Causes of Hip Pain at Night & How to Get Relief (2024)

Who doesn’t love a good night’s sleep? It doesn’t matter whether you’ve had a busy day or a relaxing day. Getting a full night of restful sleep is really important for maintaining a good mood, staying focused at work or school, and just being healthy.

Sleep is when your body regenerates itself, and when we miss even a little sleep, it can quickly cause problems with our emotional and physical well-being. Unfortunately, nighttime hip pain can throw a crimp into your sleeping routine. If you’re dealing with bedtime pain in or around your hips, here’s what you should know.

How Common is Hip Pain at Night?

Causes of Hip Pain at Night & How to Get Relief (1)You might think hip pain is a lot more common during the day. After all, that’s when your hips get the most movement. But the fact is, hip pain at night only is pretty common too. To some degree, whether you have hip pain at night depends on what’s causing your pain to begin with. Osteoarthritis is one of the most common causes of hip pain and stiffness, and unfortunately, those symptoms can follow you around all day and all night. Muscle strains and hip bursitis — inflammation of tiny fluid sacs in the joint — are other typical causes of hip pain.

Those sorts of pain tend to be more common during the day when you’re bearing weight on your hips or using them for movement. Outer hip pain tends to be related to muscles, tendons and ligaments. Like arthritis, these symptoms are nearly as likely to occur at night as during the day. The important thing to remember is that no matter what’s causing your hip pain and when it occurs, it needs to be evaluated. Having your hip pain properly diagnosed is the first step toward getting relief. Plus, early evaluation and treatment can prevent underlying problems from getting worse.

How Can I Relieve my Nighttime Hip Pain?

Some types of hip pain at night can benefit from a little gentle exercise and stretching during the day. Does your job require a lot of sitting or standing? If so, you might be more prone to pain in your lower back and hips. The same is true if you’re really physically active, and using your legs and hips to exercise often. If you are normally sedentary and begin to exercise frequently, this can be a cause of sudden hip pain. We recommend gradually easing into an exercise program, allowing your hips and joint to follow suit. Gentle stretching loosens stiff muscles and improves circulation in the area so you’re more comfortable while you sleep.

If nighttime hip pain is common, consider taking a pain reliever before bed. A warm bath or shower or a deep massage are other options worth considering, especially if your pain is related to muscles and other soft tissues. You might benefit from a heating pad or an ice pack, depending on the underlying cause of your pain.

For some types of chronic pain, Dr. Van Thiel might recommend physical therapy. Hip joint injections are another option, especially if pain relievers and therapy aren’t working.

Hip pain is often related to lower back pain. If you’re a back-sleeper, try putting a pillow under your knees to slightly bend them. Often, that’s all it takes to adjust the lower-back strain that causes bedtime hip pain. Adding a mattress topper or springing for an entirely new mattress might also help.

Why do my Hips Hurt When Sleeping on my Side?

Most people sleep on their sides and if you have hip pain, it can really make it hard to snuggle in and get some restful Zs. Sleeping on your side can cause hip pain in a couple of ways. The first reason is obvious: When you sleep on your side, you put a lot of direct pressure on the hip joint. Often, that’s enough to cause hip pain, even if you don’t have really noticeable symptoms during the day. But you can also have pain in the opposite hip — the one you’re not lying on. That type of pain occurs when the opposite hip drifts forward, pulling on the joint and straining it.

You can try relieving pain by sleeping on your back. But for most people, changing sleeping positions is no easy task. Another solution is to use a hip pillow for side sleepers. Typically, the pillow is placed between the legs to keep hips in a more normal position while lying down. If it’s the “bottom” hip that’s hurting, try putting the pillow behind your back and leaning back slightly against it to relieve that direct pressure on the joint.

Real Hip Pain Relief Needs a Custom Solution.

Hip pain is no fun, no matter what time of day it occurs. The first step toward feeling better is having your pain evaluated. A well-recognized orthopedic surgeon in Rockford, Elgin, and throughout Chicagoland, Dr. Van Thiel uses state-of-the-art approaches to diagnose the cause of hip pain, so every patient can get the best care and the fastest relief. To find out what’s causing your nighttime hip pain, schedule an office visit today.

Want more tips for improving your overall hip pain? Get tips delivered straight to your inbox every month from industry-leading orthopedic surgeon Dr. Van Thiel.

Causes of Hip Pain at Night & How to Get Relief (2024)

FAQs

Causes of Hip Pain at Night & How to Get Relief? ›

A mattress that's too soft or too hard could trigger pressure points, which may lead to a sore hip. Sleep posture can also cause pain. Try sleeping on your back or, if you're a side sleeper, sleep on the side that doesn't hurt and put a pillow between your knees to keep your hips aligned.

What is the best thing for hip pain at night? ›

Gentle stretching loosens stiff muscles and improves circulation in the area so you're more comfortable while you sleep. If nighttime hip pain is common, consider taking a pain reliever before bed.

How do I get instant relief from hip pain? ›

Hot and cold therapy is a great way to ease hip pain. Applying heat or cold can reduce inflammation, improve circulation, relax muscles, and provide temporary relief from discomfort. Heat therapy can be done with a heating pad or hot water bottle placed on the affected area for 15-20 minutes at a time.

What is the best way to sleep to avoid hip pain? ›

Try sleeping on your back

Sleeping on your back evenly distributes your weight and prevents any one joint from getting strained. That means it's beneficial for your hips. If you're not normally a back sleeper, it can be tricky to get used to this position. Try adding a pillow or bolster under your knees.

What do you do when your hip hurts really bad? ›

Home Care
  1. Try to avoid activities that make pain worse.
  2. Take over-the-counter pain medicines, such as ibuprofen or acetaminophen.
  3. Sleep on the side of your body that does not have pain. ...
  4. Lose weight if you are overweight. ...
  5. Try not to stand for long periods of time. ...
  6. Wear flat shoes that are cushioned and comfortable.

Should I keep walking with hip pain? ›

Things like going on a daily walk or going swimming will help to improve your general health and take the strain off your hip, by strengthening other muscles in the body. Sometimes people stop exercising once their pain clears up, but when they do it's common for them to start having problems again quite quickly.

How do I know if my hip pain is muscle or joint? ›

Problems within the hip joint itself tend to result in pain on the inside of the hip or the groin. Hip pain on the outside of the hip, upper thigh or outer buttock is usually caused by problems with muscles, ligaments, tendons and other soft tissues that surround the hip joint.

What is the best natural relief for hip pain? ›

The RICE method (Rest, Ice, Compression, and Elevation) is one of the most effective hip pain remedies at home. Pain relievers, muscle relaxation ointments, and gels can also be helpful in hip pain treatment at home.

What is the best painkiller for severe hip pain? ›

Pain Medications: Over-the-counter pain relievers, such as acetaminophen (e.g., Tylenol) and ibuprofen (e.g., Advil and Motrin), are commonly used to ease hip pain. Analgesics such as muscle rubs can be used for temporary pain relief.

Why is hip pain worse at night? ›

If you often wake up with hip pain, the cause may be the position you sleep in or a mattress that is too soft or too hard. If you sleep on your back, try sleeping on your side. If you sleep on one side, try sleeping on the other side and place a pillow between your legs to keep your hips aligned.

How do you relieve hip pain at night lying on your side? ›

Quick Relief

You can try a hot or cold compress at your hip, or take some Tylenol (acetaminophen) or another other pain reliever for less severe episodes. Other measures you can try include: Putting a pillow between your knees when you lay on your side. Putting a pillow under your knees if you lay on your back.

Why can't I sleep with hip pain? ›

See a GP if: hip pain is stopping you doing normal activities or affecting your sleep. the pain is getting worse or keeps coming back. the pain has not improved after treating it at home for 2 weeks.

What aggravates hip arthritis? ›

Avoid activities that aggravate hip arthritis, such as running, jumping and other high-impact exercises. Lifestyle modifications, such as weight loss, can help reduce stress on the hip joint. Physical therapy exercises can help improve strength in the hip.

What is a red flag for hip pain? ›

Below are some examples of Red flags for Hip pain: History of trauma / falls. Sudden onset. Any swelling / deformity.

What is stage 4 hip pain? ›

The fourth stage: Severe

At this stage, the joints may be chronically inflamed and your cartilage will likely be brittle. This manifests as chronic stiffness and pain, which can persist even without movement. At this point, bone realignment surgery can be an option, as can a total hip replacement.

What does bursitis feel like in the hip? ›

Symptoms of hip bursitis

The main symptom of hip bursitis is pain. Other hip bursitis symptoms can include hip swelling. Pain from bursitis in your hip tends to get worse after you've been sitting or lying down. The pain may also increase when you do a repetitive activity, like climbing stairs.

How do I know if my hip pain is serious? ›

How Do You Know If Your Hip Pain Is Serious?
  1. Fever.
  2. Bleeding.
  3. Exposed bone or muscle.
  4. An area that's warm to the touch.
  5. A popping sound.
  6. Inability to bear weight.
Oct 13, 2023

How can you tell the difference between hip arthritis and hip bursitis? ›

There are a few basic ways to know if you have hip bursitis or arthritis. If the pain you feel is sharp and severe before spreading out into an ache in the affected area, you may have hip bursitis. On the other hand, if your pain develops slower and is more painful in the morning, it may be hip arthritis.

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