Subscribe for free Videos and Advice

We promise to never sell, share or make your details public.

Hip & Groin

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

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
Trochanteric bursitis
Hernia
Hip arthritis
Cartilage damage
Labral tear
Lumbar spine injury or pain (e.g. disc, facet problem, arthritis)
Adductor, or hip flexor muscle strain or tear
Symphysis pubis dysfunction

 

Treatment

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
Thoracic mobilisation

Scroll down for further information on common conditions and exercise ideas. 

Please note that although the advice and exercises provided are designed to assist your recovery they are not a replacement for seeing a Physiotherapist or Osteopath! It is essential that you ALWAYS make sure you see your Osteopath, Doctor or Physiotherapist to diagnose your injury and guide you through recovery.

Get Your Free Physio Videos

All of our videos are completely free and help to give a visual hints and tips.

View Now

    Common Injuries

  • Hip Clicking

    Clicking or crunching in the hip 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...

    Read More
  • Post-Operative Back

    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
  • Disc Problems

    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
  • Clicking Back

    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
  • Facet Joint Problems

    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
  • Stiff Thoracic Spine

    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
  • Thoracic spine exercises

    Please ask your Physiotherapist or Osteopath to show you how!

    Read More
  • Stretching

      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
  • Train deep core muscles

    The following exercise should be performed under the guidance of your Physiotherapist or Osteopath to ensure you are doing it correctly and prevent aggravation of your condition. Please click here to learn how the back works before reading the following.

    Read More
  • Hip and groin: biomechanical optimisation, exercises, post-op rehab

    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
  • ITB and TFL release

    Please click here to read how the knee works before reading the following.

    Read More
  • How to find pelvic neutral

    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

About Your Injury

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.

For free videos, up to date news or special offers, subscribe now!

We promise to never share your email address with anyone.