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Common Causes of Hip Bursitis Several factors can lead to hip bursitis, including: Repetitive motion, such as running stairs or hills Muscle imbalances or weakness Poor posture Direct trauma to the hip (falls or impact) Uneven leg length Previous hip surgery or replacement Bone spurs Infections Underlying health conditions such as rheumatoid arthritis, gout, or thyroid disease Chronic irritation from nearby muscles or tendons Symptoms of Hip Bursitis Pain is the most common symptom of hip bursitis