In addition to the history and physical examination, radiography, ultrasonography, or magnetic resonance imaging may be needed for a definitive diagnosis. Radiography of the hip and pelvis should be the initial imaging test. Ultrasound-guided anesthetic injections can aid in the diagnosis of an intra-articular cause of pain.

If you have hip pain, your doctor will perform a physical examination and run imaging tests to try to diagnose the cause. A simple visual examination of the hip may reveal a deformity or injury. Your doctor will often manipulate your leg in different directions, looking for resistance, a popping sensation, or pain.

Medical imaging, including X-rays and magnetic resonance imaging (MRI), is crucial in diagnosing hip pain. An X-ray can reveal an excess of bone on the femoral head or neck and the acetabular rim. An MRI can reveal fraying or tears of the cartilage and labrum.