Causes of Bilateral Hip Pain in Women

Numerous conditions can cause bilateral hip pain in women. Hip pain can be caused by hip joint structures, along with muscles, tendons and other tissues that act on or stabilize the hip joint. Some hip-related conditions occur on one side of the hip, while other conditions occur on both sides. Pain in both hips is called bilateral hip pain, and bilateral hip pain can affect both men and women.

Degenerative Joint Disease

Degenerative joint disease, also known as osteoarthritis, can cause bilateral hip pain in women, especially older women. Hip degenerative joint disease affects the articular cartilage, a layer of smooth tissue that covers the head of the femur, or thighbone, and lines the socket of the hip joint. Articular cartilage allows the head of the femur to move around without pain inside the socket. Over time, with hip degenerative joint disease, a woman may experience hip pain as the cartilage wears away and bones begin rubbing together. Hip degenerative joint disease can occur in one or both hips. According to the Penn State Milton S. Hershey Medical Center, common signs and symptoms associated with hip degenerative joint disease include hip joint pain that is worse with activity and relieved by rest, night pain and sleep disruptions, stiffness in the hip joints, and limping.

Hip Bursitis

Hip bursitis is a common condition that can cause bilateral hip pain in women. Hip bursitis occurs when one of the bursa, a fluid-filled sac located between ligaments or tendons and bone, becomes inflamed. Bursa act like cushions between the moving tissues, helping reduce friction and preventing pain. According to the American Academy of Orthopaedic Surgeons, the most commonly injured or irritated bursa in the hip is the trochanteric bursa, which is located between the iliotibial band—a long band of connective tissue that runs down the lateral, or outside, portion of the thigh—and the greater trochanter of the femur. The greater trochanter is the bony point on the upper outside portion of the thigh. Common signs and symptoms associated with hip bursitis include pain at the point of the hip and the outside aspect of the thigh, pain in the affected area that is worse at night, and hip pain with prolonged walking or stair climbing.

Polymyalgia Rheumatica

Polymyalgia rheumatica is a painful condition that can affect both hips in women. Polymyalgia rheumatica is an inflammatory condition that causes muscle pain and stiffness throughout the body. According to, the most commonly affected body parts include the neck, shoulders, upper arms, hips and thighs. Polymyalgia rheumatica-related symptoms usually manifest quickly over a period of several days. states that polymyalgia rheumatica usually targets people over the age of 65 and, only in rare cases does the condition affect people younger than 50. Common signs and symptoms associated with polymyalgia rheumatica include bilateral hip pain, upper arm tenderness, stiffness in affected areas, decreased range of motion in involved segments, fever, fatigue, malaise, loss of appetite, unintentional weight loss and depression.

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