How should I sit with hip pain?

What are some common causes of hip pain when sitting?

Some common causes of hip pain when sitting include:

  • Arthritis – Osteoarthritis or rheumatoid arthritis can cause pain and stiffness in the hip joint that is aggravated by sitting.
  • Bursitis – Inflammation of the bursa sacs around the hip joint can lead to pain when pressure is put on the hips from sitting.
  • Muscle strain – Overuse injuries or muscle strains in the hips, buttocks, or thighs can cause aching pain when sitting.
  • Sciatica – Irritation of the sciatic nerve can cause pain to radiate down the back of the leg when sitting.
  • Trochanteric bursitis – Inflammation of the bursa in the hip bone can cause localized hip pain when sitting.
  • Piriformis syndrome – Spasms or tightness in the piriformis muscle deep in the buttocks can cause sciatic nerve pain when sitting.
  • Hip labral tear – Damage to the labrum cartilage in the hip socket can lead to hip pain that worsens with prolonged sitting.

How does sitting cause or aggravate hip pain?

There are a few reasons why sitting often makes hip pain worse:

  • Sitting increases pressure in the hip joint – The weight of the upper body pressing down can compress arthritic hip joints and swollen bursa sacs.
  • Sitting shortens hip flexor muscles – Remaining in a seated position keeps hip flexors like the iliopsoas in a shortened state which can increase tension on the joint.
  • Sitting limits blood flow – Reduced circulation from long periods of sitting may prevent nutrients from reaching hip joint tissues.
  • Sitting strains soft tissues – Maintaining a seated position over time can overstretch muscles, tendons or ligaments around the hips.
  • Sitting changes posture – Slouching or poor posture misaligns the spine and pelvis and increases strain on the hips.

The combination of increased pressure, reduced blood flow, and muscular or postural imbalances makes sitting a common aggravator for many sources of hip pain.

What are some sitting modifications to relieve hip pain?

Here are some tips for modifying your sitting position to help reduce hip pain:

  • Adjust seat height – Keep hips level or slightly above knees to reduce joint compression.
  • Use lumbar support – Support the natural curve of the low back to improve spinal alignment.
  • Avoid crossing legs – Keeping legs uncrossed improves circulation and reduces asymmetry.
  • Take standing breaks – Get up periodically to move hips and change positions.
  • Stretch hip flexors – Gentle stretches open tight hip flexors strained from prolonged sitting.
  • Get an ergonomic chair – Chairs designed to encourage good posture can take pressure off hips.
  • Use a small pillow or cushion – Placing a pillow under painful hips can ease discomfort when sitting.
  • Sit with knees apart – Keeping knees shoulder-width apart allows hips a more natural position.

Making adjustments to your regular seated position like using props for extra support, maintaining good posture, shifting positions, and taking regular breaks can all help alleviate unnecessary strain on painful hips.

What exercises help strengthen muscles around the hips to reduce sitting pain?

Performing targeted exercises to strengthen the muscles surrounding the hips can provide critical support to the joint and help reduce hip pain from sitting. Useful hip exercises include:

  • Glute bridges – Strengthens glutes and hamstrings.
  • Clamshells – Targets glutes and outer hip rotators.
  • Mini-squats – Improves strength in quadriceps, glutes, and core.
  • Hip abductions – Works the glute medius and tensor fasciae latae.
  • Fire hydrants – Focuses on glutes, especially gluteus medius.
  • Side leg raises – Targets abductors along the outer thigh and hips.
  • Calf raises – Can reduce tension placed on hips from tight calf muscles.
  • Walking – Low-impact exercise improves overall strength and flexibility.

A physical therapist can recommend a targeted hip strengthening program based on your specific condition and needs. Strengthening hip muscles provides better joint stability and may help reduce pain associated with sitting and other activities.

How does posture affect hip pain when sitting?

Maintaining correct posture is crucial for reducing unnecessary strain on the hips when sitting. Here’s how posture impacts hip pain:

  • Slouching misaligns the spine – A slumped position rolls the pelvis back and stretches hip flexors and muscles improperly.
  • Leaning to one side stresses hip joints – Uneven sitting postures overload the joints and soft tissues on one side.
  • Sitting cross-legged strains hips – Hip rotation in crossed positions stretches muscles like piriformis which can irritate sciatic nerves.
  • Sitting too low compresses hips – A seat height that’s too low relative to the knees jams and squeezes hip joints.
  • No lumbar support flattens the low back – A flat back angles the pelvis back and strains low back and hip muscles.
  • Proper alignment takes pressure off hips – An upright posture with a neutral pelvis reduces force on the hip joint surfaces.

Focusing on aligning the ears, shoulders, and hips while maintaining the natural spinal curves helps take unnecessary compressive and rotational forces off the hip joints while sitting.

What types of chairs are best for sitting with hip pain?

The best chairs for sitting with hip pain promote neutral pelvic alignment, distribute weight evenly, and provide excellent lumbar and posture support. Recommended options include:

  • Chairs with adjustable seat height – Allows customizing height to keep hips above knees.
  • Chairs with wide, contoured seats – Spread weight evenly across sitting surface.
  • Chairs with lumbar support – Helps maintain natural spinal curves.
  • Chairs with armrests – Provide areas to shift sitting position and give lower body a break.
  • Chairs with an open hip angle – Reduces strain from thighs splaying outward in standard chair seats.
  • Kneeling chairs – Takes pressure off hips by supporting body weight through knees.
  • Exercise balls – Engages core and allows hips free range of motion.

Look for a chair that allows you to sit with hips and knees at 90 degree angles, provides exceptional low back support, and enables you to adjust your body position throughout the day. An ergonomic chair designed specifically for proper posture can make sitting much more comfortable for sore hips.

How should I position my workstation with hip pain when sitting?

Properly setting up your workstation helps make sitting more tolerable and prevents slouching or hunching that strains the hips. Tips include:

  • Place monitor at eye level – Avoids neck strain from looking down which can shift posture.
  • Use a document holder – Keeps work materials in the optimal viewing position to prevent shoulders rounding forward.
  • Elevate feet – Rest feet flat on the floor, a footrest, or box to prevent legs dangling and pressing down on hips.
  • Bring items within reach – Keep commonly used items close by to prevent overextending when sitting.
  • Adjust seat height – Set chair height so hips stay above knees and lower back has support.
  • Support low back – Use small pillows or rolled towels in the curve of the lower spine while sitting.

Setting up a functional workstation tailored to your needs and proper ergonomics allows you to maintain correct posture and minimize discomfort in your hips as much as possible while sitting.

What professional treatment options may help relieve sitting-related hip pain?

Seeing a doctor for an evaluation is recommended to identify the underlying cause of hip pain and determine appropriate treatment options, which may include:

  • Prescription medications – Oral NSAIDs, analgesics, or muscle relaxants to help control pain and inflammation.
  • Corticosteroid injections – Powerful anti-inflammatory medication injected directly into the hip joint or surrounding bursa sacs.
  • Viscosupplementation – Lubricating hyaluronic acid injections help treat osteoarthritic hip pain.
  • Physical therapy – Stretching, strengthening exercises, and manual therapy techniques to address muscles imbalances or joint restrictions.
  • Assistive devices – Walking canes or crutches decrease weight bearing through painful hips.
  • Braces or taping – May provide external hip support and improve function.
  • Surgery – For severe cases, hip repair procedures or joint replacement may be warranted.

Seeing a physical therapist or occupational therapist can also be beneficial to help identify specific activities or postures that aggravate your hip pain so you can make appropriate modifications.

What changes help make sitting more comfortable with arthritis hip pain?

People with arthritis in their hips can try the following adaptations to make sitting more tolerable:

  • Use a thick, soft seat cushion
  • Try a reclining chair with an ottoman to elevate painful legs
  • Sit in a chair with armrests to make shifting positions easier
  • Take frequent breaks from sitting throughout the day
  • Get up and walk mild laps periodically to loosen the hip joint
  • Perform gentle hip flexor stretches when sitting for too long
  • Apply hot packs to stiff, achy hips before prolonged sitting
  • Take anti-inflammatory medication before activities that aggravate arthritis pain
  • Use ice packs on inflamed, painful hip joints after sitting to reduce swelling

Being aware of good posture, stretching the hips regularly, using cushions, taking standing or walking breaks, and managing inflammation with heat, ice, and medication allows people with hip arthritis to sit more comfortably.

What are some good stretches to do after sitting with hip bursitis?

Here are some excellent stretches to help relieve hip bursitis pain after prolonged sitting:

  • Figure four stretch – Cross one ankle over the opposite knee and gently press down on knees
  • Seated twist – Twist torso and look over shoulder to stretch outer hip
  • Sitting hamstring stretch – Extend one leg straight out and lean forward gently from hips
  • Seated butterfly stretch – Bring soles of feet together and lean torso toward feet opening hips
  • Seated piriformis stretch – Cross one ankle over opposite knee and lean into stretch
  • Supine hip flexor stretch – Lying on back, pull one knee into chest
  • Supine gluteal stretch – Lying on back, place ankle across opposite thigh and press knee toward chest

Perform stretches gently and hold for 30 seconds. Stretching helps realign the hips, increase blood flow, and reduce tension in muscles aggravated from sitting in one position too long. Always check with your doctor to ensure stretches are appropriate for your specific type and location of bursitis.

What self-care tips help manage hip pain when sitting at work?

Employing self-care strategies throughout the workday can make dealing with hip pain while sitting at your job more manageable. Helpful tips include:

  • Ask for an adjustable ergonomic chair or seat cushion
  • Take regular standing or walking breaks every 30-60 minutes
  • Set a timer to remind yourself to change positions
  • Perform gentle hip flexor and gluteal stretches periodically
  • Use a heating pad on low for 10-15 minutes to loosen up tight hips
  • Try over-the-counter pain relievers as needed for inflammation
  • Bring a tennis ball to work to use for self-massage on sore hip muscles
  • Ask your employer about the possibility of a standing workstation
  • Limit time sitting in meetings by standing in the back when possible

Being proactive about posture, taking frequent breaks, and addressing hip pain directly with heat, massage, medication, or stretches can help you stay productive and comfortable at work even when sitting irritates hip problems.

What are some sleeping positions that can help reduce nighttime hip pain from sitting all day?

Sleeping positions to help decrease hip pain at night after prolonged sitting during the day include:

  • On the back with a pillow under the knees to level out the hips and spine
  • On the side with a pillow between the knees for alignment and comfort
  • On the unaffected side to avoid placing pressure on the sore hip directly
  • With the sore leg slightly bent and supported on a pillow to relax hip flexors
  • On the back with the sore leg crossed over the midline supported by pillows
  • In a reclined position with the head and legs elevated if hip flexion is painful
  • With a small rolled towel under the waist to maintain the natural low back curve

Avoid positions that force the sore hip into excessive internal rotation, flexion or extension. Let pain be your guide and adjust support pillows as needed to take pressure off the affected hip joint and surrounding muscles at night.


Sitting with hip pain can be extremely uncomfortable. Understanding what causes hip discomfort in certain seated positions and learning how to modify chairs, workstations, and posture can significantly ease pain. Stretches, exercises, props like cushions and pillows, and practicing self-care techniques throughout the day can also help take unnecessary strain off irritated hips from prolonged sitting. Make sure to see a doctor to identify and properly treat the underlying condition. With some awareness and adjustments, people with hip problems can learn to sit and position themselves in ways that avoid aggravating pain and allow them to stay productive.

Leave a Comment