What’s Behind Your Hip Pain?

The hip plays a central role in how you move. It transfers force between your upper body and your legs, helping you walk, run, turn, and change direction. When hip pain shows up, it often affects everyday tasks like putting on shoes, rolling in bed, or standing after sitting for a while.

In some cases, symptoms follow a clear injury. In others, discomfort develops gradually without a single event. Training increases, prolonged sitting, reduced strength, or changes in routine can all influence how the hip responds to load.

It’s also important to remember that the hip doesn’t function in isolation. The lower back, pelvis, knee, and foot all influence how stress is shared through the joint. If movement patterns or muscle control change elsewhere, the hip may begin to feel the strain.

Pain in this area isn’t always about structural damage. Often, it reflects a temporary gap between what the hip is being asked to do and what it’s currently prepared to handle.

A thorough assessment looks beyond the painful spot. By evaluating strength, mobility, coordination, and overall movement strategy, we can better understand what’s contributing to symptoms and develop a plan focused on restoring confidence and long-term resilience.

What Can Contribute to Hip Pain

Hip pain is rarely caused by a single event or structure. More often, symptoms develop when the load placed on the joint exceeds what the muscles, tendons, and surrounding tissues are currently conditioned to manage.

Common contributors may include:

  • Sudden increases in running distance, gym volume, or sport intensity

  • Reduced strength or endurance in the gluteal or core muscles

  • Limited hip mobility or stiffness through the lower back

  • Changes in training routine, footwear, or activity surface

  • Repetitive movements such as lunging, sprinting, pivoting, or uphill walking

  • Previous hip or lower back injuries

  • Insufficient recovery between higher-load sessions

  • Long periods of sitting followed by abrupt activity

How Hip Pain Is Assessed

An assessment starts with a detailed conversation about your symptoms — when they began, where you feel them, and what movements tend to aggravate or ease the discomfort. Activities such as prolonged sitting, walking, running, crossing your legs, or getting in and out of a car often provide helpful insight.

From there, the focus shifts to how the hip moves and performs during functional tasks. This may include observing gait, single-leg stance, step-down control, squatting patterns, or sport-specific movements. The strength and coordination of the gluteal muscles, core, and surrounding structures are carefully examined, as these areas play a key role in how the hip manages load.

Range of motion at the hip, as well as mobility through the lower back and pelvis, is also assessed. Because these regions work together, restrictions or compensations in one area can influence stress through the joint.

Rather than searching for a single “problem structure,” the goal is to understand how well the hip is tolerating current demands. Imaging is not always necessary early on and is typically considered when clinical findings suggest it would meaningfully change management decisions.

practitioner helping patient with hip pain in burlington ontario

How Hip Pain Is Managed

Restoring Strength and Movement Confidence

Management begins with understanding what you want to return to — whether that’s walking without stiffness, training at your usual intensity, getting back to sport, or simply moving through your day more comfortably.

Because many hip conditions are linked to how the joint responds to repeated load, treatment often centres on rebuilding capacity. This typically involves progressive strengthening of the gluteal muscles, improving pelvic control, and gradually exposing the hip to movements that were previously aggravating.

Rather than avoiding activity long term, the goal is to reintroduce it in a structured way. Exercises are progressed carefully to improve tolerance to walking, running, squatting, or lateral movements — depending on your goals.

Hands-on treatment may help reduce short-term stiffness or sensitivity, but sustainable improvement usually comes from improving strength, coordination, and load management. Adjustments to training volume, sitting habits, or movement patterns may also support recovery.

Education is a key part of care. Understanding how to modify activity, pace progression, and recognize early warning signs helps reduce flare-ups and build long-term resilience. When appropriate, a collaborative approach across disciplines can further support both recovery and performance.

Care Options for Hip Pain in Burlington

Hip pain rarely requires just one approach. Depending on what’s driving your symptoms, care may combine different services to address mobility, strength, and tissue sensitivity — with the goal of helping you move more comfortably and confidently.

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Chiropractic Treatment

If joint stiffness or movement restrictions are contributing to symptoms, chiropractic treatment may focus on restoring motion through the hip and surrounding regions. Attention is often given to how the pelvis and lower back interact with the hip during everyday movements.

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Massage Therapy

When surrounding muscles become tense or sensitive, soft-tissue treatment may help ease discomfort and improve comfort with movement. This can be especially useful alongside an active rehabilitation plan.

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Physiotherapy

Rebuilding hip capacity is often a central part of recovery. Physiotherapy may include targeted strengthening, balance work, and gradual exposure to movements that previously felt aggravating.

What to Expect During Hip Pain Recovery

Care is shaped around how your hip responds to movement over time. The process is typically gradual and adapts as your strength, mobility, and tolerance improve.

Initial Focus

Settling irritation and restoring comfortable hip movement while identifying positions or activities that may be exceeding current tolerance.

Progressive Care

Gradually rebuilding strength and control through the hip and pelvis to improve tolerance to walking, training, and daily activity.

Active Involvement

Participating in targeted exercises and movement strategies designed to increase hip capacity and support long-term function.

Ongoing Reassessment

Monitoring how symptoms respond to increased demand and adjusting programming to support continued progress.

Frequently Asked Questions About Hip Pain

These are some of the most common questions we hear from people dealing with hip discomfort.

Helping Burlington patients move better since 2005.

In many cases, yes. Hip pain often relates to how well the joint and surrounding muscles tolerate load. With appropriate strengthening, movement retraining, and gradual progression back to activity, symptoms commonly improve over time.

Prolonged sitting can place the hip in a flexed position for extended periods. When you stand up, tissues may feel stiff or sensitive until they warm up. Improving hip strength and mobility often helps reduce this “start-up” discomfort.

Imaging is not always necessary, especially early on. Many hip conditions can be assessed clinically and managed conservatively. Imaging is typically considered when symptoms are severe, persistent, or when findings suggest it would change treatment decisions.

Often, yes — with modification. Completely avoiding movement is rarely helpful long term. Adjusting intensity, volume, or exercise selection while gradually rebuilding strength can help maintain fitness without worsening symptoms.

Not necessarily. While arthritis can contribute to hip discomfort, many cases relate to tendon irritation, muscle weakness, load management, or movement patterns. An assessment helps clarify what may be contributing in your situation.

Building and maintaining hip strength, managing training volume, and recognizing early warning signs can all reduce recurrence risk. Consistency with strengthening and load progression is often key.

Meet Our Practitioners

Our clinicians work collaboratively to support recovery across a wide range of conditions.

Dr. Kevin McIntyre

Dr. Kevin McIntyre B.Kin, DC

Clinic Director

Dr. Leslie McDowall

Dr. Leslie McDowall B.Sc, DC

Clinic Director

Beth Slack

Elisabeth (Beth) Slack

Registered Physiotherapist

Samantha Costabile

Samantha Costabile

Registered Physiotherapist

Deanna St. Clair

Deanna St. Clair

Registered Physiotherapist

Valerie Morris

Valerie Morris

Registered Massage Therapist

Ryan Smith

Ryan Smith

Registered Massage Therapist

Michael DeCiantis

Michael DeCiantis

Registered Massage Therapist

Maraisa (Mara) Ockenden

Allie Hoegl

Registered Physiotherapist