Why Does My Hip Hurt When I Squat?

Experiencing hip pain during squats is a common concern. This discomfort can range from a mild ache to a sharp, limiting sensation. The hip joint, crucial for movement and stability, is susceptible to stress during activities like squatting.

Common Reasons for Hip Pain During Squats

Hip pain during squats stems from mechanics, muscle function, or underlying physical conditions. Improper squatting form is a frequent cause, as incorrect alignment places undue stress on the hip joint. This includes excessive forward lean, knees caving inward, or uneven weight distribution. Insufficient hip hinging or unsuitable squat depth can also lead to pain.

Muscle imbalances or weakness around the hip contribute to pain. Weak gluteal muscles, especially the gluteus medius, can cause improper movement patterns and instability. Tight hip flexors or adductors restrict hip range of motion, forcing compensation. Poor core stability, often seen as excessive lower back arching, can also contribute to hip impingement and pain by tilting the pelvis forward.

Specific medical conditions can also cause hip pain. Femoroacetabular impingement (FAI), where hip bones don’t fit perfectly, can cause a pinching sensation in the front of the hip during deep squats. Hip bursitis, an inflammation of fluid-filled sacs, typically causes pain on the outside of the hip, aggravated by squatting or sitting cross-legged. Other conditions like hip tendinopathy or early-stage osteoarthritis can also manifest as hip pain during squats due to increased load. Previous hip injuries can also predispose individuals to pain.

Immediate Steps for Relief and Management

Several immediate strategies can help manage hip pain during or after squats. Resting the affected hip and modifying activity levels are important initial steps. This may involve temporarily reducing or stopping squatting and other aggravating movements to allow irritated tissues to recover.

Applying ice or heat therapy can provide relief. Ice packs are recommended for acute inflammation and pain, typically for 15-20 minutes. Heat therapy, such as a warm bath, can help relax tight muscles and prepare them for gentle stretching.

Gentle stretching and mobility exercises can alleviate tightness and improve comfort. Stretches for hip flexors, glutes, and hamstrings, along with basic hip mobility drills, are beneficial. Self-massage using a foam roller on areas like the glutes, IT band, and hip flexors can release muscle tension. For temporary pain relief, over-the-counter anti-inflammatory medications, such as ibuprofen, may be used.

When to Seek Professional Help

Knowing when to seek professional medical attention for hip pain is important. Consult a healthcare provider if pain persists despite rest and self-care, or if it worsens over time. Pain significantly impacting daily activities like walking, sleeping, or sitting also warrants professional assessment.

Sharp, sudden, or severe hip pain, especially after an incident or injury, indicates a need for immediate medical evaluation. Seek professional help if pain is accompanied by symptoms like clicking, locking, grinding, numbness, tingling, weakness, or instability in the hip or leg. Recurrent hip pain that consistently returns also suggests an underlying issue requiring expert intervention.

Preventing Future Hip Pain

Proactive strategies can reduce the likelihood of hip pain during squats. Mastering proper squat form is a fundamental preventive measure. This involves maintaining a neutral spine, ensuring knees track in line with toes, and initiating movement with a hip hinge. Experimenting with different foot stances and toe-out angles helps find a squat position that aligns with unique hip anatomy, reducing impingement.

Strengthening hip-supporting muscles is another important aspect of prevention. Exercises targeting gluteal muscles (gluteus medius and maximus), core, and hip abductors and adductors improve stability and control during squats. Incorporating exercises like side-lying leg lifts, glute bridges, and single-leg squats can strengthen these supporting muscle groups.

Improving hip mobility and flexibility through regular stretching and dynamic warm-ups ensures the hip joint has the necessary range of motion for squats without excessive strain. Specific mobility drills, such as 90/90 rotations or deep squat stretches, enhance hip flexion and rotation. Gradual progression in training intensity and load is essential, avoiding rapid increases that could overload the hip joint. Listening to the body’s signals and avoiding pushing through pain are important for long-term hip health.