What are Causes of Bilateral Hip Pain?

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  • Written By: Mary McMahon
  • Edited By: Kristen Osborne
  • Last Modified Date: 09 February 2020
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Bilateral hip pain, pain distributed across both hips instead of being concentrated in just one, can be associated with a number of causes, including damage to the hip joint, degenerative joint conditions, inflammation, infection, structural changes to the muscles and tendons that support the hip, and referred pain from other areas of the body. People who experience this type of pain should see a medical professional so that he or she can conduct a complete evaluation and develop a treatment plan.

Injuries to the hip, including bruises, fractures, and dislocations, are all possible causes of pain, as is inflammation, irritation, strain, and infection. More physically active people are at increased risk of bilateral hip pain, especially as they age, as a result of physical activity. Likewise, people who spend a lot of time standing, as well as pregnant women, can develop pain in both hips because the joints may be strained.

Other causes include conditions like osteonecrosis, arthritis, pseudogout, and chondrocalcinosis, all of which lead to damage inside the joint. The hip is a common location for joint disease, as it is a large and heavily used joint, so pain there is often one of the first signs of chronic joint disease. Nerve impingement or entrapment along the spine can also lead to hip pain by confusing signals sent to the brain. Chronic conditions like sickle cell anemia and hemophilia can also be associated with pain caused by joint damage.


The physical structure of the hips can lead to bilateral pain as well. In a condition called femoroacetabular impingement, the shape of the femur or pelvic bone leads to friction inside the hip, causing pain, often in both hips. Inflammation of the tendons and muscles around the hips, caused by overuse, injury, and other trauma, can also lead to bilateral hip pain, as can issues like snapping hip syndrome.

A healthcare professional can manually feel or palpate the hip for signs of obvious injury or anatomical anomalies. Medical imaging studies of the hips may be used to look for other indicators to explain hip pain, such as deposits of crystals in the joint. This information can be used to make recommendations for treatments, including medications, physical therapy, and, in some cases, surgery. Catching pain early will increase the probability of a good outcome, and it is important to get treated quickly for joint pain anywhere in the body for this reason.


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Post 3

They don't see any wrong with my hip in x ray. It is very painful. He gave me the medicine top help with pain. It's helpful, but I can't refill. Medicine is not healthy.

He wants me to make a choice: therapy, some shot in hip, or an MRI. Doctors know which one is cheaper: therapy, some shots or MRI to find what is wrong or relieve pain? They know what is wrong. They can't do anything unless I get some shots or therapy. It costs money. I'd rather have them to fix it. I do not want come back to doctors and all those issues will never go back to normal.

Post 2

My mother has always complained with back, leg and hip pain for as long as I can remember. No cause could ever be found, so I suppose she just learned to live with it. But recently she had to have several x-rays done for something else and an interesting thing was found.

The doctor asked her if she had ever been thrown from a vehicle or had ever been in a very traumatic accident, to which her answer was negative. He pressed her further, and asked her to think back even to her childhood.

She then relayed a story where she and her brother were riding a mini-bike at full speed and ran headfirst into a tree

. It split the mini-bike in two, but both kids just came away with bumps and bruises.

He then showed her on her x-rays where her hips had been knocked slightly out of socket and had been rubbing grooves into her bones since then. We were amazed this had been missed for so long! She's going to have to have hip surgery to correct it.

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