3. Tendinitis and Bursitis
Tendons connect muscles to the bones around your joints. These tendons can become inflamed if you overuse them or participate in strenuous activities. One of the most common causes of tendinitis at the hip joint, especially in runners, is iliotibial band syndrome. This is where the iliotibial band, the thick span of tissue that runs from the outer rim of your pelvis to the outside of your knee, becomes irritated from rubbing against the hip or knee bones.
Another common cause of hip pain in women is bursitis, says Marc Philippon, MD, an orthopedic surgeon in Vail, Colorado. Fluid-filled sacs called bursae cushion the bony part of the hip that is close to the surface. Like tendons, these sacs can become inflamed from irritation or overuse and cause pain whenever you move the hip joint.
4. Hernia
In the groin area, femoral and inguinal hernias, sometimes referred to as sports hernias, can cause anterior (frontal) hip pain in women. Pregnant people can be susceptible to inguinal hernias because of the added pressure on the wall of their abdomen.
5. Gynecological and Back Issues
“Hip pain in women can have gynecological causes,” Siegrist says. “It’s important not to just assume that the pain is caused by arthritis, bursitis, or tendinitis. Depending on your age and other health issues, the pain in your hip could be coming from some other system.”
Endometriosis (when tissue similar to the uterine lining tissue grows outside the uterus) can cause pelvic tenderness, which some women describe as hip pain. Pain from the back and spine can also be felt around the buttocks and hip, Siegrist says.
Sciatica, a pinched nerve, typically affects one side of the body and can cause pain in the back of the right or left hip — the pain from sciatica can start in your lower back and travel down to your buttocks and legs.
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