There are many reasons for bilateral hip bone pain, the common ones are local trauma, osteoporosis and aseptic necrosis of femoral head. 1. Local trauma: local trauma can cause local soft tissue injury, resulting in obvious swelling and tenderness. 2. Osteoporosis: If the patient is elderly, he/she is more likely to develop osteoporosis, which can lead to femoral neck fracture and hip pain when walking, going up and down steps, and turning around. 3. Aseptic necrosis of the femoral head: If patients drink a lot of alcohol or take glucocorticoids for a long time, it is easy to lead to aseptic necrosis of the femoral head, which will cause pain on both sides of the hip bone during movement, or even pain during sleep. This symptom alone is not enough to diagnose the disease, and may be caused by other factors. It is recommended to consult a doctor in time to clarify the cause of the disease and give targeted treatment.