Causes & Lasting Physio Treatments For Sore Hips After Running | Hip Pain

You lace up your shoes, hit your stride, and finish your run—but afterwards, your hips ache, feel stiff, or just plain sore. As frustrating as this pain may be, identifying the root cause can get you back on track.

Understanding the underlying issues and implementing targeted physiotherapy strategies can offer lasting relief and injury prevention. But first, which condition could trigger your hip pain, and how can practical treatment help? Let’s discuss it!

Key Takeaways

Common Causes of Sore Hips After a Run

If your hips feel sore after running, it might be due to several common issues, including: 

Muscle strains occur when you overstretch or exhaust your muscles, causing localized discomfort or swelling.

Another prevalent cause is iliotibial band syndrome; repetitive motions irritate your iliotibial band, leading to outer hip pain after running.

Similarly, tendinopathy frequently affects your hip flexors or glutes as repetitive strain aggravates tendon tissues, intensifying hip discomfort after running.

Additionally, bursitis, inflammation of fluid-filled sacs around your joint, results in tenderness and hip joint pain, which tends to provoke.

Finally, labral tears—often from trauma or impingement—cause sharp hip pain, clicking, or instability during movements.

Recognising these common conditions equips you to proactively address your hip pain after running.

strain
Iliotibial band syndrome (ITBS) is a common cause of hip & knee pain that occurs due to inflammation of the iliotibial band (ITB). The ITB is a thick band of tissue that runs along the outside of the thigh.

Understanding Hip Pain: Diagnosis and Assessment

A thorough diagnosis and assessment process is essential to understand and address hip pain effectively. The initial steps involve gathering your history and performing physical examinations.

Diagnostic tests can confirm specific issues like tendinopathy or bursitis. Here’s a concise overview:

Assessment Type Purpose Common Tests
Clinical History
Identify previous injuries and activities
Detailed discussion & questioning
Physical Examination
Check range of motion, strength
Functional tests
Imaging Tests
Visualize underlying causes
X-rays, MRIs
Diagnostic Tests
Diagnose specific conditions
Treatment Planning
Create targeted strength & load management
Tailored strengthening exercises
Hip bursitis, specifically trochanteric bursitis, is inflammation of the bursa, a fluid-filled sac that cushions the joint, located on the outside of the hip, causing pain that can radiate down the thigh.

Effective Physiotherapy Treatments for Hip Pain

Because physiotherapy directly addresses your hip pain’s root causes, targeted strengthening exercises can significantly improve your hip stability and functionality.

Alongside these exercises, effective physiotherapy treatments include manual therapy techniques such as joint mobilisation and soft tissue massage, helping reduce pain and enhance your joint’s range of motion.

Physiotherapy Treatment Benefit for Hip Pain
Joint Mobilisation
Improves joint mobility and decreases stiffness
Soft Tissue Massage
Reduces muscle tension and enhances flexibility
Load Management
Gradually increases activity levels, preventing overload injury

Physiotherapists will develop a personalised rehabilitation program, educating you on proper running mechanics and load management strategies. 

Regular follow-up assessments ensure your plan adjusts with your progress, optimising recovery, preventing future issues.

Below is a good example of how your physiotherapist will mobilise your hips from the Physio Network. Always let your Physio clinic know preference for male / female physios when seeking treatment.

Strengthening Exercises for Hip Health

Strengthening your hips is essential for maintaining health and enhancing performance as a runner, especially since weak hip muscles can lead to discomfort and injuries:

Exercise Benefits
Single-leg Deadlifts
Improves balance and strength
Bulgarian Split Squats
Enhances hip stability
Bridges
Targets gluteal muscles
Clamshells
Strengthens hip stability
Monster Walks
Engages hip flexors

The above table of exercises should form part of a personally tailored exercise program from a trained health professional.

An experienced hip pain physio will be able to target the root cause of your issue and develop a specifically tailored and progressive treatment plan that safely restores and builds your strength over time.

Don’t risk it by trying to develop your own rehabilitation plan, seek the advice of those that do this for a living and have a proven track record.

Stretching and Flexibility Techniques

Although strength training builds hip stability, you shouldn’t overlook flexibility—it’s essential for reducing hip soreness and preventing injury:

Dynamic Stretching Exercises

Start your run with dynamic stretching exercises, like hip circles and lunges with a twist, which enhance mobility and prepare your muscles for movement.

After running, incorporate static stretching to alleviate muscle tension, targeting your hip flexors, glutes, and hamstrings.

Below is a useful video tutorial from accredited US hospital Ohio State Wexner Medical Center on a wide range of dynamic stretching exercises:

The Figure Four stretch is particularly effective for releasing tightness in the hips and improving the range of motion.

Regularly practising these stretching techniques promotes recovery, enhances hip flexibility, and reduces the risk of running-related injuries.

Below is a clear and concise video tutorial from licenced UK health professional Sports Injury Clinic on how to safely and effectively perform this valuable stretch for sore hips:

Injury Prevention Strategies for Runners

Integrating effective injury prevention strategies into your running routine can significantly reduce the risk of sore hips and other common injuries.

By prioritising these practices, you’ll enhance your performance and protect against overuse injuries. Here are some key strategies:

The straight leg raise (SLR) test, also known as the Lasegue's sign, is a clinical test used to assess for nerve root irritation or disc herniation in the lumbar (lower back) and sacral (pelvic) regions.

When to Seek Professional Help for Hip Pain

How can you determine if your hip pain after running warrants professional attention? If your hip pain persists beyond a few days without improvement or becomes severe enough to disrupt your daily activities or running, it’s time to seek professional help.

Whether you are a professional athlete or just a casual runner with friends - runner's knee can impact you and stop you doing from what you love. You don't need to put up with runner's knee any longer - effective and lasting treatments are available today. Call us to chat further about getting back to pain free running.

Difficulty bearing weight or significant loss of motion also indicates the need for immediate evaluation by a healthcare provider for accurate diagnosis. If your symptoms include swelling, warmth, or visible deformity, prompt assessment is essential to rule out serious injuries like fractures or dislocations.

Additionally, clicking, popping, or catching sensations in your hip suggest underlying biomechanical issues. In such cases, consult a physiotherapist who can thoroughly assess and develop an evidence-based rehabilitation plan tailored to your needs to guarantee safe and effective recovery.

Summing It All Up...

Hip soreness after running can escalate into chronic issues if neglected, but evidence-based physiotherapy offers a path to resolution without sacrificing your running routine. By identifying specific causes—from muscle strains to biomechanical flaws—and applying targeted strengtheningflexibility exercises, and gait analyses, runners can overcome pain and enhance resilience against injury recurrence.

Whether through guided rehabilitation programs, load management strategies, or modifications to warm-up/cool-down routines, the key lies in consistent, science-backed interventions. Prioritizing proactive care empowers runners to maintain their activity joyfully, healthily, and pain-free.

For personalized solutions tailored to your needs, contact Rosanna Physio to address running-related hip pain and safeguard your active lifestyle.

You don’t need to put up with sore hips any longer.  Our team of experienced Physios have the experience to get you moving pain free again.  

Take control today by booking in online or call us today on (03) 8104 9270 to get this issue sorted once and for all.

Hip Pain references and further reading:

If you would like to know more about tendonitis, please feel free to click on the links below to read more from the sources we referenced to write this webpage:

  1. Hinge Health | Hip Pain After Running: How to Treat and Prevent It
  2. Runner’s World UK | Hip Pain When Running? Causes and Solutions
  3. Medical News Today | Hip Pain When Running: What It Means
  4. Healthline | 7 Causes of Hip Pain from Running