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Understanding the Causes of Persistent Hip Pain Post-Surgery Iliopsoas tendonitis or impingement from the implant or bone position Bursitis or local soft tissue inflammation Nerve damage from surgery or swelling Prosthesis issues such as loosening, dislocation, or improper placement Infection around the joint Referred pain from the spine, hernia, or other body regions Scar tissue and post-surgical inflammation Symptoms of Post-Operative Hip Pain Persistent or new pain in the groin, thigh, or buttocks Pain with hip flexion (e.g., climbing stairs, getting in/out of car) Clicking, catching, or instability Limping, weakness, or stiffness Swelling, redness, or warmth in the hip region Diagnosing Hip Pain: Evaluation, Imaging, and Neurodiagnostics Clinical Evaluation : A careful history and examination are performed, including: Palpation of hip muscles/tendons and prosthesis location Range-of-motion and strength tests Functional maneuvers (resisted hip flexion for iliopsoas syndrome