Hmmmm...could it be the Hokas?

Understood, but I'm thinking that because there is limited pronation control on the Hokas that I may be getting a bit more outward roll during my right heel strike that I would on a stability shoe. Also, previous shoes that I have run in (Brooks Adrenaline, Ravenna, and Mizuno Wave Inspires) have higher drop than the Hokas. Again, I don't really know what the problem is but know something isn't right.

I would give anything to know the answer to this same question, because everything you wrote also applies to me!

I have metatarsalgia in my left foot that is manageable for shorter runs, but after about an hour it can really flare up. I was previously running in Asics GT-2170 which is classified as a stability shoe. I have mild over-pronation on my right side, partly due to osteoarthritis in my right knee. I made the switch to Hoka Stinson Tarmac back in February, and my feet feel great after long runs now. However, I started to develop some pain in my right hip on those longer runs after about an hour of running. I ran a HM last Saturday, and it was really sore during the second half of the race.

I did some Google searching, and one of the likely issues based on my symptoms is hip bursitis. I'm going to get checked out by a sports physiologist in the area, and also talk it through with my coach. I am anticipating that changing shoes back to something that offers more stability could end up being part of the process, along with ITB stretching and exercises to strengthen the muscles in the hip area.

Is it your hip on the side or front, or is it more in your butt? I ask because I have similar pains when I push myself in training & it's been diagnosed as ITBS for me. My pain is focused more in my upper right butt cheek & can wrap around to the side. I know this all too well because right now I am sitting on my left side to give my right side some relief!

I'm still in the Hokas. Got a new pair of Bondi 3's and running quite a few miles in them.

My plan is to mix up the runs with the less cushioned shoes, but still dealing with heel issues which Hokas help so much with.

I do think if you have weak arches like me, the foot tends to sag inwards and may contribute to other issues because the Hokas are so cushy.
That's one reason for mixing in the other shoes.

As for causing hip pain, it's hard to say but I would think not. However, I do notice my quads & calves working harder in Hokas, I have no idea if this could affect the hips. I do feel there is more stress on the knee from Hokas.

I made an appointment with a sports medicine doctor to get checked out. Also talked with my coach, and we are going to reduce my running and go back to my previous shoes to see if that makes things better. If it turns out I have to give up the Hokas I will be sad, because my feet feel so good but we'll see how it goes.

I ha a minor ITBS issue a few years ago, and this is definitely different. It doesn't feel like muscle, could be connective tissue that is part of my hip girdle, but a touch of bursitis could be the answer. It only really hurts when I run, no problem riding my bike. I can feel it a bit when I walk. I think this really has to do with instability in my foot. Biomechanically, my running gate is a mess.