Adam C. Young, MD
Alan C. League, MD
Albert Knuth, MD
Alejandra Rodriguez-Paez, MD
Alexander E. Michalow, MD
Alexander Gordon, MD
Alexander M. Crespo, MD
Alfonso Bello, MD
Ami Kothari, MD
Amy Jo Ptaszek, MD
Anand Vora, MD
Andrea S. Kramer, MD
Andrew J. Riff, MD
Angela R. Crowley, MD
Angelo Savino, MD
Anthony Savino, MD
Anuj S. Puppala, MD
Ari Kaz, MD
Ashraf H. Darwish, MD
Ashraf Hasan, MD
Bradley Dworsky, MD
Brian Clay, MD
Brian J. Burgess, DPM
Brian R. McCall, MD
Brian Schwartz, MD
Brian Weatherford, MD
Brooke Vanderby, MD
Bruce E. Noxon, DPM, FACFAS, FAPWCA
Bruce Summerville, MD
Bryan Waxman, MD
Bryant S. Ho, MD
Carey E. Ellis, MD
Carla Gamez, DPM
Cary R. Templin, MD
Charles L. Lettvin, MD
Charles M. Lieder, DO
Chinyoung Park, MD
Christ Pavlatos, MD
Christian Skjong, MD
Christopher C. Mahr, MD
Craig Cummins, MD
Craig Phillips, MD
Craig S. Williams, MD
Craig Westin, MD
Daniel M. Dean, MD
David Beigler, MD
David Guelich, MD
David H. Garelick, MD
David Hamming, MD
David Hoffman, MD
David M. Anderson, MD
David Norbeck, MD
David Raab, MD
David Schneider, DO
Djuro Petkovic, MD
Douglas Diekevers, DPM
Douglas Solway, DPM
E. Quinn Regan, MD
Eddie Jones Jr., MD
Edward J. Logue, MD
Elliot A. Nacke, MD
Ellis K. Nam, MD
Eric Chehab, MD
Eric L. Lee, MD
Evan A. Dougherty, MD
Garo Emerzian, DPM
Gary Shapiro, MD
Giridhar Burra, MD
Gregory Brebach, MD
Gregory J. Fahrenbach, MD
Gregory Portland, MD
Harpreet S. Basran, MD
Inbar Kirson, MD, FACOG, Diplomate ABOM
Jacob M. Babu, MD, MHA
Jalaal Shah, DO
James M. Hill, MD
James R. Bresch, MD
Jason G. Hurbanek, MD
Jason Ghodasra, MD
Jason J. Shrouder-Henry, MD
Jeffrey Ackerman, MD
Jeffrey Goldstein, MD
Jeffrey Staron, MD
Jeffrey Visotsky, MD
Jeremy Oryhon, MD
John H. Lyon, MD
Jonathan Erulkar, MD
Jordan L. Goldstein, MD
Josephine H. Mo, MD
Juan Santiago-Palma, MD
Justin Gent, MD
Justin M. LaReau, MD
Kellie Gates, MD
Kermit Muhammad, MD
Kevin Chen, MD
Kris Alden MD, PhD
Leah R. Urbanosky, MD
Leigh-Anne Tu, MD
Leon Benson, MD
Lori Siegel, MD
Lynn Gettleman Chehab, MD, MPH, Diplomate ABOM
Marc Angerame, MD
Marc Breslow, MD
Marc R. Fajardo, MD
Marie Kirincic, MD
Mark Gonzalez, MD
Mark Gross, MD
Mark Hamming, MD
Mark Mikhael, MD
Matthew L. Jimenez, MD
Mehul H. Garala, MD
Michael C. Durkin, MD
Michael Chiu, MD, FAAOS
Michael J. Corcoran, MD
Michael O'Rourke, MD
Nathan G. Wetters, MD
Nikhil K. Chokshi, MD
Paul L. Goodman, DPM, FACFAS, FAPWCA
Peter Hoepfner, MD
Peter Thadani, MD
Phillip Ludkowski, MD
Priyesh Patel, MD
Rajeev D. Puri, MD
Rhutav Parikh, MD
Richard J. Hayek, MD
Richard Noren, MD
Richard Sherman, MD
Ritesh Shah, MD
Robert J. Daley, MD
Robert J. Thorsness, MD
Roger Chams, MD
Ronak M. Patel, MD
Ryan J. Jacobs, MD
Scott Jacobsen, DPM
Sean A. Sutphen, DO
Serafin DeLeon, MD
Shivani Batra, DO
Stanford Tack, MD
Steven C. Chudik, MD
Steven G. Bardfield, MD
Steven Gross, MD
Steven Jasonowicz, DPM
Steven M. Mardjetko, MD
Steven S. Louis, MD
Steven W. Miller, DPM
Surbhi Panchal, MD
T. Andrew Ehmke, DO
Taizoon Baxamusa, MD
Teresa Sosenko, MD
Theodore Fisher, MD
Thomas Gleason, MD
Timothy J. Friedrich, DPM
Todd R. Rimington, MD
Todd Simmons, MD
Tom Antkowiak, MD, MS
Tomas Nemickas, MD
Van Stamos, MD
Wayne M. Goldstein, MD
Wesley E. Choy, MD
William P. Mosenthal, MD
William Robb, MD
William Vitello, MD

How to Tell if Your Hip Pain Is from Arthritis or Bursitis

This article is part of the Ultimate Guide to Hip Pain Relief.

Pain around the hip is a common complaint in orthopedic patients that visit IBJI. Knowing where the pain is coming from and the cause of the pain puts the patient on the right path to treatment.

Common issues are arthritis and bursitis. These two can easily be confused if you don’t know what you’re looking for.

IBJI recently chatted with Dr. Jeremy Oryhon, board-certified orthopaedic surgeon with fellowship training in joint preservation, resurfacing and replacement. Dr. Oryhon explains the differences between arthritis and bursitis. His responses—below—have been edited and condensed for space.

Anatomic Structure of the Hip

When assessing your hip pain, it is important to understand the anatomical structure of the hip to help determine where the pain is coming from. “For hip surgeons, ‘the hip’ is a very specific anatomic structure (part of the body),” says Dr. Oryhon, “The hip is made up of a ball and socket joint where the top part (femoral head ball) of the thigh bone (femur) meets, attaches to and articulates with the pelvis socket.”

To figure out if your hip pain is from arthritis or is due to inflammation of the bursa (bursitis), you have to be aware of and specific with the exact location of the pain.

“Patients often think of the hip in a much broader sense. Any pain around the upper thigh, outer thigh, buttock, low back and flank are often described by patients simply as ‘hip pain.’ All of these areas are not as specific and pain in these areas is usually not coming from the hip joint itself. So, we need to first determine the area of pain to know if it is arthritis or bursitis,” says Dr. Oryhon.

Arthritis

“Pain coming from the hip joint is most often due to hip arthritis (osteoarthritis). If the pain seems to be in the front of the thigh, including deep in the groin area, then this is an indication of hip joint pain and probably hip arthritis.” The pain may become worse with activity or with sudden pivoting movements. The pain can also radiate down the front of the thigh to just above the knee.

Watch a Video on Inflammatory Arthritis of the Hip

Bursitis

“Pain or symptoms in the upper thigh, outer thigh, buttock, low back and flank may actually be coming from the back, spine, nerves, muscles, tendons or bursa.

“A Bursa is a two-layered piece of soft tissue with a little fluid in between the layers (think of a Ziploc plastic bag with a little bit water in it). These bursae are located over bony prominences on your skeleton where skin, muscles and tendon move and slide. The bursa tissue decreases the friction of the skin, muscle or tendon sliding against the bone. They are located most often around joints most notably at the back of the elbow, the shoulder, the front of the knee and at the side of the upper thigh.”

Dr. Oryhon says that, “If the pain seems to be at the outer part of the upper thigh sometimes with radiation down the outer thigh and there seems to be tenderness when pressing in this area, then it is more likely to be hip bursitis. This pain may be constant or intermittent. It is often worse at night especially when laying on the side.”

Get Relief from Your Hip Pain Today

It’s important to know exactly what area is giving you pain or symptoms as there are many more possibilities for the exact diagnosis. Be very specific about the pain and the location you are experiencing it in.

Hip pain is a common complaint that hip physicians treat. There are many structures in the hip that can cause pain and may not be either arthritis or bursitis. Your hip specialist will be able to figure out the location and cause for your hip pain and suggest the appropriate treatment.

Hip Care and Treatment at IBJI

Whether you are just starting out in your hip care journey or need a second opinion for your hip pain, IBJI’s hip surgeons are here to help provide you with the necessary care for your ailment. Get the relief you are seeking with the help of IBJI.

Request an appointment with an IBJI hip surgeon to discuss treatment options and create an individualized approach to your care.

Check out IBJI’s additional online resources for hip care to learn more about conditions and read patient testimonials.

Request an Appointment with a Hip Doctor →

*The blog is for general information and educational purposes only regarding musculoskeletal conditions. The information provided does not constitute the practice of medicine or other healthcare professional services, including the giving of medical advice, and no doctor-patient relationship is formed. Readers with musculoskeletal conditions should seek the advice of their healthcare professionals without delay for any condition they have. The use of the information is at the reader’s own risk. The content is not intended to replace diagnosis, treatment or medical advice from your treating healthcare professional.


Download the Ultimate Guide to Hip Pain Relief

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