Understanding Pain on Top of Hip: Causes and Solutions

If you're experiencing discomfort and wondering "what causes pain on top of hip" or "why does the top of my hip hurt," you're not alone. Upper hip pain can stem from several different structures and conditions, each requiring specific treatment approaches for effective relief.

Common Causes of Upper Hip Pain

When patients ask "why does above my hip hurt," several potential causes exist:

  1. Iliac Crest Pain Syndrome Hip pain top of hip often involves the iliac crest, the prominent ridge along the top of your hip bone. This area can become painful due to:
    • Muscle strain in the attachments
    • Inflammation of the connective tissues
    • Bursitis affecting the small fluid-filled sacs that cushion this area
    • Direct trauma or repetitive stress
  2. Tendonitis and Muscle Issues Hip pain above hip bone frequently involves the tendons and muscles that attach in this region:
    • Tensor fascia lata inflammation
    • Gluteal tendon irritation
    • Hip flexor strain or tendonitis
    • Hip abductor muscle problems
  3. Bursitis Several bursae (fluid-filled cushioning sacs) exist around the upper hip region. Inflammation of these structures often causes sharp pain above the hip bone:
    • Trochanteric bursitis on the outer hip
    • Iliopectineal bursitis in the front of the hip
    • Ischial bursitis affecting the sitting bones
  4. Referred Pain Sometimes hip pain above hip joint actually originates from other areas:
    • Lower back problems radiating to the hip
    • Sacroiliac joint dysfunction
    • Nerve compression or irritation
    • Abdominal or pelvic issues presenting as hip pain

Distinguishing Upper Hip Pain from Joint Pain

When determining what causes pain around the hip joint, it's important to distinguish superficial pain from deeper joint issues:

  • True hip joint pain typically presents in the groin or inner thigh
  • Pain on top of the hip usually involves structures outside the joint
  • Different types of pain require different treatment approaches
  • Proper diagnosis is essential for effective treatment

Diagnosis and Assessment

Determining why does above my hip hurt requires comprehensive evaluation:

  • Physical examination to identify tender areas and movement patterns
  • Detailed history of pain onset, patterns, and aggravating factors
  • Sometimes imaging studies to visualize affected structures
  • Functional movement assessment to identify biomechanical issues

Effective Treatment Approaches

At AROmotion, we specialize in diagnosing and treating all types of hip pain, including hip pain top of hip. Our approach includes:

  • Precise diagnosis of the specific cause of your pain
  • Targeted treatment of the underlying problem, not just symptoms
  • Minimally invasive procedures when appropriate
  • Customized rehabilitation to restore proper function
  • Preventative strategies to avoid recurrence

Advanced Solutions Beyond Traditional Approaches

For persistent upper hip pain that hasn't responded to conservative care, we offer:

  • State-of-the-art diagnostic assessment
  • Innovative minimally invasive procedures
  • Targeted interventions for specific pain generators
  • Comprehensive rehabilitation protocols
  • Long-term strategies for maintaining hip health
Talk with our Doctors

Find out if you are a candidate

AROmotion has helped thousands of patients overcome hip pain without major surgery, including complex cases involving pain at the top of the hip.
  • Tampa, The Villages, Naples, Palm Beach Gardens, Delray Beach, Atlanta and Phoenix
  • (813) 575-5276

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