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Causes of Hip Pain at Night and Ways to Find Relief


Hip pain at night can wake you up during the night or make it nearly impossible to fall asleep in the first place.

The pain can come from the position you sleep in, or it could be caused by something else. For example, you don’t move much during sleep, so your joints swell, which can lead to stiffness and pain.

Read on to learn more about what may be causing your hip pain at night, as well as how you can manage this symptom and sleep better.

Common causes of hip pain at night

Hip pain at night can be caused by several conditions. The most common ones are:

It can also be caused by your sleeping position, your mattress or pillows, or pregnancy.

It’s also possible to have another problem, such as lower back pain, that causes your hip to hurt. That’s called referred pain.

Sleep position

If you regularly wake up at night from hip pain, the way you’re sleeping or your mattress could be to blame. A mattress that’s too soft or too hard could trigger pressure points, which may lead to a sore hip.

Sleep posture can also cause pain.

Try sleeping on your back or, if you’re a side sleeper, sleep on the side that doesn’t hurt and put a pillow between your knees to keep your hips aligned. You can find a great selection of knee pillows here.


Around your hip bone and other joints are small sacs filled with fluid that cushion the joint when it moves. These sacs are called bursae.

Bursitis occurs when these sacs become inflamed.

Symptoms may include:

People with bursitis don’t have pain while standing.

Hip osteoarthritis and other types of arthritis

Osteoarthritis (OA) is the most common type of arthritis in the hip. But other types of arthritis can cause hip pain at night too.

These types may include:

If you have hip arthritis, you may notice:

Hip tendonitis

Tendons attach muscles to bone, allowing for movement. Hip tendonitis is when the tendon in the hip is inflamed.

If you have hip tendonitis, your symptoms may include:

Sciatic-piriformis syndrome

Sciatic pain is tingling and numbness that runs from the lower back to the buttocks, and sometimes down the leg and into the foot.

If you have sciatic-piriformis syndrome, you may feel a burning sensation in your calf when you’re trying to sleep. Or you may have throbbing pain in your foot that jolts you awake or keeps you up.


Pregnancy puts extra pressure on your spine and hips, especially during your third trimester.

Wear supportive shoes during the day and take stretch breaks if you’ve been sitting for extended periods of time. This can help reduce your risk for conditions such as sciatica, which may lead to referred pain.

At night, follow the previously made suggestions regarding side sleeping.

You can also try rolling up a blanket and placing it behind your back so that you can lean into the blanket while still sleeping on your side. You can use a pillow instead of a blanket if you prefer. That can help provide additional support while sleeping.

A pregnancy pillow may also help.

Managing hip pain at night

A variety of pain management options are available to address hip pain.

Immediate relief

If hip pain wakes you up, you can try these things to get back to sleep:

Over-the-counter (OTC) nonsteroidal anti-inflammatories (NSAIDs), such as ibuprofen (Advil, Motrin IB) and naproxen (Aleve) may help relieve your pain.

Talk to your doctor about the best NSAIDs for you and how often it’s safe to take them.

Your doctor may also prescribe topical NSAIDs, such as diclofenac gel (Solaraze, Voltaren).

Ice or heat may also help relieve pain. Ask your doctor which is best for you.

If your pain is caused by swelling, ice may be more beneficial as it can help reduce the inflammation. Heat can help relieve arthritis pain, stiffness, or muscle spasms.

Avoid applying the ice directly to your skin. Instead, wrap an ice pack in a towel, and then place it over your hip.

You can apply heat with a heat wrap, heating pad, or hot water bottle.

Long-term relief

If you regularly experience hip pain at night, you may need solutions for longer-term relief.

You may want to consider changing your mattress. A mattress that’s too firm may be especially painful for people who have hip bursitis.

You can also try putting a foam pad on top of your mattress to help distribute your weight.

Your doctor may also talk with you about these treatments:

To help prevent hip pain at night

When hip pain keeps you awake, you can try these things throughout the day and before bedtime:

Low-impact exercise

Low-impact exercise, such as swimming, water exercise, or walking, may help reduce your pain and improve sleep. You may also want to try tai chi or yoga.

You should avoid sitting for long periods of time throughout the day, as well.


In addition to low-impact exercise during the day, you can try stretching your hip. You can stretch throughout the day or at night if the pain is keeping you awake.

  1. Stand up and hold on to something for balance if you need to.
  2. Cross your legs, and reach to touch your toes.
  3. Hold for 20 to 30 seconds.
  4. Cross your legs the other way and repeat.

You can also try these exercises to help relieve hip bursitis pain or these exercises to strengthen your hip flexor.

Sleep hygiene

Practicing good sleep hygiene can help you fall and stay asleep. Here are some helpful tips:

You should also avoid using alcohol to help you fall asleep. It may make you drowsy, but you’ll likely wake after just a few hours of restless sleep.

Also, beware of using OTC sleep aids. Over time, you’ll need higher doses to go to sleep, and this habit can be hard to break.

When you should see a doctor

If your hip pain is regularly keeping you from sleep or waking you up at night, see your doctor.

They may check for tenderness and swelling around your hip. They’ll also assess the range of motion of your hip for signs of arthritis and tendonitis. Reduced motion is a sign of arthritis.

They may also take blood or fluid samples, or order X-rays to rule out various conditions.

Go to an urgent care facility or to an emergency room (ER) if your hip pain is caused from an injury.

Also seek immediate care if you have any of these symptoms:


Not getting enough sleep can make your pain worse, so it’s important to work with your doctor to develop a treatment plan.

Making some adjustments to your lifestyle, such as adding in gentle exercise and improving your sleep hygiene, can take you a long way toward preventing long, painful nights.

Work with your doctor to find the best treatment for the condition that’s causing your hip pain.


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