Nighttime Hip Pain

• Gluteal tendinopathy: the classic. Pain on the side of the hip when lying on the painful side, and sometimes also on the other side due to stretching.
• Hip osteoarthritis: advanced osteoarthritis typically also causes night pain, a red flag for surgical indication.
• Bursitis or hip rotator cuff: often overlaps with tendinopathy.
• Referred back pain: lumbar problems can radiate to the hip at night.

1. Pillow between the knees when lying on your side reduces strain on gluteal tendons. 2. Avoid crossed legs when sitting and lying down. 3. Change sleeping position, avoid staying on one side for hours. 4. Short course anti-inflammatory before bed can provide relief. 5. Ultrasound-guided infiltration is an effective solution for persistent nighttime pain.