Thigh and hip pain that feels worse in the morning and slowly decreases with activity over the course of the day typically indicates the presence of an inflammatory condition such as osteoarthritis, septic arthritis, gout or ankylosing spondylitis. Inflammatory conditions typically respond to anti-inflammatory medication and exercise modification, according to John W. O’Kane, M.D. Speak to your physician if you begin to experience the pain in your thigh and hip every morning.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Osteoarthritis is the most widespread form of arthritis that affects individuals older than the age 50 years and tends to affect the weight-bearing joints such as the hip. Osteoarthritis is characterized by a deep aching pain in the hip joint and surrounding ligaments and tendons, so you may also feel it in the upper thigh. Osteoarthritis causes stiffness and reduced range of motion, and these symptoms feel worse in the morning. Typically, anti-inflammatory medication combined with low-impact, non-weight bearing activities will alleviate some of the discomfort; however osteoarthritis is a chronic condition. Some cases require a hip replacement surgery to maintain an active lifestyle.
- Osteoarthritis is the most widespread form of arthritis that affects individuals older than the age 50 years and tends to affect the weight-bearing joints such as the hip.
- Osteoarthritis is characterized by a deep aching pain in the hip joint and surrounding ligaments and tendons, so you may also feel it in the upper thigh.
What Causes Burning Knee Pain After Exercise?
Septic arthritis can affect anyone at any age and is caused by a bacterial infection that enters the hip joint. Other symptoms include warmth and redness around the joint, swelling, fever and chills. See your doctor immediately if these symptoms apply to your case.
- Septic arthritis can affect anyone at any age and is caused by a bacterial infection that enters the hip joint.
Gout is a joint inflammation caused by a buildup of uric acid. It is classed as a form of arthritis and can affect any joint. Typically, gout manifests as an acute attack that feels worse in the morning. Gout may be caused by excessive alcohol intake, excess weight, diabetes, high blood pressure or an excessive intake of certain foods, including salmon and organ meats.cause:
- Gout may be caused by excessive alcohol intake
- excess weight
- high blood pressure or an excessive intake of certain foods
- including salmon
- organ meats
If your thigh and hip pain begins at night, feels worse when you wake up and is accompanied by a reddening of the area around the hip joint and a feeling of warmth in the joint, seek medical treatment immediately.
- Gout is a joint inflammation caused by a buildup of uric acid.
What Causes Gout and Bursitis?
Ankylosing spondylitis is an inflammatory condition also classed as a form of arthritis. About one third of individuals affected by ankylosing spondylitis experience symptoms in the hip, thigh and groin. In addition to pain in the morning, ankylosing spondylitis causes stiffness and pain that radiates down the whole leg, and often these symptoms are alleviated through exercise. If these symptoms apply, seek medical attention right away.
- Ankylosing spondylitis is an inflammatory condition also classed as a form of arthritis.
- In addition to pain in the morning, ankylosing spondylitis causes stiffness and pain that radiates down the whole leg, and often these symptoms are alleviated through exercise.
What Causes Burning Knee Pain After Exercise?
What Causes Gout and Bursitis?
I Have Aching Hips at Nighttime
Iliopsoas Tendon Pain When Walking
How to use Epson Salt for Gout
Pain in My Right Big Toe
Is It Possible Get Rid of Cellulite Dimples on the Butt?
How Do I Relieve a Jammed Hip Joint?
Instant Pain Relief for Gout
Exercises to Slim Hips, Thighs & Stomach
- American Family Physician: Anterior Hip Pain; John W. O'Kane, M.D.; October 1999
- Merck Manuals Online Medical Library: Roy D. Altman, M.D.; February 2008
- InteliHealth: Infectious Arthritis; June 2008
- U.S. National Library of Medicine: Septic ArthritisJatin M. Vyas, M.D., Ph.D.; May 2009
- Family Doctor.org: Gout; J.R. Pittman, Pharm.D. and M.H. Bross, M.D.; March 2010
- Sports Injury Clinic: Ankylosing Spondylitis; Tom Dekkers, M.Sc.
- Gladman DD, Ritchlin C. Patient education: Psoriatic arthritis (Beyond the basics). UpToDate. Updated February 5, 2018.
- Docken WP. Clinical manifestations and diagnosis of polymyalgia rheumatica. UpToDate. Updated October 8, 2019.
- Goldenberg DL. Patient education: Fibromyalgia (Beyond the basics). UpToDate. Updated June 21, 2018.
- Centers for Disease Control and Prevention. Osteoarthritis (OA). Updated January 10, 2019.
- MedlinePlus. Osteoarthritis. Updated January 6, 2020.
- Banks SE. Erosive osteoarthritis: a current review of a clinical challenge. Clin Rheumatol. 2010;29(7):697-706. doi:10.1007/s10067-009-1369-7
- Engel B, Just J, Bleckwenn M, Weckbecker K. Treatment options for gout. Dtsch Arztebl Int. 2017;114(13):215-222. doi:10.3238/arztebl.2017.0215
- MacMullan P, McCarthy G. Treatment and management of pseudogout: insights for the clinician. Ther Adv Musculoskelet Dis. 2011;4(2):121-131. doi:10.1177/1759720x11432559
- Arthritis Foundation. Infectious arthritis.
- Marks M, Marks JL. Viral arthritis. Clin Med (Lond). 2016;16(2):129-134. doi:10.7861/clinmedicine.16-2-129
- Sierakowski S, Cutolo M. Morning symptoms in rheumatoid arthritis: a defining characteristic and marker of active disease. Scand J Rheumatol. 2011;40(sup125):1-5. doi:10.3109/03009742.2011.566433
- Spondylitis Association of America. Overview of types of spondylitis.
- National Psoriasis Foundation. Psoriatic arthritis. Updated December 28, 2018.
- Gladman DD, Ritchlin C. Patient education: Psoriatic arthritis (Beyond the basics). Updated February 5, 2018.
- National Organization for Rare Disorders. Reactive Arthritis.
- Arvikar SL, Fisher MC. Inflammatory bowel disease associated arthropathy. Curr Rev Musculoskelet Med. 2011;4(3):123-131. doi:10.1007/s12178-011-9085-8
- Lam NC, Ghetu MV, Bieniek ML. Systemic lupus erythematosus: Primary care approach to diagnosis and management. Am Fam Physician. 2016;94(4):284-94.
- Docken WP. Clinical manifestations and diagnosis of polymyalgia rheumatica. Updated October 8, 2019.
- Goldenberg DL. Patient education: Fibromyalgia (Beyond the basics). Updated June 21, 2018.
- National Institute of Diabetes and Digestive and Kidney Diseases. Hashimoto's disease. Updated September 2017.
- Jaracz J, Gattner K, Jaracz K, Górna K. Unexplained painful physical symptoms in patients with major depressive disorder: Prevalence, pathophysiology and management. CNS Drugs. 2016;30(4):293-304. doi:10.1007/s40263-016-0328-5
- Solmaz D, Bakirci S, Kimyon G, et al. The impact of having family history of psoriasis or psoriatic arthritis on psoriatic disease. Arthritis Care Res (Hoboken). 2020;72(1):63-68. doi:10.1002/acr.23836
- Fouladbakhsh J. Complementary and alternative modalities to relieve osteoarthritis symptoms: A review of the evidence on several therapies often used for osteoarthritis management. Orthop Nurs. 2012;31(2):115-121. doi:10.1097/nor.0b013e31824fce6e
- Wandel S, Jüni P, Tendal B, et al. Effects of glucosamine, chondroitin, or placebo in patients with osteoarthritis of hip or knee: network meta-analysis. BMJ. 2010;341:c4675. doi:10.1136/bmj.c4675
- American Academy of Orthopaedic Surgeons. Osteotomy of the knee. Updated June 2017.
- Marks M, Marks JL. Viral arthritis. Clin Med (Lond). 2016 Apr;16(2):129-34. doi:10.7861/clinmedicine.16-2-129
- Pujalte G, Albano-Aluquin SA. Differential Diagnosis of Polyarticular Arthritis. Am Fam Physician. 2015 Jul 1;92(1):35-41.
- Shmerling RH. (2017). Evaluation of the adult with polyarticular pain. Maini RN, ed. UpToDate. Waltham, MA: UpToDate Inc.
- Skou ST, Roos EM, Laursen MB, et al. A Randomized, Controlled Trial of Total Knee Replacement. N Engl J Med. 2015;373(17):1597-1606. doi:10.1056/NEJMoa1505467
Emma Cale has been writing professionally since 2000. Her work has appeared in “NOW Magazine,” “HOUR Magazine” and the “Globe and Mail.” Cale holds a Bachelor of Arts in English from the University of Windsor and advanced writing certificates from the Canadian Film Centre and the National Theatre School of Canada.