Serious Hip Pain: When Should You Seek Help?
Serious hip pain may need urgent medical attention when it starts after a fall or accident, stops you from standing or bearing weight, causes visible deformity, or occurs with fever, marked swelling or rapidly worsening symptoms.
Most hip pain is not an emergency. Muscle, tendon, bursa, joint and lower-back problems can all cause hip-area pain. The important first step is deciding whether you need emergency care, prompt medical assessment or a non-urgent physiotherapy review.
For a broader guide to pain locations and possible causes, visit our hip pain hub. You can also read about when to worry about hip or groin pain.

Difficulty standing or bearing weight may signal a serious hip injury.
What should you do about serious hip pain?
Use the warning signs below to choose the safest next step. Do not book physiotherapy first when symptoms suggest a fracture, serious injury, infection or medical emergency.
Emergency care now
Call Triple Zero (000) or attend an emergency department when hip pain follows a serious accident or injury and you have:
- an obvious hip or leg deformity
- an open injury or uncontrolled bleeding
- severe pain with an inability to stand or bear weight
- signs of serious illness, collapse or medical distress
Seek prompt medical assessment
Arrange urgent or same-day medical advice when you have:
- sudden severe hip pain without a clear cause
- a hot, red or markedly swollen hip
- fever, chills or feeling generally unwell
- rapidly worsening pain or function
- persistent unexplained pain at complete rest
- ongoing night pain with other concerning symptoms
Physiotherapy may be appropriate
Consider physiotherapy when no urgent warning signs are present but hip pain:
- persists or keeps returning
- limits walking, stairs, work or sport
- causes limping or reduced confidence
- disrupts sleep without other red flags
- does not improve with sensible activity changes
What are the red flags for serious hip pain?
Red flags are symptoms or circumstances that may indicate a fracture, significant joint injury, infection or another condition needing medical care.
- Severe hip pain after a fall, collision, accident or direct blow
- Inability to stand, walk or bear weight through the affected leg
- An obvious change in the shape or position of the hip or leg
- An open wound, uncontrolled bleeding or severe swelling
- Sudden pain that is intense or rapidly worsening
- Fever, chills, marked warmth or redness around the joint
- Feeling generally unwell alongside severe hip pain
- Persistent unexplained pain at complete rest
One symptom alone does not always confirm a serious condition. However, severe pain combined with trauma, inability to bear weight or systemic illness needs prompt medical assessment.
How do I know if hip pain is serious?
Hip pain is more concerning when it is severe, sudden, linked to trauma or stops you from walking normally. Visible deformity, marked swelling, fever, redness or feeling unwell also increase the need for medical review.
Older adults should take hip pain after a fall seriously, even when the fall seemed minor. A hip fracture may sometimes occur without dramatic bruising or an obvious change in leg position.
Younger people can also sustain significant hip injuries during sport, twisting incidents, high-speed accidents or direct contact.
When does hip pain need emergency help?
Seek emergency help when serious hip pain follows major trauma, the hip or leg looks deformed, an open injury is present, bleeding will not stop, or you cannot stand or bear weight.
Call Triple Zero (000) for a serious injury or medical emergency. Avoid trying to walk on the affected leg while waiting for help.
When should I seek prompt medical assessment?
Seek prompt medical advice for sudden severe hip pain without an accident, rapidly increasing pain, significant swelling, a hot or red joint, fever, chills or feeling generally unwell.
Persistent unexplained pain at complete rest also deserves assessment, particularly when it occurs with unexplained weight loss, fever, recent infection or a history of serious illness.
For further public-health guidance, see Healthdirect’s hip pain guide.
Can I walk on hip pain?
You may be able to continue gentle walking when discomfort is mild, your walking pattern remains normal and symptoms do not increase during or after activity.
Walking decision guide
Usually reasonable to continue: mild discomfort, no limp and symptoms remain stable or ease with gentle movement.
Reduce or modify walking: pain increases with distance, stiffness builds, or you start changing how you move.
Stop and seek help: severe pain, sudden pain after injury, instability, marked limping or inability to bear weight.
Walking ability does not prove that an injury is minor. Some people can still take a few steps despite a fracture or significant soft-tissue injury.
Is hip pain after a fall serious?
Hip pain after a fall can be serious, particularly when you cannot stand, walk or place normal weight through the leg. Possible causes include a fracture, joint injury, muscle or tendon tear, and significant bruising.
Do not try to walk it off when pain is severe, the leg feels unstable or weight-bearing is difficult. Seek medical care first.

Assessment can help separate hip, groin and lower-back causes once urgent conditions have been excluded.
Is hip pain at night serious?
Night pain is not always a red flag. Tendon irritation, arthritis, pressure on the outer hip, sleep position and reduced movement can all make hip pain more noticeable at night.
Arrange an assessment when night pain persists, keeps worsening or occurs with fever, unexplained weight loss, marked swelling, feeling unwell or pain at complete rest.
Can serious hip pain feel like back pain or sciatica?
Yes. Hip pain can overlap with lower-back pain and sciatica. Pain location alone does not always identify the source.
Features that may be more hip-related
- groin, outer-hip or front-of-hip pain
- pain with walking, stairs or standing on one leg
- reduced hip movement or stiffness
- pain when bearing weight through the leg
Features that may be more spine-related
- lower-back or buttock pain
- pain travelling down the thigh or below the knee
- tingling, numbness or altered sensation
- symptoms linked to sitting, bending, coughing or spinal position
These patterns are guides rather than diagnostic tests. Hip and spinal conditions can occur together, so assessment may be needed when symptoms are persistent or unclear.
What are common non-urgent causes of hip pain?
Many cases of hip pain are not emergencies. Common causes include:
- hip arthritis
- gluteal tendinopathy
- greater trochanteric pain syndrome
- hip flexor strain
- groin strain
Non-urgent hip pain may still need assessment when it limits normal movement, causes repeated limping or fails to improve.
What should I do first for non-urgent hip pain?
When no red flags are present, temporarily reduce activities that clearly increase symptoms. Stay active within comfort and avoid repeatedly pushing through severe pain or limping.
Gentle walking may be suitable if your symptoms remain mild and your gait stays normal. Avoid aggressive stretching, heavy loading or repeated impact when these activities clearly worsen pain.
When should I book a physiotherapy assessment?
Book a physiotherapy assessment when hip pain persists, keeps returning or limits walking, stairs, work, exercise, sleep or sport.
A physiotherapist can assess hip movement, strength, walking pattern and load tolerance. They can also consider whether symptoms may come from the hip joint, tendons, bursae, muscles, groin or lower back.
If your assessment identifies features that need medical investigation, your physiotherapist can advise you about the appropriate next step.
What to do next
Seek emergency or urgent medical care first when you cannot bear weight, have severe pain after trauma, notice deformity, have an open injury, develop fever or feel seriously unwell.
When no urgent warning signs are present but hip pain persists or limits normal activity, physiotherapy may help clarify the cause and guide safe recovery.
Frequently asked questions
How do I know if hip pain is serious?
Hip pain may be serious when it follows a fall or accident, stops you from standing or bearing weight, causes visible deformity, or occurs with marked swelling, fever, redness or rapidly worsening symptoms.
When does hip pain need emergency help?
Seek emergency help for severe hip pain after major trauma, obvious deformity, an open injury, uncontrolled bleeding or an inability to stand or bear weight. Call Triple Zero (000) for a serious injury or medical emergency.
Can I walk on hip pain?
Gentle walking may be reasonable when discomfort is mild, your gait remains normal and symptoms do not worsen. Stop walking and seek help when pain is severe, you become unstable or you cannot bear weight.
Is hip pain after a fall serious?
Hip pain after a fall can be serious, especially for an older adult or when standing and walking are difficult. Do not try to walk it off when pain is severe or the leg feels unstable.
Is hip pain at night always serious?
No. Many non-urgent hip conditions ache at night. However, persistent worsening night pain with fever, weight loss, marked swelling, feeling unwell or pain at complete rest needs assessment.
When should I see a physiotherapist for hip pain?
Consider physiotherapy when no urgent warning signs are present but pain persists, keeps returning or limits walking, stairs, sleep, work, exercise or sport.
Choose your clinic and appointment pathway
Select a PhysioWorks clinic to continue to live booking, an appointment request or reception assistance.
References
- Healthdirect Australia. Hip pain. Healthdirect Australia. Accessed July 22, 2026.
- Mayo Clinic Staff. Hip pain: when to see a doctor. Mayo Clinic. Accessed July 22, 2026.
- National Health Service. Hip pain in adults. NHS. Accessed July 22, 2026.


































