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Hip & Groin Physiotherapy

Hip and groin pain

Pain in the hip and groin area can be long lasting andprove difficult to treat. The pain can be from a structure in the groin itself or referred from e.g. the spine. The pain is often related to quick acceleration, sudden turning, powerful movements, large amplitude or large range of movements or velocity.

The sports that often cause hip or groin pain include disciplines such as soccer (football), hockey, karate, skating, hurdles, skiing, fencing and dancing.

The reason for pain is often a mix of overuse and trauma. This could be poor posture used as a starting base of a sprint this could overload the groin structures and on one sudden turn or twist, this could cause injury, leading to pain.

Thorough assessment is important for correct treatment, especially to ensure that the right area is treated. There is no reason to treat the groin area if the pain is really referred from the lower back!

Pathologies include:

• Muscle/tendon strain - of structures such as the adductors, glut medius, iliopsoas, rectus femoris, iliopsoas,
• Bursitis
• Trochanteric snapping hip of tendons over the hip
• Hip impingement,
• Hernia
• Osteitis pubis and sacroiliatis
• Stress fracture of the pelvis
• Femur apophsytis
• Slipped capital femoral epiphysis synovitis
• Perthes,
• Avacular necrosis
• O.A.
• Ilioinguinal neuropathy obturator neuropathy
• Cancer or vascular diseases

Reasons for onset of hip and groin area pain includes:

• Relative flexibility of the lower back / pelvis / hip areas
• Muscle imbalance and muscle inflexibility
• Poor alignment of the lower back / pelvis / hip / leg
• Leg length discrepancy
• Feet problems, e.g. low arches
• Training errors, poor surface, poor running technique
• Over training
• Impact or trauma
• Systemic diseases