Joint Health

Hip Pain: Common Causes and 5 Strengthening Exercises

Dr. Sandra Thomas (PT) - Physiotherapist Wayanad
Written by Dr. Sandra Thomas (PT)
22 July 2026
6 min read
Panamaram, Wayanad
Patient undergoing hip assessment and rehabilitation therapy

Difficulty rising from a deep chair, a dull ache in your groin when walking, or sharp pain on the outside of your hip when lying down are classic signs of **hip dysfunction**. As a primary weight-bearing joint, the hip relies on a precise balance of muscle strength and joint mobility.

When the surrounding muscles (especially the gluteus medius and minimus) weaken, the hip joint experiences abnormal friction. This leads to common conditions like **hip osteoarthritis**, **trochanteric bursitis** (inflammation of the outer fluid sac), or labral irritation.

At **Physio Dynamics** in Panamaram, Wayanad, lead physiotherapist **Dr. Sandra Thomas (PT)** utilizes targeted strengthening and gentle manual distraction. This offloads the hip socket and stabilizes the pelvis for pain-free mobility.

Important Note: If your hip pain is accompanied by an inability to bear weight on the leg, or occurred after a fall, seek immediate orthopedic evaluation to rule out a hip fracture.

What Causes Hip Pain?

The most common sources of hip discomfort seen in our clinic include:

Hip Osteoarthritis: Gradual wear of the joint cartilage, causing groin stiffness.
Greater Trochanteric Pain Syndrome: Outer hip tendonitis or bursitis.
Hip Flexor Tightness: Caused by sitting for long hours, pulling the pelvis out of alignment.
Lower body stabilization exercises including Glute Bridges and Side Lying raises

Lower Extremity Stabilization Exercises recommended by Physio Dynamics

5 Safe Exercises for Hip Pain Relief

1

Sidelying Clamshells

Clamshells target the gluteus medius, which controls pelvic stability. Weakness here causes the hip to drop and twist during walking, irritating the joint.

How to Perform

  1. Lie on your side with hips stacked, knees bent at 90 degrees, and feet together.
  2. Keep your heels touching and slowly raise your top knee as high as comfortable.
  3. Hold for 2 seconds, then slowly lower back.
12–15 repetitions  |  2 sets daily
2

Glute Bridges

Bridges strengthen the gluteus maximus and hamstrings, helping push the femoral head forward and relieving pressure on the front hip structures.

How to Perform

  1. Lie on your back with knees bent and feet flat on the floor, hip-width apart.
  2. Squeeze your glutes and push through your heels to raise your hips until your body forms a straight line from shoulders to knees.
  3. Hold for 2 seconds, then lower slowly.
10 repetitions  |  3 sets
3

Side-Lying Leg Raises (Abduction)

This exercise builds lateral hip strength, which is vital to prevent limping and stabilize the hip during single-leg standing.

How to Perform

  1. Lie on your side with your bottom leg bent for balance.
  2. Keep your top leg completely straight and slowly lift it up (about 45 degrees), leading with your heel.
  3. Hold for 2 seconds, then lower slowly. Do not roll your pelvis backward.
12 repetitions  |  2 sets daily
4

Standing Hip Extension

A safe, standing exercise to activate the posterior chain muscles (glutes/hamstrings) without placing compression stress on the joint.

How to Perform

  1. Stand holding a sturdy chair or wall for balance.
  2. Keep your knee straight and slowly lift your injured leg backward. Keep your torso upright (do not lean forward).
  3. Squeeze your glutes at the top for 2 seconds.
  4. Lower slowly.
10–12 repetitions  |  2 sets
5

Kneeling Hip Flexor Stretch

Prolonged sitting shortens the hip flexors (psoas), pulling the pelvis forward. Stretching them restores normal hip extension range.

How to Perform

  1. Kneel on a soft mat on one knee (the side you want to stretch), and step your other foot flat in front of you.
  2. Keep your torso upright and gently push your hips forward until you feel a stretch in the front of your hip.
  3. Hold for 20-30 seconds. Do not arch your lower back.
Hold 20–30 seconds  |  3 repetitions

How Physiotherapy Treats Hip Pain

If your hip pain is limiting your walking distance or waking you up at night, professional physical therapy is essential. At **Physio Dynamics** (Panamaram, Wayanad), we provide:

Manual joint mobilization to reduce groin stiffness
Myofascial release for tight hip flexors and IT band
Dry needling to release gluteal trigger points
Ultrasound and electrotherapy for bursitis relief

Frequently Asked Questions

Outer hip pain is commonly caused by Greater Trochanteric Pain Syndrome (GTPS) or trochanteric bursitis, which involves irritation of the tendons or bursa overriding the bony bump on the side of your hip.

Yes. Pinched nerves in the lower spine (L4-S1 nerve roots), such as in Sciatica or Slip Disc, can radiate pain directly into the glutes or hip, mimicking a hip joint problem.

Yes, Physio Dynamics provides dedicated Home Care Physiotherapy across Wayanad for patients suffering from acute hip arthritis, pain, or recovering from hip replacement surgery.

Restore Your Hip Mobility

If hip stiffness or pinching pain is limiting your stride, let our expert orthopedic physiotherapists help you walk comfortably again.

Sandra Thomas BPT - Founder Physio Dynamics Wayanad

Dr. Sandra Thomas (PT)

Founder & Chief Physiotherapist, Physio Dynamics | HCPC (UK) Registered

Sandra Thomas is a Bachelor of Physiotherapy (BPT) graduate and HCPC (UK) Registered Physiotherapist specializing in orthopedic post-surgical rehabilitation and sports recovery. She founded Physio Dynamics in Panamaram, Wayanad to provide evidence-based physical therapy care.