Hip pain aggravation at night should firstly identify the cause of the disease, and then carry out physical therapy, drug therapy, surgical treatment. The causes of increased hip pain at night include excessive exercise, muscle strain, femoral head necrosis, hip arthritis, etc. It is recommended to identify the cause of the disease before treatment, and target treatment. 1. Excessive exercise: after strenuous exercise during the day, the process of lactic acid metabolism at night is likely to aggravate the patient’s hip joint pain, usually the symptoms can be relieved by proper stretching of the hip joint muscles and adequate rest. 2. Muscle strain: If the patient’s hip joint muscle is strained due to inappropriate exercise, the pain may be aggravated at night, if the acute injury is not long, you can apply ice packs, you can also take ibuprofen and other drugs for anti-inflammatory pain relief, and if there is a muscle or tendon rupture, you need to undergo a surgical suture. 3. Necrosis of the femoral head: you can take aspirin and other drugs to reduce pain and swelling, you can also use extracorporeal shock wave to promote bone healing, if necessary, you can carry out core decompression, osteotomy or bone grafting, conservative treatment is not effective, but also can be carried out hip arthroplasty. 4. Hip arthritis: patients can take ibuprofen, diclofenac sodium and other drugs to relieve pain, but also through the red light therapy, ultrasound therapy to relieve pain, if conservative treatment is ineffective, if necessary, can be carried out hip arthroplasty. Causes of hip joint pain at night aggravation of more reasons, may also be related to gout, bone fracture, rheumatoid arthritis and other reasons, if the symptoms continue to have no relief, it is recommended to promptly go to the hospital to find out the cause of the disease, by the doctor targeted treatment.