Hip Arthritis Vs Tendonitis: Know the Difference

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Difference between Hip Arthritis and Hip Tendonitis: Hip Arthritis and Hip Tendonitis both cause hip pain but have different causes and treatments. Arthritis results from cartilage degeneration, while tendonitis stems from tendon inflammation due to overuse or injury. Arthritis symptoms include pain, stiffness, and limited mobility, managed with medication, therapy, or surgery. Tendonitis presents as pain and tenderness, treated with rest, ice, therapy, and sometimes medication.

Difference between Hip Arthritis and Hip Tendonitis 

Hip Arthritis and Hip Tendonitis both cause hip discomfort, but they have different causes and treatments. Arthritis is caused by cartilage deterioration, whereas Tendonitis is caused by inflammation of the tendon due to overuse or injury. Arthritis is treated with medicine, therapy, or surgery, whereas Tendonitis requires rest, therapy, and, in certain cases, medication or injections. The table below provides the differences between Hip Arthritis and Hip Tendonitis.


Hip Arthritis

Hip Tendonitis


Degenerative condition causing inflammation of the hip joint

Inflammation of the tendons surrounding the hip joint


Wear and tear of the joint, aging, genetics

Overuse, repetitive motions, injury


Gradual onset of pain, stiffness, decreased range of motion

Pain with movement, tenderness over affected tendon

Location of Pain

Typically felt deep within the hip joint, groin, buttocks

Usually localized to the outer hip or thigh

Morning Stiffness

Common, can last for several hours

Less common, if present, usually resolves quickly

Risk Factors

Age, obesity, previous joint injuries

Overuse activities, poor posture, muscle weakness


Physical examination, imaging (X-rays, MRI)

Physical examination, may include imaging as needed


Medications (NSAIDs), physical therapy, joint injections

Rest, ice, anti-inflammatory medications, PT

Surgical Options

Total hip replacement surgery

Rarely needed unless conservative treatments fail

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What is Hip Arthritis?

Hip Arthritis is a disorder in which the cartilage in the hip joint deteriorates, causing pain, stiffness, and limited mobility. It is caused by ageing and wear and tear. Medication, physical therapy, and surgery may all be used in extreme situations.

Causes of Hip arthritis

  • Age: The chance of having hip arthritis rises with age. Over time, wear and tear on the hip joint can result in cartilage deterioration.
  • Genetics: There may be a hereditary predisposition to arthritis, with specific genes increasing the probability of cartilage breakdown and joint inflammation.
  • Joint Overuse: Activities or jobs that put repetitive strain on the hip joint can hasten cartilage wear and tear, ultimately leading to arthritis.
  • Joint Injury: Previous hip injuries, such as fractures or dislocations, can disturb the normal structure of the hip joint, increasing the risk of arthritis later in life.
  • Obesity: Obesity causes additional stress on the hip joint, hastening cartilage deterioration and raising the incidence of arthritis.

Symptoms of Hip arthritis 

  • Pain: Chronic soreness in the hip, groyne, buttocks, or thigh. The pain might be subtle or intense, and it worsens with movement.
  • Stiffness: A decreased range of motion in the hip joint, particularly after periods of inactivity or extended sitting. Morning stiffness is typical and can improve with activity.
  • Decreased Mobility: Pain and stiffness in the hip joint make it difficult to walk, climb stairs, or get up from a sitting position.
  • Joint Swelling: Swelling and inflammation around the hip joint can develop, particularly during arthritis flare-ups.
  • Joint Crepitus: A grinding or crunching feeling felt while moving the hip joint caused by bones rubbing against one other due to cartilage loss. 

What is Hip Tendonitis?

Hip Tendonitis, also called Hip Tendonitis, is a disorder in which the tendons surrounding the hip joint become inflamed or irritated. Tendons are tight bands of tissue that connect muscles to bones; when they become inflamed, they can cause pain and discomfort in the affected region.

Causes of Hip Tendonitis 

  • Overuse: Activities like jogging, cycling, or dancing that repeatedly strain the hip tendons may cause irritation.
  • Poor Biomechanics: When engaging in physical activities, improper posture or movement patterns might put stress on the hip tendons.
  • Muscle Imbalances: Excessive strain on the tendons might result from weak or tense muscles in the hip region.
  • Sudden Increase in Activity: If exercise is increased suddenly or without sufficient conditioning, the hip tendons may be overworked.
  • Age-related changes: As we age, our tendon may lose some of its flexibility and become more vulnerable to injury.
  • Trauma or injury: The hip tendons may sustain damage from a direct hit or from abrupt motions, which can result in tendonitis and inflammation.

Symptoms of Hip Tendonitis 

  • Pain: Prolonged discomfort in the outer thighs or hips, frequently made worse by exertion or movement.
  • Tenderness: Sensitivity to pressure or touching the afflicted hip tendon, or discomfort when doing so.
  • Swelling: Swelling and inflammation surrounding the hip joint.
  • Stiffness: A decreased hip range of motion and flexibility.
  • Weakness: Weakness in the hip musculature, particularly when performing exercises that use those muscles.
  • Pain with activity: Severe discomfort during particular motions or exercises, such running, walking, or climbing stairs.
  • Pain while at rest: Pain may continue to be felt even when you're sleeping, especially at night. 

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Similarities between Hip arthritis and hip tendonitis 

  • Hip Pain: The hip area is often painful as a result of these disorders. The hip joint itself may be the only source of discomfort, or it may spread to nearby regions like the thigh or buttocks.
  • Stiffness: Both hip tendonitis and hip arthritis can cause the hip joint to become stiff, which can reduce range of motion and cause discomfort when moving.
  • Activity Difficulties: Due to hip discomfort and stiffness, people with either condition may find it difficult to walk, climb stairs, or get up from a seated position, among other everyday tasks. 
  • Inflammation: Inflammation is a common feature of both hip arthritis and hip tendonitis. In arthritis, the inflammation typically affects the synovial lining of the joint, while in tendonitis, it involves the tendons surrounding the hip joint.
  • Impact on Quality of Life: Both hip arthritis and hip tendonitis can significantly impact an individual's quality of life by affecting mobility, causing pain, and interfering with daily activities.

In summary, although hip pain is a common symptom of both hip arthritis and hip tendonitis, they have different aetiologies and necessitate different therapeutic modalities. Tendonitis arises from inflammation of the tendon, whereas arthritis is caused by deterioration of the joints. Treatment approaches differ; for example, tendonitis usually improves with rest, ice, and physical therapy, but arthritis frequently requires medication or surgical procedures. Obtaining a professional diagnosis and customized treatment is necessary to manage symptoms efficiently, enhance hip function, and improve overall quality of life.

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What is Arthritis of the hips?

A degenerative disorder known as hip arthritis causes pain, stiffness, and limited mobility in the hip joint due to inflammation, cartilage degradation, and bone alterations.

What leads to Arthritis in the hips?

A number of variables, including ageing, joint wear and tear, genetic susceptibility, history of hip traumas, and autoimmune disorders, can contribute to hip arthritis.

What is Hip Tendonitis?

Hip Tendonitis, often called Tendinitis of the hip, is an inflammation of the tendons that surround the hip joint. It is frequently brought on by imbalances in the muscles or by overuse.

What causes Tendonitis in the hips?

A number of reasons, including overuse or repeated motions, poor biomechanics, muscular imbalances, abrupt increases in activity, aging-related changes, and trauma or injury to the hip region, can result in hip tendonitis.

What are the symptoms of Hip Tendonitis?

Hip discomfort, tenderness, swelling, stiffness, restricted range of motion, weakness, and pain during particular motions or activities are signs and symptoms of hip tendonitis.

What are the differences between Hip Arthritis vs Hip Tendonitis?

Hip Tendonitis is inflammation of the tendons that surround the hip joint, whereas hip arthritis is deterioration of the joints. Tendonitis mostly causes discomfort and soreness, whereas arthritis damages the structure of the joint and produces stiffness. Treatments for the two conditions vary; tendonitis is treated with rest and rehabilitation, whereas arthritis is frequently treated with medication or surgery.

What are the similarities between Hip Arthritis vs Hip Tendonitis ?

Hip pain and discomfort can affect mobility and quality of life. Hip Arthritis and Hip Tendonitis are two conditions that can cause this. Both disorders may also cause stiffness and make it harder to do daily tasks like walking or climbing stairs.