Hip Pain Treatment in Mumbai by Dr. Mayur Rabhadiya

Hip Pain Treatment in Mumbai

Hip pain is not a single diagnosis. Pain around the hip may come from the hip joint, lower back, sacroiliac joint, muscles, tendons, bursae, nerves, pelvis, or from conditions such as hip arthritis, avascular necrosis, fracture, infection or inflammatory arthritis.

This is why hip pain treatment should begin with a clear diagnosis, not with repeated painkillers or assumptions.

Dr. Mayur Rabhadiya evaluates patients with hip pain in Mumbai using a clinical, imaging-based and function-based approach. The aim is to identify the actual source of pain, assess the severity of the condition, decide whether non-surgical treatment is appropriate, and discuss surgery only when the diagnosis and functional limitation justify it.

Patients may consult for:

• Groin pain

• Deep hip pain

• Outer hip pain

• Buttock pain

• Thigh pain

• Limping

• Hip stiffness

• Difficulty walking

• Difficulty climbing stairs

• Pain while sitting, bending or turning

• Difficulty wearing socks or footwear

• Pain after a fall

• AVN of the hip

• Hip arthritis

• Pain after previous hip surgery

• Pain after hip replacement

Hip pain treatment may include medicines, physiotherapy, activity modification, walking support, injections in selected cases, joint-preserving treatment, hip replacement or revision hip replacement depending on the diagnosis.

Patients with advanced joint damage can also read Hip Replacement Surgery in Mumbai, Total Hip Replacement in Mumbai, Robotic Hip Replacement in Mumbai, and Hip Replacement Surgeon in Mumbai.

Why Hip Pain Should Not Be Ignored

Hip pain that persists, worsens or affects walking should not be ignored. Some patients assume the pain is due to muscle strain, age, sciatica or general weakness. Others continue taking pain medicines for months without knowing the exact diagnosis.

This can delay treatment in conditions such as:

• Avascular necrosis of the femoral head

• Hip arthritis

• Stress fracture

• Femoral neck fracture

• Infection

• Inflammatory hip disease

• Failed previous hip surgery

• Painful hip replacement

Early evaluation does not automatically mean surgery. It means the cause is identified before the condition becomes more disabling.

A patient with early hip arthritis may be managed without surgery. A patient with early AVN may need careful staging and monitoring. A patient with femoral-head collapse may need hip replacement counselling. A patient with spine-related pain may not need hip surgery at all.

The first goal is diagnostic clarity.

Understanding the Hip Joint

The hip is a deep ball-and-socket joint. The ball is the femoral head, and the socket is the acetabulum. A healthy hip allows smooth walking, sitting, standing, stair climbing and rotation of the leg.

Hip pain can come from several structures:

• Cartilage inside the joint

• Femoral head

• Acetabulum

• Labrum

• Synovium

• Hip capsule

• Muscles and tendons

• Bursae around the hip

• Pelvic bones

• Lumbar spine

• Sacroiliac joint

• Nerves

• Previous implants

Because the hip is deep, patients may not always point exactly to the joint. Pain may be felt in the groin, thigh, buttock, outer hip or knee.

This is why clinical examination is important. Location of pain gives clues, but it does not replace diagnosis.

Common Locations of Hip Pain

Groin Pain

Deep groin pain often suggests that the pain is coming from inside the hip joint. Common causes include hip arthritis, AVN, labral problems, inflammatory arthritis, femoroacetabular impingement and early joint damage.

Groin pain that increases with walking, standing, hip rotation or stair climbing should be evaluated carefully.

Outer Hip Pain

Pain on the outer side of the hip may come from trochanteric bursitis, gluteal tendinopathy, abductor muscle weakness, referred spine pain or soft-tissue irritation.

This pain may worsen while lying on the affected side, climbing stairs or standing for long periods.

Buttock Pain

Buttock pain may come from the hip, but it may also come from the lumbar spine, sacroiliac joint or deep gluteal region.

Pain that radiates down the leg, causes tingling, numbness or burning may suggest nerve involvement.

Thigh or Knee Pain

Hip joint disease can sometimes cause referred pain in the thigh or knee. Some patients with hip arthritis first complain of thigh pain or knee pain.

This is why a patient with unexplained thigh or knee pain may still need hip examination.

Common Causes of Hip Pain

Hip Arthritis

Hip arthritis occurs when the smooth cartilage inside the hip joint becomes damaged or worn out. As arthritis progresses, the joint becomes painful, stiff and less mobile.

Symptoms may include:

• Groin pain

• Hip stiffness

• Limping

• Reduced walking distance

• Difficulty climbing stairs

• Difficulty sitting low

• Difficulty wearing socks or shoes

• Difficulty getting in and out of a car

• Pain while turning in bed

• Night pain in advanced disease

Early hip arthritis may be treated without surgery. Advanced hip arthritis may require hip replacement assessment when pain and disability become significant.

For detailed guidance, read Hip Arthritis Treatment in Mumbai.

Avascular Necrosis of the Hip

Avascular necrosis, also called AVN or osteonecrosis, occurs when the blood supply to part of the femoral head is reduced. This can weaken the bone and may lead to femoral-head collapse.

AVN is important because it often affects younger adults. Early X-rays may be normal, while MRI may show disease.

Risk factors may include:

• Steroid use

• Alcohol exposure

• Previous hip injury

• Autoimmune conditions

• Blood disorders

• Idiopathic causes where no clear reason is found

Early AVN and advanced AVN are treated differently. In early AVN without collapse, monitoring or joint-preserving treatment may be discussed in selected cases. Once the femoral head has collapsed and arthritis has developed, hip replacement may become more predictable.

Read AVN Hip Treatment in Mumbai and Hip Replacement for AVN.

Femoroacetabular Impingement and Labral Problems

Femoroacetabular impingement, often called FAI, occurs when abnormal contact between the femoral head-neck area and the acetabulum causes pain during hip movement.

Symptoms may include:

• Groin pain

• Pain while squatting

• Pain during sports or gym activity

• Pain after prolonged sitting

• Clicking or catching sensation

• Reduced hip rotation

Labral tears may occur with FAI, trauma or structural hip abnormalities. Not every labral tear on MRI requires surgery. The treatment depends on symptoms, age, arthritis status, activity level and mechanical limitation.

Trochanteric Bursitis and Gluteal Tendinopathy

Outer hip pain is often called bursitis, but many patients actually have gluteal tendon irritation, abductor weakness or greater trochanteric pain syndrome.

Symptoms may include:

• Pain on the outer side of the hip

• Pain while lying on that side

• Pain while climbing stairs

• Pain after walking

• Tenderness over the outer hip

• Pain while getting up from a chair

Most of these cases are treated without surgery using physiotherapy, load modification, medicines and selected injections when appropriate.

Muscle Strain Around the Hip

Hip muscle strain can occur after sudden movement, sports activity, fall, overstretching or repetitive overload.

Muscle pain usually improves with rest, graded rehabilitation and correction of contributing factors. However, persistent pain diagnosed as “muscle strain” should be reassessed if walking remains painful or the patient cannot bear weight comfortably.

Referred Pain From the Spine

Lumbar spine problems can mimic hip pain. Nerve compression may cause buttock pain, thigh pain, burning pain, numbness, tingling or pain radiating below the knee.

Some patients have both hip arthritis and spine disease. This is called hip-spine overlap and requires careful diagnosis before any surgery is advised.

Treating the hip when the main problem is spine-related may not give expected relief. Treating the spine when the main problem is hip arthritis can also delay correct care.

Hip Fracture and Stress Fracture

Hip fracture can occur after a fall or injury. In elderly patients, even a minor fall can cause fracture if bone quality is poor. Stress fractures may occur in active adults, runners, patients with metabolic bone disease or patients with increased bone stress.

Warning signs include:

• Sudden severe hip or groin pain

• Pain after fall

• Inability to bear weight

• Pain that worsens with walking

• Pain not improving with rest

• Night pain

• New limp after injury

A fracture should not be missed. Urgent evaluation and imaging may be required.

Infection or Inflammatory Hip Disease

Infection and inflammatory arthritis are less common causes of hip pain but must be identified early.

Warning signs may include:

• Fever

• Severe pain

• Pain at rest

• Sudden inability to move the hip

• Recent infection elsewhere

• Unexplained swelling

• Raised inflammatory markers

• Unexplained weight loss

• Night pain

These conditions should not be treated only with painkillers.

Hip Pain After Previous Surgery

Patients may develop pain after previous fracture surgery, hip preservation surgery, core decompression, implant fixation or hip replacement.

Pain after previous surgery needs a structured review. The cause may be implant-related, infection-related, fracture-related, soft-tissue-related, spine-related or due to progression of arthritis.

Patients with pain after hip replacement may need evaluation for Revision Hip Replacement in Mumbai.

When Should You Consult an Orthopedic Surgeon for Hip Pain?

A consultation is appropriate when hip pain persists, recurs or affects daily function.

You should consider evaluation if there is:

• Hip pain lasting more than a few weeks

• Groin pain while walking

• Limping

• Difficulty climbing stairs

• Difficulty rising from a chair

• Difficulty getting into or out of a car

• Difficulty wearing socks or footwear

• Pain after a fall

• Night pain

• Rest pain

• Fever with hip pain

• Reduced hip movement

• Previous diagnosis of AVN

• Hip arthritis on X-ray

• Pain after previous hip surgery

• Pain after hip replacement

• Confusion about whether surgery is needed

Many patients delay consultation because they fear that a surgeon will immediately advise surgery. A good hip evaluation should first answer what the diagnosis is and whether non-surgical treatment still has a role.

What Dr. Mayur Rabhadiya Evaluates in Hip Pain

A proper hip pain consultation is not limited to looking at an X-ray. It should include a complete clinical assessment.

Dr. Mayur Rabhadiya evaluates:

• Pain location

• Pain duration

• Walking limitation

• Hip stiffness

• Limping

• Night pain

• Resting pain

• Difficulty with stairs

• Difficulty with footwear

• Effect on work and travel

• Previous treatment tried

• Hip range of movement

• Pain during rotation

• Limb length

• Muscle strength

• Abductor function

• Lower-back symptoms

• Nerve symptoms

• Knee symptoms

• X-ray findings

• MRI findings when available

• Medical history

• Patient expectations

The purpose is to answer three practical questions:

• Is the hip joint the main source of pain?

• Can the condition be treated without surgery?

• If surgery is needed, which surgical plan is appropriate?

Investigations for Hip Pain

X-Ray

X-rays are often the first imaging test for hip pain. They can show:

• Hip arthritis

• Joint-space narrowing

• Bone spurs

• Femoral-head collapse

• AVN-related changes

• Fracture

• Dysplasia

• Deformity

• Previous implants

• Limb-length differences

A pelvis X-ray with both hips is often useful because it allows comparison between sides.

MRI

MRI is useful when X-rays are normal but symptoms persist, or when early AVN, stress fracture, labral pathology, bone marrow edema, infection or soft-tissue disease is suspected.

MRI is especially important in suspected AVN because early AVN may not be visible on X-ray.

CT Scan

CT scan may be used when bony anatomy needs more detail. It may be useful in fracture evaluation, deformity assessment, previous surgery, complex arthritis, revision planning or selected robotic planning cases.

Blood Tests

Blood tests may be advised when infection, inflammatory arthritis, metabolic bone disease or medical fitness needs assessment.

Non-Surgical Hip Pain Treatment

Many hip pain conditions can be treated without surgery, especially when diagnosed early and managed appropriately.

Non-surgical treatment may include:

• Activity modification

• Physiotherapy

• Medicines

• Walking support

• Weight management where relevant

• Hip mobility and strengthening exercises

• Treatment of spine-related contributors

• Injections in selected cases

• Monitoring with imaging when needed

• Correction of vitamin D or bone-health issues where indicated

Non-surgical treatment should be diagnosis-specific. A generic exercise program may not help if the patient has AVN collapse, advanced arthritis or fracture.

Activity Modification

Activity modification does not mean complete rest. It means reducing activities that aggravate the condition while maintaining safe movement.

This may include:

• Shorter walks instead of long painful walks

• Avoiding repeated stair climbing during flare-ups

• Avoiding deep squats or low seating if painful

• Using higher chairs

• Avoiding high-impact running or jumping

• Using supportive footwear

• Planning rest breaks

• Choosing low-impact exercise

The goal is to preserve function without repeatedly irritating the hip.

Physiotherapy for Hip Pain

Physiotherapy can help many causes of hip pain, especially muscle weakness, tendon pain, early arthritis, gait imbalance and postural issues.

A program may include:

• Hip range-of-motion exercises

• Gluteal strengthening

• Core strengthening

• Balance training

• Gait correction

• Stretching where appropriate

• Safe stair and chair techniques

• Low-impact conditioning

Physiotherapy should be guided by diagnosis. Forced stretching or painful deep movements may worsen symptoms in advanced arthritis, impingement or AVN-related structural disease.

Medicines for Hip Pain

Medicines may help reduce pain and inflammation, but they should be used safely.

Common options may include:

• Paracetamol in selected patients

• Non-steroidal anti-inflammatory drugs when medically safe

• Short courses of pain medication

• Medicines for nerve-related pain when spine involvement is suspected

• Bone-health supplementation when deficiency is present

Long-term unsupervised painkiller use can be risky, especially in patients with acidity, kidney disease, heart disease, high blood pressure, diabetes or blood thinner use.

Medicines should support function. They should not hide progressive structural disease indefinitely.

Injections for Hip Pain

Injections may be useful in selected hip conditions, but they are not a universal solution.

They may be considered for:

• Inflammatory pain

• Trochanteric pain syndrome

• Selected intra-articular hip pain

• Diagnostic clarification

• Temporary symptom control in selected patients

The hip is a deep joint, so intra-articular injections are usually image-guided.

Important limitations:

• Injections do not rebuild severely damaged cartilage.

• Injections cannot restore a collapsed femoral head.

• Injections cannot correct advanced deformity.

• Relief may be temporary.

• Timing matters if hip replacement may be needed later.

Patients should be cautious about claims that any injection can permanently cure advanced hip arthritis or reverse collapsed AVN.

When Hip Replacement May Be Needed

Hip replacement may be considered when the hip joint is structurally damaged and symptoms substantially affect daily life despite appropriate non-surgical treatment.

Common reasons include:

• Advanced hip arthritis

• AVN with femoral-head collapse

• Severe joint-space narrowing

• Post-traumatic arthritis

• Painful deformity

• Failed previous hip surgery

• Severe stiffness and disability

Symptoms suggesting that hip replacement may need discussion include:

• Pain while walking short distances

• Night pain

• Rest pain

• Severe limp

• Difficulty climbing stairs

• Difficulty with personal care

• Difficulty getting in or out of a car

• Reduced quality of life despite treatment

The decision should not be based on X-ray alone. It should combine symptoms, functional limitation, examination findings, imaging and patient goals.

Read Hip Replacement Surgery in Mumbai and Total Hip Replacement in Mumbai.

Robotic Hip Replacement for Selected Hip Pain Patients

Robotic hip replacement may be discussed when hip replacement is clinically appropriate and patient-specific planning may add value.

Robotic planning may help assess:

• 3D hip anatomy

• Cup size

• Cup position

• Femoral planning

• Offset

• Leg length

• Implant alignment

• Pelvic orientation

• Planned versus achieved positioning

The robot does not decide whether surgery is needed. It does not perform surgery independently. The surgeon remains responsible for diagnosis, patient selection, implant choice, surgical execution and recovery planning.

Robotic assistance may be useful in selected patients, but it cannot guarantee:

• Zero pain

• Zero complications

• Perfect leg length

• No limp

• No dislocation

• No infection

• Faster recovery in every patient

• Lifelong implant survival

Read Robotic Hip Replacement in Mumbai.

Hip Pain in Young Adults

Hip pain in young adults needs careful assessment. It should not be dismissed as simple strain if symptoms persist.

Common causes include:

• AVN

• Femoroacetabular impingement

• Labral pathology

• Stress injury

• Early arthritis

• Inflammatory disease

• Sports-related overload

• Referred spine pain

Young patients often worry about work, travel, sports, sitting, squatting and long-term joint health. Treatment should preserve the natural hip where possible, but advanced structural damage should not be ignored.

For patients with severe arthritis or AVN collapse, read Hip Replacement in Young Adults.

Hip Pain in Elderly Patients

In elderly patients, hip pain may be due to arthritis, fracture, tendon problems, spine disease or weak bone.

Pain after a fall should be taken seriously, especially if the patient cannot bear weight.

Evaluation may include:

• X-rays

• Bone-health assessment

• Fall-risk assessment

• Medication review

• Spine assessment

• Medical fitness evaluation if surgery is needed

The goal is safe walking, pain relief, fall prevention and preservation of independence.

Hip Pain After Hip Replacement

Pain after hip replacement needs careful evaluation. It should not be dismissed as normal if it persists, worsens or affects walking.

Possible causes include:

• Infection

• Implant loosening

• Wear

• Dislocation or instability

• Fracture around the implant

• Tendon or muscle pain

• Spine-related pain

• Leg-length issues

• Implant malposition

• Unexplained persistent pain

Evaluation may require X-rays, blood tests, CT scan, MRI with metal-artifact reduction in selected cases, previous operative records and sometimes joint aspiration.

Read Revision Hip Replacement in Mumbai.

Second Opinion for Hip Pain Treatment

A second opinion can be useful when the diagnosis is unclear or surgery has been advised without adequate explanation.

Patients commonly seek a second opinion when:

• Hip replacement has been advised

• Robotic hip replacement has been suggested

• AVN has been diagnosed

• Core decompression has been advised

• MRI and X-ray reports seem confusing

• Pain is severe but imaging looks mild

• Imaging looks severe but symptoms are manageable

• Pain may be coming from the spine

• Previous surgery has not relieved symptoms

• Revision hip replacement is being discussed

A second opinion should clarify:

• What is the diagnosis?

• Is the hip the main pain source?

• Is the condition early or advanced?

• Can non-surgical treatment still help?

• Is surgery needed now?

• Which surgery is appropriate?

• Is robotic assistance useful?

• What are the realistic risks and recovery expectations?

Read Hip Replacement Second Opinion in Mumbai.

Cost of Hip Pain Treatment in Mumbai

The cost of hip pain treatment depends on the diagnosis and treatment required.

Costs may include:

• Consultation

• X-rays

• MRI or CT scan

• Blood tests

• Medicines

• Physiotherapy

• Injections

• Walking aids

• Hip replacement surgery if needed

• Robotic planning if selected

• Implant type

• Hospital stay

• Rehabilitation

• Follow-up

Not every patient with hip pain needs expensive treatment. Many patients improve with accurate diagnosis and non-surgical care.

However, delaying evaluation in advanced arthritis, femoral-head collapse, fracture or failed hip replacement can increase disability and complexity.

The correct question is not only “What is the cost?” but “What exactly are we treating?”

Why Patients Consult Dr. Mayur Rabhadiya for Hip Pain

Patients consult Dr. Mayur Rabhadiya for hip pain treatment in Mumbai because his approach focuses on diagnosis, stage-specific treatment and realistic counselling.

His assessment focuses on:

• Identifying the true pain source

• Differentiating hip joint pain from spine-related pain

• Reviewing X-rays and MRI carefully

• Avoiding unnecessary surgery in early conditions

• Recognizing advanced arthritis or AVN collapse when surgery is appropriate

• Explaining non-surgical options honestly

• Discussing robotic and conventional hip replacement where relevant

• Selecting treatment according to diagnosis, anatomy and function

• Providing second opinions before major surgery

• Planning recovery realistically

The objective is not to recommend surgery to every hip pain patient. The objective is to select the right treatment for the right diagnosis at the right time.

Frequently Asked Questions About Hip Pain Treatment in Mumbai

What is the most common cause of hip pain?

Common causes include hip arthritis, AVN, muscle or tendon problems, referred spine pain, labral pathology, fractures and inflammatory conditions. The exact cause depends on symptoms, examination and imaging.

Is groin pain usually from the hip joint?

Deep groin pain is commonly associated with hip joint disease such as arthritis, AVN, labral pathology or impingement. A clinical examination is still needed to confirm the source.

Can hip pain be treated without surgery?

Yes. Many hip pain conditions can be treated with physiotherapy, activity modification, medicines, walking support and selected injections. Surgery is considered only when the diagnosis and severity justify it.

When is MRI needed for hip pain?

MRI may be needed when X-rays are normal but pain persists, when AVN is suspected, when stress fracture is possible, or when soft-tissue or labral pathology needs evaluation.

Can hip pain come from the spine?

Yes. Lumbar spine problems can cause buttock, thigh, groin or leg pain. Numbness, tingling, burning pain or pain radiating below the knee may suggest nerve involvement.

Can hip arthritis cause knee pain?

Yes. Hip arthritis can refer pain to the thigh or knee. Unexplained knee pain should sometimes be assessed with hip examination.

Does every hip pain patient need an X-ray?

Not always, but persistent hip pain, walking difficulty, limp, injury-related pain or suspected arthritis usually needs imaging.

Are injections useful for hip pain?

Injections may help selected conditions, but they are not a permanent cure for advanced arthritis or collapsed AVN.

When is hip replacement needed?

Hip replacement may be considered when advanced arthritis, femoral-head collapse or severe structural damage causes pain and disability despite appropriate treatment.

Is robotic hip replacement needed for every hip pain patient?

No. Robotic hip replacement is relevant only when hip replacement is clinically indicated and robotic planning adds value.

What are warning signs in hip pain?

Warning signs include inability to bear weight, severe pain after fall, fever, night pain, rest pain, unexplained weight loss, sudden severe stiffness or rapidly worsening pain.

Should I take a second opinion for hip pain?

A second opinion is reasonable if the diagnosis is unclear, surgery has been advised, AVN is present, or pain persists despite treatment.

About Dr. Mayur Rabhadiya

Dr. Mayur Rabhadiya is an Orthopedic & Joint Replacement Surgeon in Mumbai.

His qualifications include:

• MBBS from LTMMC & GH, Sion Hospital

• D’Ortho from KMC, Hubli

• DNB Orthopedics from the National Board of Examinations, New Delhi

• MNAMS Orthopedics

• Fellowship in Robotic & Computer-Navigated Joint Replacement

His clinical practice includes hip pain evaluation, hip arthritis treatment, AVN hip treatment, total hip replacement, robotic-assisted hip replacement, revision joint replacement and patient-specific surgical planning.

Surgery is recommended only when symptoms, functional limitation, examination, imaging and response to appropriate treatment support it.

Last medically reviewed: July 2026.

Book a Consultation for Hip Pain Treatment in Mumbai

Patients with persistent hip pain, groin pain, thigh pain, limping, stiffness, AVN, hip arthritis, previous hip surgery or uncertainty about whether hip replacement is needed can consult Dr. Mayur Rabhadiya in Ghatkopar East or Ghatkopar West, Mumbai.

Appointments can be requested through the orthopedic doctor consultation page.

Call or WhatsApp: +91 84249 03913 / +91 96113 30063.

Medical References

This patient-education page is informed by current guidance and educational material from:

• American Academy of Orthopaedic Surgeons

• American Association of Hip and Knee Surgeons

• National Institute for Health and Care Excellence

• National Health Service

• American College of Rheumatology and Arthritis Foundation

• Orthopedic literature on hip osteoarthritis, AVN, total hip replacement, robotic-assisted hip replacement and revision joint replacement

Medical Disclaimer

This information is intended for general patient education and does not replace clinical examination, imaging review, anaesthetic assessment or personalised medical advice.

Hip pain treatment depends on the diagnosis, symptoms, examination findings, imaging, disease stage, medical history, functional limitation and patient goals. No medicine, injection, implant, surgical approach or robotic system can guarantee a particular outcome or eliminate all complications.