hip joint. When these sacs become inflamed, often due to overuse or injury, it can cause hip pain and discomfort that may radiate down the leg.

3. Hip fractures

In older adults, particularly those with osteoporosis, hip fractures can occur due to falls or trauma. These fractures can cause severe hip pain and may result in pain that radiates down the leg.

As stated by the American Academy of Orthopaedic Surgeons, hip pain is a prevalent symptom that can stem from various issues. Pinpointing the exact location of your hip discomfort can aid in obtaining a more accurate diagnosis.

Nerve-Related Causes Of Hip Pain

Nerve-related issues are common culprits behind hip pain that radiates down the leg. Two of the most prevalent conditions include:

1. Sciatica:

This condition occurs when the sciatic nerve becomes compressed or irritated, often due to a herniated disc, bone spur, or spinal stenosis. Sciatica can cause intense hip pain that radiates down the back of the leg, along with numbness, tingling, and weakness.

2. Nerve impingement

Other nerves in the hip area, such as the femoral nerve or obturator nerve, can become compressed or irritated, leading to hip pain that radiates down the leg. This can be caused by conditions like hip bursitis, muscle imbalances, or spinal issues.

Symptoms of nerve-related hip pain may include burning, shooting, or electric-like sensations that travel down the leg, as well as numbness, tingling, and muscle weakness.

Muscle And Tendon Issues

Muscles and tendons play a crucial role in hip and leg function, and when these tissues are damaged or strained, it can lead to hip pain that radiates down the leg. Some common muscle and tendon issues include:

1. Muscle strains

Overuse, sudden movements, or poor conditioning can cause strains in the muscles surrounding the hip joint, such as the hip flexors, hamstrings, or gluteal muscles. These strains can cause pain and discomfort that may radiate down the leg.

2. Tendoniti

Tendons are the thick, fibrous cords that attach muscles to bones. When these tendons become inflamed, often due to overuse or repetitive stress, it can cause pain in the hip area that may radiate down the leg. Common types of tendonitis affecting the hip include iliotibial band syndrome and psoas tendonitis.

To prevent muscle and tendon injuries, it’s essential to maintain flexibility and strength through regular stretching and targeted exercises. Gradually increasing the intensity and duration of physical activities can also help reduce the risk of overuse injuries.

Hip Joint Problems

In some cases, hip pain that radiates down the leg may be caused by issues within the hip joint itself. Some common hip joint problems include:

  1. Labral tears: The labrum is a ring of cartilage that surrounds the hip socket, providing stability and cushioning. When this cartilage is torn, often due to trauma or repetitive stress, it can cause hip pain and clicking sensations that may radiate down the leg.
  2. Hip dysplasia: This condition occurs when the hip socket is shallow or abnormally shaped, causing the joint to become misaligned. Over time, this can lead to hip pain and instability, with pain potentially radiating down the leg.
  3. Hip impingement: Also known as femoroacetabular impingement (FAI), this condition occurs when extra bone grows along the hip joint, causing the bones to rub against each other. This can lead to hip pain, stiffness, and pain that radiates down the leg.

Diagnosing hip joint problems typically involves a combination of physical examinations, imaging tests (such as X-rays or MRIs), and in some cases, arthroscopic surgery to visualize the joint directly.

Other Contributing Factors

In addition to the specific conditions mentioned above, there are several other factors that can contribute to hip pain and pain radiating down the leg. These include:

  1. Obesity: Excess weight puts additional stress on the hip joint, increasing the risk of conditions like osteoarthritis and bursitis.
  2. Poor posture: Prolonged sitting, standing, or sleeping in awkward positions can lead to hip pain and muscle imbalances that may cause pain to radiate down the leg.
  3. Overuse injuries: Repetitive stress and high-impact activities, such as running or jumping, can lead to hip pain and injuries that cause pain to radiate down the leg.

To reduce the risk of hip pain and radiating leg pain, it’s essential to maintain a healthy weight, practice good posture, and listen to your body’s signals to avoid overuse injuries. Incorporating low-impact exercises, such as swimming or cycling, can also help maintain hip strength and flexibility without putting excessive stress on the joint.

Diagnosis And Medical Evaluation

If you’re experiencing persistent hip pain that radiates down the leg, it’s crucial to seek medical evaluation. Your healthcare provider will typically begin with a thorough physical examination, assessing your hip and leg for signs of tenderness, swelling, or limited range of motion. They may also ask about your medical history, lifestyle factors, and any recent injuries or accidents.

Depending on the suspected cause of your hip pain, your healthcare provider may recommend imaging tests, such as X-rays, MRI, or CT scans, to visualize the hip joint and surrounding structures. In some cases, they may also refer you to a specialist, such as an orthopedic surgeon or a neurologist, for further evaluation and treatment.

According to the National Institute of Arthritis and Musculoskeletal and Skin Diseases, “Getting an accurate diagnosis is the first step in developing an effective treatment plan for hip pain.”

Also Read: What Are The Strongest Essential Oils For Pain Relief? 15 Best Oils


Hip pain that radiates down the leg can have a significant impact on daily life, but understanding the underlying causes and seeking appropriate medical care can help you effectively manage this condition. Whether your pain is caused by osteoarthritis, sciatica, muscle strains, or hip joint problems, there are various treatment options available, ranging from physical therapy and medications to surgical interventions.

By staying informed, practicing healthy lifestyle habits, and working closely with your healthcare provider, you can take control of your hip pain and improve your overall quality of life. Remember, you don’t have to suffer in silence – seek help, stay proactive, and keep moving towards a pain-free future.


1. How can I tell if my hip pain is serious?

If your hip pain is severe, persists for more than a few days, or is accompanied by other symptoms like fever, swelling, or inability to bear weight on the affected leg, it’s important to seek medical attention promptly. These signs may indicate a more serious underlying condition that requires professional evaluation and treatment.

2. Can exercise help alleviate hip pain that radiates down the leg?

In many cases, targeted exercises can help alleviate hip pain and improve overall hip function. Gentle stretches, strengthening exercises, and low-impact activities like swimming or cycling can help reduce pain and stiffness. However, it’s essential to consult with your healthcare provider or a physical therapist before starting any new exercise program to ensure that the activities are safe and appropriate for your specific condition.

3. What can I do at home to manage hip pain that radiates down the leg?

There are several self-care measures you can take at home to manage hip pain and radiating leg pain. These include applying ice or heat to the affected area, taking over-the-counter pain medications as directed, practicing gentle stretches, and maintaining a healthy weight. It’s also important to avoid activities that aggravate your pain and to get plenty of rest to allow your body to heal.

4. When is surgery necessary for hip pain that radiates down the leg?

Surgery may be necessary for certain conditions causing hip pain that radiates down the leg, such as hip impingement, labral tears, or advanced osteoarthritis. However, surgery is typically considered a last resort after other conservative treatments, like physical therapy and medications, have been exhausted. Your healthcare provider will help determine if surgery is the best option based on your specific condition, symptoms, and overall health.

Gary Little

Gary Little is a well-respected Pain Specialist known for his unique approach to pain management. With over a decade of experience in the field, Gary has dedicated himself to empowering individuals to take control of their health and well-being. Through his innovative methods and personalized strategies, he teaches people how to eliminate Chronic Pain on their own. Gary's mission is to transform lives by providing practical solutions and fostering self-reliance in pain management. His compassionate guidance and expertise have earned him recognition as a trusted authority in the field.

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