Common Causes of Hip Pain

The hip joint is one of the largest and most powerful weight-bearing joints in the body. Designed as a ball-and-socket joint, the hip provides the stability needed to support your body weight during standing, walking, and running, while also allowing the range of motion required for activities like climbing stairs, squatting, and crossing your legs. When something goes wrong with the hip, the effects ripple through your entire lower body and can dramatically limit your mobility.

Hip pain affects people of all ages, from young athletes dealing with overuse injuries to older adults experiencing degenerative changes. If you are dealing with hip pain in Dallas, Dr. Darian Moseley, DC, at Moseley Chiropractic and Wellness Center can help identify the source of your discomfort and develop a targeted, non-surgical treatment plan to restore pain-free movement.

Hip Joint Misalignment

The hip joint itself can become misaligned due to repetitive stress, compensation for injuries elsewhere in the body, or muscular imbalances. When the femoral head (the ball) does not sit properly in the acetabulum (the socket), the result is altered biomechanics, uneven wear on the joint surfaces, and pain. Chiropractic adjustment of the hip joint can restore proper alignment and immediately improve joint function.

Bursitis

Hip bursitis occurs when the bursae — small, fluid-filled cushions that reduce friction around the hip joint — become inflamed. Trochanteric bursitis, affecting the bursa on the outside of the hip, is particularly common and produces a deep, aching pain on the outer hip that can radiate down the thigh. Bursitis is often caused by overuse, prolonged pressure (such as sleeping on one side), or biomechanical imbalances.

Muscle Strains and Tendinitis

The hip is surrounded by large, powerful muscle groups including the hip flexors, gluteals, adductors, and hamstrings. Strains, tears, and tendinitis in any of these muscle groups can produce significant hip pain. Hip flexor strain is especially common among runners, cyclists, and people who sit for extended periods.

Sacroiliac (SI) Joint Dysfunction

The sacroiliac joints connect the sacrum (base of the spine) to the iliac bones of the pelvis. When these joints become misaligned, inflamed, or hypermobile, they can produce pain that is felt in the hip, buttock, and lower back. SI joint dysfunction is a frequently overlooked cause of hip pain that responds excellently to chiropractic care. Because the SI joint is also closely related to sciatica and back pain, Dr. Moseley evaluates this region carefully in every hip pain case.

Referred Pain from the Lower Back

Hip pain does not always originate in the hip itself. Nerve compression or disc problems in the lumbar spine can refer pain into the hip and groin area, creating symptoms that mimic a local hip condition. This is particularly common with L2-L4 nerve root irritation and herniated discs. A thorough chiropractic evaluation can distinguish between true hip pathology and referred pain from the spine.

Osteoarthritis

Degenerative arthritis of the hip joint causes the cartilage that cushions the joint surfaces to gradually wear down, leading to pain, stiffness, and reduced range of motion. While chiropractic care cannot reverse arthritic changes, it can significantly improve joint mobility, reduce pain, slow the progression of symptoms, and help patients maintain an active lifestyle without relying on pain medication.

IT Band Syndrome

The iliotibial (IT) band is a thick band of fascia that runs along the outside of the thigh from the hip to the knee. When the IT band becomes tight or inflamed, it can produce pain at the hip, the outer knee, or both. IT band syndrome is common among runners and cyclists and responds well to soft tissue therapy.

Chiropractic Care for Hip Pain

Chiropractic treatment for hip pain focuses on identifying and correcting the mechanical dysfunction that is causing your symptoms. Because the hip operates as part of a connected kinetic chain that includes the lower back, pelvis, and knees, effective hip treatment often requires addressing multiple related areas.

Dr. Moseley begins every hip pain case with a comprehensive evaluation that includes a detailed history, physical examination, orthopedic testing, gait analysis, and assessment of the lumbar spine and pelvis. This thorough approach ensures that the true source of your hip pain is identified — whether it originates in the hip joint itself, the surrounding soft tissues, the SI joints, or the lower back.

Chiropractic care for hip pain is supported by clinical evidence. Research published in the Journal of Manipulative and Physiological Therapeutics has demonstrated that chiropractic manipulation of the hip and sacroiliac joints produces significant improvements in pain and function for patients with hip-related complaints.

Treatment Options at Moseley Chiropractic

Dr. Moseley combines multiple evidence-based techniques to provide comprehensive hip pain treatment tailored to your specific diagnosis.

Hip and Pelvic Adjustment

Chiropractic adjustment of the hip joint, sacroiliac joints, and lumbar spine restores proper alignment and mobility throughout the pelvic complex. When the hip is properly aligned, joint surfaces bear weight evenly, muscles can function in balance, and irritated nerves are decompressed. Many patients experience immediate improvement in hip mobility and pain levels after an adjustment.

Soft Tissue Therapy

The muscles and fascia surrounding the hip often develop tightness, trigger points, and adhesions that contribute to pain and restricted movement. Dry needling is effective for releasing trigger points in the gluteals, hip flexors, and piriformis muscle. IAST breaks down fascial adhesions and scar tissue. Cupping therapy and massage therapy further relax tight tissues, improve circulation, and support recovery.

Shockwave Therapy

Shockwave therapy is effective for hip pain involving chronic tendinopathy, bursitis, or persistent myofascial trigger points. The acoustic waves stimulate increased blood flow and collagen production in the affected tendons and soft tissues around the hip, accelerating healing in conditions like greater trochanteric pain syndrome and gluteal tendinopathy. For patients whose hip pain has not fully resolved with other conservative treatments, shockwave therapy often provides the breakthrough that leads to lasting improvement.

Corrective Exercise

Dr. Moseley prescribes targeted exercises to address the muscle imbalances and movement dysfunctions that contribute to hip pain. Hip strengthening exercises, gluteal activation drills, hip flexor stretches, and core stabilization work help support the gains made through in-office treatment and reduce the risk of recurrence.

Preventing Hip Pain

Many cases of hip pain can be prevented or minimized through proactive lifestyle habits.

Stay active with low-impact exercise. Walking, swimming, cycling, and yoga help maintain hip joint mobility and strengthen the surrounding muscles without placing excessive stress on the joint.

Stretch regularly. Tight hip flexors, hamstrings, and IT bands are common contributors to hip pain. Daily stretching — even five to ten minutes — can make a significant difference.

Maintain a healthy weight. Excess body weight increases the load on the hip joints with every step. Maintaining a healthy weight reduces that load and decreases the risk of degenerative changes.

Avoid prolonged sitting. Sitting for extended periods tightens the hip flexors, weakens the glutes, and compresses the hip joint. Take movement breaks every 30 to 45 minutes, especially if you work at a desk.

Schedule regular chiropractic check-ups. Periodic chiropractic adjustments help maintain proper hip and pelvic alignment and catch developing issues before they become painful problems.

Frequently Asked Questions

Can a chiropractor help with hip bursitis?

Yes. Chiropractic care addresses the biomechanical imbalances that often contribute to hip bursitis. By correcting alignment issues in the hip and pelvis and releasing tight muscles with dry needling and soft tissue therapy, Dr. Moseley reduces the abnormal friction and pressure on the bursa that causes inflammation. Many patients with hip bursitis experience significant improvement within a few weeks of chiropractic treatment.

Is hip pain always caused by a problem in the hip?

No. Hip pain frequently originates from the lower back, sacroiliac joints, or referred nerve irritation from the lumbar spine. This is why Dr. Moseley evaluates the full kinetic chain — including the lower back, pelvis, and lower extremity — when assessing hip complaints. Treating the correct source of the pain is essential for achieving lasting results.

How long does chiropractic treatment for hip pain take?

Treatment duration depends on the specific condition and its severity. Many patients with muscle-related hip pain or SI joint dysfunction notice improvement within two to four weeks. Conditions such as hip arthritis or chronic bursitis may require longer management plans. Dr. Moseley provides a clear treatment timeline during your initial evaluation and monitors your progress at every visit.

Find Hip Pain Relief in Dallas

Hip pain should not keep you from walking, exercising, sleeping, or enjoying your daily life. Dr. Darian Moseley and the team at Moseley Chiropractic and Wellness Center provide expert chiropractic hip pain treatment designed to address the root cause of your discomfort and restore pain-free movement.

Call (469) 372-0154 today to schedule your hip pain evaluation at our South Dallas office on Martin Luther King Jr. Boulevard.

Learn what to expect at your first visit | View all conditions we treat | Contact us online

Related Conditions:Back Pain Treatment in DallasSciatica Treatment in DallasPinched Nerve Treatment in DallasSports Injury Treatment in Dallas

Related Services:Chiropractic AdjustmentDry NeedlingIAST TherapyShockwave TherapyMassage Therapy