A Blog for Older Adults

Physical Therapy for Hip Pain in Salem, Oregon: Relief, Recovery, and Exercises

Written by Dr. Raj Pusuluri, PT, DPT | Aug 21, 2025 6:37:43 AM

Hip pain can make even simple movements like sitting, standing, or walking uncomfortable. Over time, this discomfort can limit daily activities and reduce independence.

Many people believe hip pain is just a normal part of aging or wear and tear. The truth is that with the right care, most cases can improve significantly without surgery.

Physical therapy is one of the most effective treatments for hip pain. It combines stretching, strengthening, and mobility exercises to reduce discomfort and restore natural movement.

For residents of Salem, Oregon, expert help is available close to home. At HWY Physical Therapy, Dr. Raj creates customized therapy plans that address each patient’s specific needs.

This article will explore the most common causes of hip pain, the role of physical therapy in recovery, and exercises you can expect in treatment. It will also explain when to see a therapist, clear up common myths, and answer frequently asked questions.

By the end, you’ll know how physical therapy can help you take control of hip pain. You’ll also see why starting therapy early is the key to lasting relief and better mobility.

Common Causes of Hip Pain That Benefit from Physical Therapy

Hip pain can develop from many different conditions, injuries, or lifestyle factors. Physical therapy helps by addressing the root cause and creating a plan that restores mobility and reduces discomfort. Understanding what causes hip pain is the first step to effective treatment.

Hip Arthritis and Joint Stiffness

Arthritis is one of the most common causes of hip pain. The breakdown of cartilage leads to stiffness, inflammation, and pain with movement.

Physical therapy helps manage arthritis by keeping the hip joint flexible and strong. Gentle strengthening and range-of-motion exercises reduce stiffness, while targeted stretching helps improve comfort during daily activities. With consistent therapy, patients can delay progression and maintain mobility for longer.

Hip Bursitis and Tendonitis

Bursitis occurs when small fluid-filled sacs in the hip become inflamed. Tendonitis happens when tendons around the joint are irritated from overuse or strain. Both conditions can cause sharp pain and make walking difficult.

Physical therapy reduces inflammation by improving movement patterns and teaching stretches that relieve pressure on irritated tissues. Therapists also design strengthening drills that stabilize the hip, which prevents flare-ups from returning. For most patients, this approach provides long-term relief without the need for medication.

Labral Tears and Hip Impingement

The labrum is a ring of cartilage that stabilizes the hip joint. Tears or impingement can lead to pain, clicking sounds, or a feeling of the hip “locking.” These conditions are common in athletes but can affect anyone.

Therapy focuses on strengthening the muscles that support the hip joint. Balance training and mobility drills improve stability while reducing pressure on the damaged cartilage. With proper care, patients regain smooth movement and avoid worsening the injury.

Post-Surgery Hip Rehabilitation

Some patients require surgery for severe arthritis, labral tears, or hip replacements. Recovery is not complete without physical therapy, which restores movement and strength after the procedure.

Therapists guide patients through progressive exercises that rebuild strength at a safe pace. They also help reduce stiffness, improve walking patterns, and monitor progress to avoid complications. Whether the surgery is minor or major, therapy ensures the hip heals correctly and supports a return to normal activities.

Hip pain has many different causes, but physical therapy provides solutions for each one. By treating the underlying issue and restoring strength, therapy helps patients move with less pain and more confidence.

How Physical Therapy Manages Hip Pain

Physical therapy goes beyond temporary pain relief. It provides a structured, long-term approach that restores strength, mobility, and function in the hip joint.

Comprehensive Assessment and Diagnosis

Every treatment plan begins with a detailed evaluation. The therapist examines posture, gait, flexibility, and strength to identify the source of pain.

This assessment may also include functional tests to see how the hip moves during everyday tasks. With this information, the therapist builds a customized plan designed for safety and effectiveness.

Manual Therapy and Modalities

Hands-on techniques are often used to improve mobility and reduce stiffness. Therapists may use joint mobilizations, soft tissue massage, and stretching to restore normal function.

Modalities such as heat, ice, or electrical stimulation can also help reduce inflammation and discomfort. These techniques prepare the body for exercise and make movements easier to perform.

Patient Education and Lifestyle Modifications

Education is an essential part of hip therapy. Patients learn how to sit, stand, and move in ways that reduce strain on the hips.

Therapists may also suggest adjustments like using supportive shoes or changing activity levels. These small lifestyle changes reduce flare-ups and support long-term recovery.

By combining assessment, manual therapy, and patient education, physical therapy provides lasting solutions. Patients not only find relief but also gain the tools to manage hip pain independently.

Top Hip Therapy Exercises for Pain Relief and Strength

One of the most effective parts of hip therapy is learning exercises that can be practiced both in the clinic and at home. These movements reduce pain, improve flexibility, and build long-term strength in the hips.

Stretching for Flexibility

Tight muscles often make hip pain worse. Stretching helps loosen these tissues and restore a healthier range of motion.

The hip flexor stretch is a common choice for reducing tension in the front of the hip. Patients kneel on one knee while leaning slightly forward, creating a gentle pull. Hamstring stretches are also valuable, as they ease strain in the back of the leg and reduce stress on the hip.

Another important move is the piriformis stretch. By crossing one leg over the opposite knee and pulling gently, patients relieve pressure from deep muscles that often contribute to hip pain. These stretches improve comfort and prepare the hips for strengthening drills.

Strengthening for Stability

Strong muscles are essential for hip stability. Physical therapy includes targeted exercises to support the joint and prevent recurring pain.

The glute bridge is one of the most effective. Patients lie on their back with knees bent, then lift the hips while squeezing the glutes. This strengthens the hip extensors and core at the same time. Clamshells are another staple exercise, focusing on the outer hip muscles. Patients lie on their side with knees bent, then open and close the top leg to activate hip stabilizers.

Side-lying leg lifts are also used to build strength in the hip abductors. These muscles are critical for balance and reducing stress on the hip during walking. Over time, these strengthening drills make the hips more resilient.

Mobility and Balance Training

Mobility drills improve the way the hips move during everyday tasks. Standing marches, where patients lift one knee at a time while standing tall, help strengthen the hip flexors and improve control.

Mini squats are often included to build strength in both the hips and legs. They are performed with proper alignment to avoid additional strain. Step-ups, where patients repeatedly step onto a raised surface, build functional strength for climbing stairs or walking uphill.

Balance training is also vital, especially for older adults or athletes. Simple exercises like standing on one leg improve coordination and reduce the risk of falls. These mobility and balance drills make everyday movements easier and safer.

By combining stretching, strengthening, and mobility training, physical therapy builds healthier hips. These exercises not only ease pain but also prevent future injuries by keeping the joint strong and flexible.

Physical Therapy for Older Adults with Hip Pain

Hip pain becomes more common with age, often limiting independence and making everyday tasks difficult. Physical therapy provides older adults with safe, effective strategies to stay mobile and reduce discomfort.

Balance and Fall Prevention

Falls are one of the biggest risks for seniors with hip pain. Weak muscles and poor stability can make walking or standing unsafe.

Therapists use targeted drills such as single-leg stands and supported balance exercises to improve coordination. These routines strengthen the hips and build confidence, helping older adults move more safely.

Gentle Strengthening for Arthritis Relief

Arthritis is a frequent source of hip pain in seniors. Stiffness and inflammation often make activity uncomfortable, but complete rest usually makes the condition worse.

Therapists design low-impact strengthening routines that protect the joints while improving function. Simple exercises like seated leg lifts and gentle bridges reduce stiffness and maintain strength without adding strain.

Improving Walking and Daily Activities

Hip pain often changes the way people walk. This can lead to shorter steps, slower movement, and extra pressure on other joints.

Physical therapy includes gait training, which helps patients improve stride length, posture, and hip motion. With consistent practice, walking becomes smoother, safer, and less painful.

For older adults, therapy offers more than pain relief. It preserves independence, improves daily activities, and reduces the risk of long-term disability. These benefits allow seniors to stay active, social, and engaged in their community.

Personalized Physical Therapy Plans for Hip Pain

No two cases of hip pain are exactly the same. Physical therapy provides individualized plans that address each patient’s condition, goals, and lifestyle.

Initial Assessment and Diagnosis

The first step in any therapy plan is a thorough evaluation. The therapist checks posture, strength, flexibility, and walking patterns to identify the root cause of pain.

This assessment also considers medical history and daily activities. By understanding the patient’s unique situation, the therapist can design a safe and effective program.

Custom Exercise Programs

Every therapy plan includes exercises tailored to the patient’s needs. Someone with arthritis may focus on gentle stretching, while an athlete recovering from injury might use strengthening and agility drills.

Therapists ensure exercises match the patient’s fitness level and goals. These programs evolve over time, providing both immediate relief and long-term benefits.

Tracking Progress and Adjustments

Therapy is not a one-size-fits-all process. Progress is monitored carefully to make sure improvements continue.

If pain decreases or movement improves, exercises are adjusted to increase difficulty. If setbacks occur, the plan is modified to prevent further issues. This ongoing attention ensures patients stay on track and reach their recovery goals.

Personalized plans empower patients to take control of their recovery. By tailoring care to each individual, physical therapists create long-lasting results that improve daily comfort and mobility.

What to Expect During Hip Therapy Sessions

Many patients feel uncertain before starting physical therapy. Knowing what to expect can make the process easier and less intimidating.

First Appointment and Evaluation

The first session usually begins with a detailed evaluation. The therapist reviews your medical history, asks about symptoms, and examines how your hips move.

Tests may include walking, bending, or strength checks. This information helps the therapist create a plan that fits your condition and goals.

Typical Exercises and Techniques Used

Most therapy sessions combine stretching, strengthening, and mobility work. Patients may practice hip flexor stretches, bridges, or balance drills with direct guidance.

Manual therapy, such as gentle joint mobilization or massage, may also be included. These hands-on techniques improve comfort and prepare the body for exercise.

Progress Timeline and Milestones

Recovery speed depends on the severity of the condition. Some patients feel relief after just a few sessions, while others may need several weeks or months.

Therapists track improvements in pain levels, mobility, and strength. Milestones are celebrated to keep patients motivated and focused on long-term recovery.

Understanding what happens during therapy helps patients feel prepared. With professional guidance, each session brings progress toward less pain and better movement.

When to See a Physical Therapist for Hip Pain

Many people ignore hip pain, hoping it will go away on its own. Unfortunately, waiting too long often makes the condition worse and recovery harder.

Warning Signs That Need Therapy

Pain that lasts longer than a week should not be dismissed. Other warning signs include stiffness that limits daily movement, swelling that doesn’t improve, or sharp pain during activity.

Difficulty bearing weight, recurring injuries, or numbness in the hip or leg are also red flags. These symptoms may signal underlying issues that require professional treatment.

DIY vs. Professional Treatment

Some mild discomfort improves with home remedies such as stretching, rest, or ice. While these methods provide temporary relief, they often fail to solve the root problem.

A physical therapist creates a personalized plan to target the exact cause of pain. Professional care ensures progress continues safely and prevents the condition from getting worse.

Local Care in Salem, Oregon

For residents of Salem, expert hip care is available at HWY Physical Therapy. Dr. Raj provides one-on-one sessions that focus on pain relief, strengthening, and long-term recovery.

Patients receive guidance tailored to their condition, whether they are recovering from surgery, managing arthritis, or dealing with sports injuries. This personalized approach helps patients return to daily life with confidence.

If your hip pain interferes with walking, standing, or sleeping, it is time to seek professional help. Early intervention not only reduces pain but also prevents future problems.

Myths vs. Facts About Hip Physical Therapy

Many people hesitate to start therapy because of misconceptions. Clearing up these myths helps patients see how effective physical therapy can be for hip pain.

“Hip Pain Will Go Away with Rest Alone”

Rest may ease discomfort temporarily, but it does not solve the underlying issue. Without treatment, stiffness and weakness often return as soon as activity resumes.

Therapy addresses the cause by strengthening muscles, improving mobility, and correcting movement patterns. This creates lasting relief instead of short-term fixes.

“Surgery is the Only Option”

Surgery is sometimes necessary, but many patients improve without it. Conditions like arthritis, bursitis, and minor labral tears often respond well to physical therapy.

Even when surgery is required, therapy plays a vital role before and after the procedure. It prepares the hip for better outcomes and speeds up recovery afterward.

“Therapy Takes Too Long to Work”

Some believe results only come after months of effort. In reality, many patients notice improvements within the first few weeks of consistent therapy.

Progress continues over time as exercises build strength and restore balance. With regular sessions, patients achieve long-term pain relief and better mobility.

Replacing myths with facts shows that therapy is an effective, safe, and reliable option for hip pain. By choosing therapy early, patients set themselves up for faster and more complete recovery.

FAQs About Physical Therapy for Hip Pain

Many patients have questions before starting therapy. Here are clear answers to some of the most common concerns.

How long does recovery take?
Recovery depends on the condition and its severity. Some patients feel relief in weeks, while others need months for full recovery.

Can physical therapy prevent hip surgery?
Yes, in many cases. Strengthening, stretching, and mobility training can delay or even eliminate the need for surgery.

What happens during the first session?
The therapist reviews medical history, examines hip movement, and tests strength. Patients also learn simple exercises tailored to their needs.

Is therapy painful?
Therapy should not cause sharp pain. Some mild soreness is normal as muscles adapt, but sessions are designed to be safe and controlled.

Is hip therapy safe for seniors?
Yes, therapy is often recommended for older adults. Gentle exercises improve strength, balance, and mobility without stressing the joints.

These answers give patients a better idea of what to expect. With professional guidance, therapy becomes a safe and effective path to healthier hips.

Topics to Read Further

Want to dive deeper into hip health and physical therapy techniques? Check out these expert articles from a variety of trusted sources:

 

Contact HWY PT for Expert Advice and Support

Hip pain should not keep you from living the life you enjoy. Whether you’re struggling with arthritis, recovering from surgery, or dealing with an injury, physical therapy offers real solutions.

At HWY Physical Therapy, Dr. Raj creates personalized treatment plans that target your specific needs. Through guided exercises, hands-on care, and ongoing support, patients experience lasting relief and improved mobility.

Visit us at Center 50+, Salem City Building, 2615 Portland Rd NE, Salem, OR 97301 or call 971-202-1979 today. Take the first step toward stronger, healthier hips in Salem.