Hip Pain From Cycling

26 February 2024
Kate Robertson
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Hip pain from cycling tends to start either along the front inner hip crease (groin) or radiates outward from the outer hip or buttock. The pain might linger in one area or shoot down the thigh or lower back.

The hip joint secures the thigh bone to the pelvic region, allowing for rotational motion and weight support. Enveloping this joint is a network of muscles – the gluteals, piriformis, hip flexors, and hip rotators – working together to direct hip movement and maintain stability with activity. Inflammation of these muscles can translate into hip pain.

Hip pain from cycling

Common Hip Injuries from Cycling

You have a small but powerful piriformis muscle nestled deep within the buttock. If this tightens or spasms, it can irritate the sciatic nerve beneath it – resulting in hip pain.

Overlying the outer hip bone is a small fluid sac called a bursa, serving as a cushion between bone and muscle. When inflamed (trochanteric bursitis), localised pain and tenderness can radiate over that outer hip region. This is particularly noticeable when lying on that side at night or dismounting the bike.

Symptoms of Hip Pain

  • Deep ache in the hip crease or outer hip region
  • Pain down the thigh toward the knee
  • Pain into the buttock or lower back
  • Hip stiffness after cycling
  • Tenderness over the hip joint
  • Difficulty lifting the leg
  • Pain when walking and reduced range of motion

Treatment for Hip Pain from Cycling

Treatment may include rest, ice, low-impact cardio, targeted exercises and in some cases physiotherapy. Bike positioning also plays a crucial role in preventing recurring issues.

When to See a Physiotherapist

If hip pain persists for more than two weeks, consider seeing a physiotherapist. Early intervention can help prevent worsening injuries and get you back to pain-free cycling.

Our specialist physiotherapists can assess your condition, provide a tailored treatment plan and help you safely return to cycling and other activities.