The hip joint is the largest in the human body, supporting almost all of the body's weight and playing a key role in maintaining balance. Issues like arthritis and bursitis in the hip region can cause intense pain, as the hip joint and surrounding area are critical for movement. Chronic hip pain is common among older adults, but it can be treated with various exercises and lifestyle changes. Follow these steps to alleviate hip pain.
Steps
Lifestyle Adjustments

Get a Diagnosis Before Taking Any Action. Understanding the cause of your pain is crucial. It's important to consult a doctor before starting any exercise regimen or taking medication. Hip pain can result from conditions like arthritis, bursitis, or injuries from sports activities. Always ask your doctor about what you should or shouldn’t do once the cause of the pain is identified.

Take pain relievers. Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, naproxen, or aspirin are most effective for relieving hip pain, often caused by arthritis. These medications help reduce inflammation and provide pain relief for several hours. NSAIDs block the enzymes that produce chemicals causing inflammation in the body.
- If over-the-counter options like aspirin don't seem effective, consult a doctor. They may prescribe stronger pain medication. Always check with your doctor before taking any new medication, even common ones like aspirin.

Apply ice to the joint. Icing the hip can help reduce inflammation. Apply an ice pack to the painful hip area for 15 minutes, several times a day.
- If the ice pack feels too cold, you can wrap it in a towel before applying it to the painful area.

Use heat to ease hip pain from arthritis. Applying heat to the joint can provide relief from current pain. Consider taking a warm bath or soaking in a hot tub if available. You can also use a heating pad directly on the hip.
- Do not use heat to relieve joint pain if you have bursitis. Heat may worsen the inflammation in the hip caused by bursitis.

Rest. If you have a hip injury, it’s best to give the hip time to heal. Avoid any activities that cause hip pain. Instead, you can relax by lying down, watching movies, eating popcorn, and applying ice to the hip. Allow at least 24-48 hours of rest for your hip to recover.

Avoid impact activities. If you're experiencing severe pain, you may not feel like running or jumping, but it’s important to stay away from these activities. High-impact activities can worsen joint inflammation and intensify pain. Instead of running, try brisk walking, as it puts less strain on the joints.

Consider weight loss. The more you weigh, the more pressure your hips must support. Losing weight can help alleviate hip pain by reducing the strain placed on the cartilage and joints. You should adopt strategies that promote weight loss.

Choose the right shoes. It's important to wear shoes that provide maximum support. Look for shoes with good cushioning or removable insoles that can be adjusted easily. The soles should absorb impact, minimize noise (when walking or rotating your feet), and distribute pressure evenly along the length of your legs.
Exercise and Stretching

Start each day with exercise. Increasing blood circulation and loosening the joints can help reduce pain throughout the day. Exercise is especially beneficial for those with arthritis. Begin each day by activating your hips through the bridge exercise.
- Lie on your back on the floor with your knees bent. Place your feet firmly on the floor, hip-width apart.
- Push through your heels to lift your hips off the ground, keeping your core engaged. Ensure your knees and ankles align in a straight line. Your body should form a straight line from your shoulders to your knees. Hold for 3-5 seconds, then slowly lower your hips back to the floor. Repeat the motion 10 times.

Exercise in water. Swimming and water aerobics are excellent ways to strengthen the hip muscles without placing excessive pressure on the joint (like running does). Consider swimming or joining an aqua aerobics class at your local gym.

Perform daily exercises. As always, it's important to consult with your doctor or a physical therapist before starting any exercise program to alleviate hip pain.
- Stand upright with your feet facing forward. Lift your right leg out to the side as far as possible, then lower it back down. Repeat the same motion with your other leg. This exercise helps stretch the hip muscles.

Strengthen your inner thigh muscles. The inner thighs play a significant role in supporting the hips. Weak inner thighs can even cause damage to otherwise healthy hips.
- Lie on your back with your arms extended out to the sides. Place a stability ball between your legs, then raise both legs to a 90-degree angle with the floor.
- Press the ball together 10 times using your inner thigh muscles. Repeat this 2-3 times, doing 10 presses each time.

Strengthen your outer thigh muscles. Strong outer thighs help you manage hip arthritis, as they assist in supporting the body's weight.
- Lie on your uninjured side. It’s best to lie on a yoga mat or soft surface, rather than the hard floor.
- Lift the leg of the affected hip about 15 cm off the floor. Hold this position for 2-3 seconds, then lower your leg and relax on the other leg (both legs should remain parallel on the floor).
- Repeat the leg lift, hold, and lower movement 10 times. If possible, you can also try this exercise with the other leg, but stop if it causes significant pain.

Stretch your hips. Consult with a physical therapist before starting any stretching routine. Stretching can reduce hip pain while strengthening the hip muscles to prevent future discomfort.
- Hip rotation stretch: Lie on your back with your arms at your sides. Bend one leg so that the foot is flat on the floor. Extend the other leg straight along the floor with your toes pointing upwards. Rotate the bent leg outwards, but don’t stretch too far to avoid discomfort. Stop stretching if you feel pain. Hold the stretch for 5 seconds, then return the leg to its original position with the foot flat on the floor. Repeat 10-15 times on each side.
- Hip flexor stretch: Lie on your back. Choose one leg to keep straight, and then bend the other leg so that the foot is flat on the floor. Hug the bent leg near your knee and pull it toward your chest. Only stretch to a level you can tolerate, and release if you feel pain. Hold for 5 seconds, then release. Repeat 10-15 times on each side.
- Glute squeeze: Roll up a towel and lie on your back with both legs bent and feet flat on the floor. Place the towel between your knees. Squeeze your knees together using your glutes and inner thighs. Hold the squeeze for 3-5 seconds, then relax. Repeat the squeeze 10-15 times.
Advice
- Consult with your doctor or a physical therapist for advice on pain relief methods. Always seek professional guidance before starting any medication or exercise/stretching routine.
- Consider seeking the expertise of a chiropractor for further evaluation.
Warning
- If the exercises cause increased hip pain, stop and do not continue. If strengthening or stretching exercises cause discomfort, try different exercises that may be gentler on your hips.
- Do not apply heat to an inflamed joint with bursitis, as it may worsen the inflammation.
