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Joint

Hip Pain

Walk, sit, and stand
without constantly adjusting for hip pain.

Pain around the hip may begin in the joint, nearby tendons, the pelvis, or the lower back. An examination helps identify the most likely source.

Serving Whitefish and the Flathead Valley.

Woman pausing while carrying groceries because of hip discomfort

The clinical picture

Persistent symptoms have a cause — and it can be identified.

Where hip pain is felt does not always reveal where it begins. Examination of the hip, pelvis, and lumbar spine helps distinguish joint restriction, tendon irritation, arthritis, and referred symptoms.

Recognizing the signs

What hip pain typically feels like day to day.

  • Groin or outer-hip pain
  • Stiffness after sitting
  • Pain with stairs or hills
  • Difficulty lying on one side
  • Reduced walking or hiking tolerance

What this means over time

When the hip becomes less tolerant of load, people often shorten walks, avoid uneven terrain, and compensate through the back or knee. Identifying the source helps set realistic goals.

Compensation can place additional demand on nearby joints. Sudden inability to bear weight, significant trauma, fever, or rapidly worsening pain needs prompt medical assessment.

A precise evaluation is the starting point.

Dr. Smith's examination identifies the specific structures involved, measures how they're functioning, and determines — honestly — whether our care is the right fit for what you're dealing with.

Causes & clinical context

Understanding what may contribute to hip pain.

Clinical illustration of the hip joint and surrounding structures

Common underlying causes

  • Hip-joint irritation or arthritis
  • Gluteal tendon irritation
  • Sacroiliac or lumbar referral
  • Reduced hip mobility
  • Previous injury or repetitive loading

What's usually offered — and where it falls short

  • Anti-inflammatory medication

    Limit: Can reduce symptoms without correcting load tolerance or movement limitations.

  • Rest alone

    Limit: Extended inactivity may further reduce strength and capacity.

Evaluation and care

A plan based on the findings.

  • Hip and lumbar screening
  • Joint and soft-tissue care when indicated
  • Shockwave therapy for appropriate chronic tendinopathy
  • Hip and trunk strengthening

What to expect

First visit

A focused history and examination identify the likely source and screen for findings that need referral.

Early care

Treatment is matched to the exam findings, with symptoms and function tracked rather than assumed.

Reassessment

Progress is measured and the plan is continued, changed, or referred when appropriate.

How Dr. Smith treats this differently

Our Joint Pain Therapy approach for Hip Pain.

Shockwave therapy, joint mobilization, and corrective rehab for tendinopathies, bursitis, sprains, and post-injury joint pain that's lingered past its welcome.

Explore the Joint Pain Therapy Program

Common Questions

Frequently Asked Questions

Related conditions

Clinical note: Suspected fracture, advanced arthritis, infection, or another condition outside conservative care may require imaging or orthopedic referral.

Stop living around hip pain.

Start with a $47 new patient evaluation and we'll tell you honestly whether we can help.