Pattern screener · no account

Hip pain that won't go away.

Four questions map your pattern in under a minute. No account. See what is likely going on before you see a surgeon, then take it to your own clinician.

Already know it's surgical? Connect with SurgeonValue →

Where hip pain sitsA simple front view of the pelvis and thigh bones with three places hip pain is felt: the front of the hip and groin, the outside of the hip, and behind the hip in the buttock.behind

Sample · tap a place on the hip

Deep in the groin / front of the hip

Pain with sitting, getting in a car, or putting on shoes

Often linked to
Hip osteoarthritis, or a labral tear in active adults under 50
Who usually helps next
A physician or orthopedic surgeon can confirm with an X-ray. PT is a common first step.
Read the four conditions →Take the screener: safety questions first →

Location is the most useful single clue. It is not a diagnosis; your own clinician decides.

Hip Pain in 15 seconds

Text version:
  1. Hip pain that won't go away. Hip pain is not one diagnosis.
  2. Four questions, under a minute. Safety questions first. No account.
  3. Which movement brings it on? The motion points to the structure behind it.
  4. Then a clearer next step. PT, a surgeon, or home care. Your clinician decides.
  5. Hip Pain. What to do next, and who to see. hippain.help

Before the appointment

Two things to do in about five minutes each. Both run on this device; nothing is sent. Emergency signs are listed first on both pages.

Hip pain pattern screener

Four questions. Your pattern routes you to the right next step — PT, surgeon, or home care.

What is sent: when you finish, your answers (pain location, weight-bearing, morning stiffness, age range and the symptoms you tick) go to our server, which matches them to a pattern. No outside AI model reads them today. No name, email or account is asked for. Patient information, not medical advice.

First, a few safety questions.

Check anything that applies to you right now.

Try it right now

Which movement reproduces your pain?

The motion that brings on your pain points to the structure behind it. Mirror each cue, then tap the one that reproduces it most clearly.

Four conditions, four different treatments

Hip pain is not one diagnosis. The location and character of your pain are the most useful diagnostic clues.

1

Hip Osteoarthritis

Deep groin pain

Weight-bearing, morning stiffness, over age 50

Cartilage wear that develops gradually. The hip socket loses its smooth gliding surface. Pain typically worsens with loading — walking, stairs, getting out of a car. X-ray confirms the degree of joint space narrowing.

About 1 in 4 people develop symptomatic hip osteoarthritis by age 85 (Murphy 2010, Johnston County study)

Orthopedic surgeon →
2

Greater Trochanteric Bursitis

Outer hip / lateral thigh

Worse lying on the side, climbing stairs, hip abduction

Inflammation of the fluid sac over the bony prominence of the outer hip. Common in runners, walkers, and middle-aged women. Does not typically cause groin pain. Many cases improve with exercise-based physical therapy.

PT is a usual first step for outer-hip pain; ask a clinician whether an injection fits you

What HSA/FSA can pay for →
3

Hip Labral Tear

Deep groin or anterior hip

Clicking, catching, or locking — often in active adults under 50

A tear in the fibrocartilage ring around the socket. Often caused by hip impingement (FAI) or sports-related stress. MR arthrography is the usual imaging test, read alongside the exam. PT is a common first step; arthroscopy is considered if that is not enough.

MR arthrography finds about 87–89% of labral tears in pooled studies, and tears also show up in people with no pain (Huang 2023; Zhang 2022)

Orthopedic evaluation →
4

Referred Pain from the Spine

Posterior hip / buttock / leg

Pain travels down the leg, may follow a dermatomal pattern

The lumbar spine and hip share nerve pathways that make referral common and confusing. L3-L4 nerve root irritation mimics hip OA. A physical therapist can perform provocation tests — FABER, FADIR — to distinguish hip from spine.

Hip and back problems overlap; groin pain, a limp and limited hip rotation point to the hip (Brown 2004)

Check your back first →
2024 AAOS Guidelines

Three treatment paths — how they compare

Treatment is matched to severity, not chosen arbitrarily. Knowing what each path delivers — and when it applies — is the most useful thing to know before your first appointment.

First-line for most

Physical Therapy

When it applies: Pain limiting activity but not disabling. Strength preserved. No bone-on-bone on X-ray.
  • The 2024 AAOS guideline says physical therapy can be considered for mild-to-moderate hip OA (a moderate recommendation); the studies are mixed
  • Aquatic exercise has been studied for hip OA pain and is often well tolerated
  • Programs usually build hip, gluteal and thigh strength; a physical therapist tailors the plan to you
  • In one program audit of people with hip OA, more weight loss went with bigger symptom gains, most of all above 10% of body weight (Salis 2025)

2024 AAOS guideline: PT can be considered (moderate recommendation)

Paying for PT with HSA/FSA
Bridge, not solution

Corticosteroid Injection

When it applies: Acute flare, moderate-to-severe pain, or need to participate in PT. Single-joint involvement.
  • Some people get relief; how much and for how long varies
  • When it helps, relief is usually temporary
  • The AAOS guideline sets no number of injections; ask your clinician how many are right for you (infection and faster joint wear are known risks)
  • Meant to make exercise possible, not to treat the cause

2024 AAOS guideline: may help short term (moderate recommendation)

Ask a question about injections
Advanced OA

Hip Replacement (THA)

When it applies: Advanced arthritis on X-ray, pain at rest or at night, and other treatments have not been enough. Your surgeon decides.
  • Implants are designed to last many years; ask your surgeon about registry data for the implant they use
  • Many patients go home within a few days; ask your surgeon what to expect for you
  • Recovery continues over months; ask your surgeon what to expect for you
  • Hyaluronic acid injections NOT recommended (strong evidence against, 2024 AAOS CPG)

2024 AAOS guideline: hyaluronic acid injections, strong recommendation against

See a surgeon

Treatment decisions require individual clinical evaluation. This comparison is educational, not prescriptive. Always discuss options with a qualified healthcare provider.

Validated PROM · HOOS-12

Score your hip in 60 seconds

A short form of the Hip disability and Osteoarthritis Outcome Score (HOOS-12), a questionnaire used in hip research and care. 12 questions, three subscales, one number that means something.

0 of 12 answered. Your score appears when all 12 are done. It is worked out in your browser; nothing is sent.

Answer the 12 itemstap to expand

pain

How often is your hip painful?

Pain straightening your hip fully

Pain walking on a flat surface

Pain at night while in bed

function

Difficulty descending stairs

Difficulty rising from sitting

Difficulty putting on socks/stockings

Difficulty getting in/out of a car

Quality of Life

How often are you aware of your hip problem?

Have you modified your lifestyle to avoid hip-damaging activity?

How troubled are you by lack of confidence in your hip?

In general, how much difficulty do you have with your hip?

HOOS-12 © Klassbo, Larsson, Mannevik 2003. This widget is for education, not diagnosis, and is not medical advice. Subscale scoring follows the published HOOS user guide (0 = extreme problems, 100 = no problems).

Score context

What a HOOS-12 score is, and what it is not

Orthopedic surgeons may use a HOOS-12 score alongside the exam and imaging. The score runs from 0 to 100, where 100 means no problems. No published cut-off turns it into a severity label, and a score is not a diagnosis.

450,000+

total hip replacements a year in the US

AHRQ, via AAOS OrthoInfo, Total Hip Replacement

about 16 to 28 pts

smallest HOOS-12 gain patients rated meaningful after hip replacement

Soh SE et al., JBJS Am 2022;104:980-7 (registry study, 6 months after surgery)

What surgeons evaluate beyond your HOOS score

  • 1X-ray: joint space narrowing grade (Kellgren-Lawrence scale I–IV)
  • 2What you have already tried, and for how long
  • 3Patient age and activity level (younger patients may be offered different options)
  • 4Medical comorbidities affecting surgical risk (BMI, cardiac, diabetes)
  • 5Degree of functional limitation: difficulty with daily activities
  • 6Whether the pain is there at rest and at night, or only with activity

Sources: AHRQ via AAOS OrthoInfo; Soh SE et al., JBJS Am 2022.

See orthopedic surgeons near you

A HOOS score is one input among many in surgical decision-making. Only a surgeon with access to your imaging, history, and physical examination can determine whether surgery is appropriate for you.

Ask a question

Ask anything about hip pain in plain language, and get routed to the right next step.

Your question is sent to an AI assistant run by SolvingHealth, which answers from this page's content. Leave out your name and anything that identifies you.

When to seek care today

Emergency signs first. Call 911 now if:

After a fall, there is pain in the groin or upper thigh and the person cannot stand or put weight on the leg (possible broken hip)

Call 911

Get seen today, at your doctor, urgent care or an ER, if

  • The hip is suddenly very painful, especially with a fever (a joint infection needs fast care)
  • After a small fall or twist, it hurts to put weight on the leg, even if you can walk

These patterns warrant prompt evaluation — do not wait for them to resolve on their own.

1

Hip pain that wakes you from sleep

2

Inability to bear weight on the affected leg

3

Sudden swelling, warmth, or redness around the hip

4

Hip pain after a fall, especially if over age 65

5

Groin pain that doesn't improve with rest

6

Progressive limping or shortening of the affected leg

7

Fever accompanying hip or joint pain

8

Numbness or tingling radiating down the leg

Hip pain in depth

Evidence-based articles for patients who want to understand more.

When to Worry

Hip pain red flags: when to seek care immediately

Not all hip pain is equal. Most hip pain is musculoskeletal and can be managed with rest, physical therapy, and time. But certain presentations require urgent evaluation.

Seek emergency care immediately for: hip pain after a fall in a person over 65, especially with inability to bear weight (possible hip fracture); sudden severe pain with fever or chills (possible septic arthritis — a joint infection that destroys cartilage within hours and requires emergency surgery); hip pain with a known cancer history (possible metastatic disease); and any loss of bladder or bowel control accompanying back or hip pain (cauda equina syndrome — a surgical emergency).

See your doctor within 1–2 days for: a hip that clicks, locks, or gives way; progressive limping that has developed over weeks; hip pain waking you consistently at night; or pain that was mild and has become severe without explanation.

"Red flag" symptoms that warrant same-week evaluation include unexplained weight loss with hip pain, fever of any degree, or pain in a child or teenager — avascular necrosis and Legg-Calve-Perthes disease require early recognition in young patients.

Source: AAOS OrthoInfo; NHS Hip Pain Guidelines; BMJ Clinical Review 2023.

Frequently asked questions

Real questions patients ask about hip pain. General education, not medical advice.

This information is for educational purposes only and does not constitute medical advice. Consult a qualified healthcare provider for diagnosis and treatment.

i

General education, not medical advice

Check the sources linked here, and confirm anything important with your own clinician.

Medical disclaimer: The information on this website is for general educational purposes only and does not constitute medical advice, diagnosis, or treatment. It does not replace a consultation with a qualified healthcare provider. If you are experiencing a medical emergency, call 911 immediately. Always consult your physician or another qualified health provider with questions about a medical condition or before starting, stopping, or changing any treatment.

IRS §213(d) HSA/FSA · case by case

Paying for hip recovery with HSA/FSA funds

Physical therapy from a licensed therapist is medical care your HSA or FSA can generally pay for. Supplies, seating, mobility aids and home care may qualify case by case, some only with a physician's Letter of Medical Necessity, and your plan administrator decides. No email gate. No account lock-in.

Eligibility follows IRS Publication 502, case by case; your plan administrator makes the final call. Not tax advice.