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Why Do My Hips Hurt When I Wake Up?

Waking up with hip pain can be frustrating and uncomfortable, especially when it affects your ability to start the day on the right foot. Hip pain in the morning is a common complaint that can result from a variety of factors, including your sleeping position, your mattress, and underlying medical conditions. In many cases, hip pain that appears when you wake up can be managed with some simple adjustments or treatments, but in other cases, it might indicate a more serious issue that requires medical attention. In this article, we’ll explore the most common causes of hip pain in the morning and offer suggestions for relief.

Sleeping Position

Your sleeping position is one of the most common contributors to hip pain when you wake up. The way you sleep can put pressure on your hips and lead to stiffness, soreness, or discomfort in the morning.

  • Side Sleeping: If you sleep on your side, you may be putting extra pressure on the hip that is in contact with the mattress. This can lead to soreness or pain, especially if your mattress is too firm or does not provide adequate cushioning.
  • Sleeping with Poor Alignment: When your spine, hips, and knees are not properly aligned during sleep, it can cause your hips to become strained. For example, sleeping with your legs twisted or without proper support between your knees can create tension in the hips.

Solution: If you are a side sleeper, try placing a pillow between your knees to keep your hips aligned and reduce pressure on the joints. You may also want to consider switching to a mattress that provides better support and cushioning, particularly one designed for pressure relief.

Mattress and Pillow Considerations

The quality of your mattress and pillows can have a significant impact on how your hips feel when you wake up. If your mattress is too soft or too firm, it may not provide adequate support for your hips and spine, leading to pain and discomfort.

  • Old or Worn-Out Mattress: Over time, mattresses lose their ability to properly support your body. If your mattress has become saggy or uneven, it may be time to replace it. A mattress that no longer supports your hips can exacerbate pressure points and lead to hip pain.
  • Incorrect Pillow Height: The wrong pillow height can also affect your overall sleeping posture. A pillow that is too high or too low can misalign your neck and spine, which in turn can cause pain in your lower back and hips.

Solution: Consider investing in a mattress that offers good support and is designed for pressure point relief. Memory foam or hybrid mattresses may be beneficial as they contour to your body and distribute weight evenly. For pillows, choose one that keeps your neck and spine aligned based on your preferred sleeping position.

Common Conditions That Cause Morning Hip Pain

If your hip pain persists despite adjustments to your sleeping environment, you may be dealing with an underlying medical condition that is contributing to the discomfort. Several conditions can cause hip pain, particularly in the morning when your body has been inactive for several hours.

  • Osteoarthritis: Osteoarthritis is a degenerative joint condition that occurs when the cartilage cushioning the joints wears down over time. It is a common cause of hip pain, especially in older adults. People with osteoarthritis often experience stiffness and pain in the hips in the morning or after periods of inactivity.
  • Bursitis: Hip bursitis occurs when the bursae, which are small fluid-filled sacs that cushion the joints, become inflamed. Bursitis often causes pain on the outside of the hip and is most noticeable after lying in one position for an extended period, such as during sleep.
  • Tendinitis: Tendinitis refers to inflammation of the tendons that attach muscles to bones. When the tendons around the hip joint become inflamed due to overuse or injury, they can cause morning stiffness and pain.
  • Sciatica: Sciatica occurs when the sciatic nerve, which runs from the lower back down to the legs, becomes irritated or compressed. This condition can cause sharp or burning pain in the hips, lower back, and down the leg, and it may feel worse after lying down or sitting for long periods.
  • Hip Impingement: Also known as femoroacetabular impingement (FAI), this condition occurs when extra bone grows along one or both of the bones that form the hip joint, causing them to rub against each other. This can lead to hip pain and stiffness, particularly after resting or sleeping.

Solution: If you suspect an underlying condition is causing your hip pain, it’s important to consult a healthcare professional for a proper diagnosis. Treatments for conditions like osteoarthritis, bursitis, and tendinitis may include physical therapy, anti-inflammatory medications, and lifestyle changes to reduce joint strain. In some cases, injections or surgery may be necessary to manage more severe conditions.

Stretching and Exercise

A lack of mobility and flexibility in the muscles surrounding the hip joint can also contribute to pain and stiffness in the morning. Tight hip flexors, hamstrings, or lower back muscles can pull on the hip joint and cause discomfort.

  • Hip Flexor Tightness: Sitting for long periods during the day can cause the hip flexor muscles to become tight. This can lead to pain and stiffness in the hips, particularly after a night of sleep.
  • Weak Hip Muscles: Weakness in the muscles that support the hips, such as the glutes and quadriceps, can lead to misalignment and strain on the hip joint, causing pain during and after sleep.

Solution: Incorporating daily stretching and strengthening exercises can help improve hip flexibility and reduce morning pain. Focus on stretches that target the hip flexors, hamstrings, and lower back, such as lunges, hip bridges, and seated forward bends. Strengthening exercises like squats, lunges, and leg lifts can help build the muscles that support the hip joint, reducing strain and discomfort.

When to Seek Medical Attention

While occasional hip pain after sleeping can often be managed with adjustments to your sleeping position, mattress, or exercise routine, persistent or worsening pain may indicate a more serious issue that requires medical attention. You should consider seeing a doctor if:

  • The pain lasts for more than a few days or weeks without improvement.
  • The pain is severe enough to interfere with your daily activities.
  • You experience swelling, redness, or warmth around the hip joint.
  • The pain radiates down your leg or is accompanied by lower back pain.
  • You have a history of hip injuries or conditions like arthritis.

A healthcare professional can perform a thorough evaluation, which may include imaging tests such as X-rays or MRIs, to determine the cause of your hip pain and recommend an appropriate treatment plan.

Get Started with Magic Valley Orthopedics Today 

Waking up with hip pain can be frustrating, but there are many potential causes and solutions to address the discomfort. Whether it’s due to poor sleeping posture, an unsupportive mattress, or an underlying medical condition, identifying the root cause of your hip pain is the first step toward relief. Making changes to your sleep environment, practicing regular stretching and strengthening exercises, and seeking medical attention when necessary can help alleviate hip pain and improve your overall quality of life.

At Magic Valley Orthopedics, our team of orthopedic specialists is here to help diagnose and treat the underlying causes of hip pain. Whether you need guidance on improving your sleeping habits, physical therapy, or more advanced treatments, we are committed to helping you find relief and get back to pain-free mornings.