hip pain in pregnancy

Overview

Hip pain during pregnancy is discomfort or aching in the hip area, which can also spread to the buttock, groin, or thigh. It can happen at any stage of pregnancy, but it is most common in the second and third trimesters. The pain can range from a mild ache to a stronger pain that affects your daily activities and sleep.

Yes, it is quite common. Many pregnant people experience some degree of hip pain, especially as their pregnancy progresses. It can happen in around one quarter to one half of pregnancies, depending on the definition used.

It primarily affects pregnant people, particularly those in the later stages of pregnancy. It can affect anyone who is pregnant, but it's more likely if you're carrying twins, have had back or hip pain before, or had pelvic pain in a previous pregnancy.

Symptoms

Common symptoms

• A deep, aching pain on one or both sides of the hip
• Pain that spreads to the buttock, groin, or the back of the thigh
• Pain that gets worse when you walk, climb stairs, or get up from a chair
• Pain at night, especially when trying to turn over or find a comfortable sleeping position
• Stiffness or a grinding feeling in the hip joint

Symptoms in children

• Not applicable. This condition occurs during pregnancy and does not affect children.

Symptoms in older adults

• Not applicable. This condition is specific to pregnancy and does not affect older adults.

Causes

Main causes

• Hormones like relaxin loosen the ligaments around your pelvis and hip joints to prepare for childbirth, which can make the joints less stable.
• Extra weight and your growing baby put more pressure on the hip joints.
• Your posture changes as your belly grows, and this can change the way you stand, walk, and move.
• Pressure from the baby's head or body can push against the sciatic nerve, causing referred pain in the hip.
• Core and pelvic floor muscles become stretched and weaker, which can reduce support for the hips.

Risk factors

• Having previous back or pelvic pain before pregnancy
• Being pregnant with twins or more
• Having a physically demanding job
• Being overweight or gaining a large amount of weight during pregnancy
• A history of pelvic or hip injury

When to see a doctor

See a doctor urgently if:

• If you have severe pain that keeps you from doing everyday tasks, like walking or dressing.
• If you have leg swelling, redness, or warmth along with hip or leg pain — this may be a blood clot.
• If you have fever or feel generally unwell.
• If you have numbness, weakness, or loss of bladder or bowel control.

Book a routine appointment if:

• If the pain is mild but persistent and you're not sure what is causing it.
• If you'd like ideas for safe, gentle exercises or stretches.
• If you're interested in physiotherapy or other non-medicine options.

Diagnosis

Your healthcare provider will ask you about your symptoms and examine you. They'll watch how you walk and move your hips, and gently press on different areas to find where it hurts. They will also ask about your pregnancy and health history.

Tests that may be done

• There is usually no need for tests. The diagnosis is made based on your symptoms and physical exam.
• If the pain is severe or unclear, your provider may suggest imaging such as an ultrasound or an X-ray with a lead guard over your belly.
• An MRI is sometimes used if more detail is needed, and it is generally considered safe in pregnancy.

What to expect at your appointment

During the exam, your provider may ask you to lie down, sit, or stand. They might move your legs in different positions to check which movements cause pain. Most of the time, this is quick and not painful. You can ask questions and let them know if anything hurts.

Treatment

Hip pain in pregnancy can usually be managed with simple self-care, lifestyle adjustments, and gentle movement. The goal is to reduce pain, keep you mobile, and help you rest comfortably. Many women find relief with a combination of home remedies, support devices, and physiotherapy.

Self-care at home

• Take regular warm baths or use a warm compress on the painful area (avoid very hot water).
• Sleep on your side with a pillow between your knees, and place another pillow under your belly for extra support.
• Do gentle stretches, like pelvic tilts or cat-cow stretches, as taught by a professional.
• Wear flat, cushioned shoes for better balance.
• Use a maternity support belt (you can ask a pharmacist or physiotherapist for advice).
• Take breaks from standing or sitting for long periods.

Medical treatments

Your doctor or physiotherapist may recommend hands-on treatments such as physiotherapy, chiropractic care, or acupuncture. They may also talk to you about pain relief options that are considered safe during pregnancy — this will always be discussed with you individually, and nothing should be taken without talking to a healthcare professional first.

When is surgery considered?

Surgery is rarely needed for hip pain in pregnancy. It is only considered if there is a serious underlying problem, such as a fracture or infection, that does not respond to other treatments. This would be discussed with you in detail by your healthcare team.

Living with this condition

Your day-to-day routine can make a big difference. Try to keep moving, but listen to your body and rest when you need to. Practice good posture, sit with your back supported, and get up slowly from sitting positions. If something makes the pain worse, do less of that activity and find a gentler alternative.

Lifestyle tips

• Avoid lifting heavy things, including young children if possible.
• Use a chair with good back support and avoid sitting on low, soft sofas.
• Break up long periods of sitting or standing with short walks.
• When sleeping, choose a comfortable position that eases hip pressure, and use pillows as props.
• Ask your partner, family, or friends for help with chores and errands.

Diet and exercise

A balanced diet with enough calcium and vitamin D supports your bone health. Regular, low-impact exercise can help strengthen muscles and relieve stiffness. Swimming, water aerobics, and walking on flat ground are gentle on the hips. Always check with your doctor or midwife before starting any new exercise routine.

Mental health and emotional wellbeing

Dealing with pain while also going through the emotional changes of pregnancy can be stressful and tiring. It is normal to feel frustrated, low, or anxious. Talk to your partner, friends, or a counsellor about how you're feeling. Remember that the pain is temporary, and you're doing a wonderful thing for your growing baby.

Prevention

You can't always prevent hip pain, because the hormonal changes that loosen your joints are a natural part of pregnancy. However, staying physically active before and during the earlier months of pregnancy, practising good posture, and avoiding sudden movements may help reduce your risk.

Complications

If left untreated

• Ongoing pain that limits your daily activities and ability to care for yourself
• Difficulty sleeping, which can contribute to fatigue and mood changes
• An unsteady walk that raises your risk of falls
• In a small number of cases, hip pain may continue after the baby is born, and could become a longer-term problem without support.

Long-term outlook

The good news is that for most people, hip pain in pregnancy gets better on its own after birth, usually within a few weeks to a few months. Even while you're still pregnant, there are many strategies that can help you feel more comfortable. With the right support and self-care, you can manage this difficult symptom and focus on the exciting journey ahead.

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