The hip and groin area is a complex area to treat. We regularly successfully treat patients who come to us with undiagnosed hip or groin pain that has lasted for months or even years, despite scans, tests and various forms of treatment. A key component of this treatment is the correction of hip biomechanics along with hands on treatment.
Unfortunately hands on treatment for the hip and groin can often be sparse or non existent or, on the other end of the spectrum, be carried out without addressing the underlying biomechanical issues using targeted exercises. Hands on treatment is often essential to reduce pain, release tight, stiff or overactive structures and improve sensory feedback to the brain. This enables the muscles to be switched on more effectively, resulting in more sustainable improvements. Hands on treatment is always tailored to the individual patient.
Common conditions that give hip or groin pain include those listed below. Some are local and some are referred from structures elsewhere, which is sometimes why they are missed in diagnosis. Almost always there are a combination of the following things going on and often treatment or surgery has only addressed one or some of the structures involved. We assess and treat all of the contributing factors and it is this thorough approach that gets people better. This means we work closely with leading hip surgeons and consultant physicians who give their input where required to ensure optimal management.
Common Causes of Hip Pain
|FAI – Femoral acetabular impingement or hip impingement|
|Tendinopathy – most commonly of the gluteus medius tendon, hip flexor tendon and the hamstring tendon|
|Lumbar spine injury or pain (e.g. disc, facet problem, arthritis)|
|Adductor, or hip flexor muscle strain or tear|
|Symphysis pubis dysfunction|
Treatment will vary depending on the specific diagnosis, but any biomechanical inefficiencies which may have caused or resulted from the original injury will need to be addressed thoroughly; this is often the aspect of treatment that is neglected. These often include imbalances and weaknesses in the muscles of the hip, pelvis and lower back and incorrect alignment of the leg, particularly when walking or running. It will also include hands on treatment including mobilisation of stiff joints and release of tight or overactive musculature. Our top five most useful hands on techniques for the hip are as follows:
|Deep soft tissue massage of the lateral hip muscles, hip flexors and hip adductors (extending down the anterolateral aspect of the thigh)|
|Acupuncture to the posterolateral hip musculature|
|Mobilisation with movement into hip flexion (often with a belt) although care must be taken because this can be an aggravating movement|
|Hold relax techniques to the adductors and abductors|
Scroll down for further information on common conditions and exercise ideas.
All of our videos are completely free and help to give a visual hints and tips.View Now
Facet joint pain is normally localized: centrally over your spine or to one side. It may feel like a "catching pain" during certain movements like bending backwards, or turning. It is associated with poor posture, repetitive strain (e.g. horse riding) or injury (e.g. snowboarding falls)The common factors that contribute to...Read More
Clicking or crunching in the back can be caused by a number of things.Most people fear that the clicking is caused by bone hitting bone. However, thankfully nowadays this is rare. If you have this, it is likely that for many years you have been suffering severe pain and movement...Read More
The thoracic spine – middle and upper part of the back - is the stiffest part of the spine due to the ribs attaching here, but it commonly becomes too stiff as a result of poor postures. Please click here to learn correct sitting posture. Thoracic spine stiffness puts more...Read More
Problems in the joint that joins your spine to your pelvis are still hotly debated in the physio, osteo and medical worlds. Strains can occur when the ligaments supporting the joint are loose (e.g. during pregnancy or with hypermobility) and we have seen many patients with SIJ pain following a...Read More
Disc injuries cover a whole spectrum of problems including disc degeneration, disc prolapse and a disc bulge, all in varying levels of severity. Minor injuries will feel like a localized ache over the spine; more severe injuries cause intense pain and immobility, with pain, pins and needles, numbness and/or weakness...Read More
The unfortunate, but sometimes necessary stage for certain back conditions is surgery. We work with the top spine surgeons, so we know exactly who to guide you to, so be reassured that you will be in good hands. We will work closely with your Orthopaedic Consultant to ensure that you...Read More
A note on static stretching v dynamic stretching I bet you can't remember the last time you saw elite athletes doing a static stretches pitch-, track- or court side pre-performance. That is because research now shows that static stretching is not advisable before exercise. This is because it slows...Read More
Many spinal, hip and shoulder problems can be helped by retraining breathing habits and releasing the structures involved in breathing, such as the diaphragm and thoracic spine.Read More
Please click here to learn how the back works before reading the following. Do not do the following if you have any back pain- you must see a Physiotherapist or Osteopath for a full assessment, diagnosis and guidance through the exercise. Please click on the link to learn how to...Read More
The following advice is designed for you to work through with your physiotherapist so it is important that you DO NOT try and do it alone. Hence why there is some juicy physiotherapy lingo in there!Read More
Please click here to read how the knee works before reading the following.Read More
Please ask your Physiotherapist or Osteopath to show you how!Read More
Is sitting bad for you? As Physiotherapists we get...
Should I stop running if I am injured? Lucy...
The eighty-seven videos include exercises for the treatment and prevention...
Our latest five-star google reviews (there's 150 in total!)...
Hover over the specific body parts and find out more
Use your mouse to hover over the dark grey dots and click through to the specific body parts to get advice about your injury.
We promise to never share your email address with anyone.