Understanding Hip & Groin Injuries
Hip and groin pain is among the most challenging musculoskeletal presentations to diagnose - and it is frequently underdiagnosed or undertreated. The region has complex overlapping anatomy: bone, joint, muscle, tendon, nerve, and referred pain sources can all produce similar symptoms, and accurate diagnosis requires thorough clinical assessment, often supported by targeted imaging.
Whether your hip pain is limiting your running, making it hard to get out of a chair, or disrupting sleep, specialist assessment can identify the specific source and guide effective treatment.
Hip Joint Conditions
- Femoroacetabular impingement (FAI) - Bony morphology of the hip causing pain with certain movements, particularly deep flexion. May be cam-type, pincer-type, or mixed.
- Labral tears - Tears of the cartilage ring lining the hip socket, often associated with FAI. May cause clicking, catching, and deep groin pain.
- Hip osteoarthritis - Degenerative joint changes causing progressive pain and stiffness. See the Osteoarthritis Clinic for management.
- Hip stress fractures - Serious overuse injuries of the femoral neck requiring urgent specialist assessment. See Bone Stress Injuries.
Tendon & Muscle Conditions
- Adductor tendinopathy - Groin pain related to the inner thigh tendons, common in sports with kicking, change of direction, and acceleration.
- Greater trochanteric pain syndrome - Lateral hip pain from gluteal tendinopathy and/or trochanteric bursitis. Common in runners and more prevalent in women.
- Hip flexor tendinopathy - Anterior hip pain with activities involving hip flexion.
- Hamstring origin tendinopathy - Deep buttock pain originating from the hamstring attachment on the ischial tuberosity.
Other Hip & Groin Conditions
- Athletic pubalgia (sports hernia) - Complex groin pain in athletes, often requiring multidisciplinary assessment and management.
- Snapping hip syndrome - Audible or palpable snapping from tendons catching over bony prominences.
- Referred pain - Hip and groin pain can originate from the lumbar spine, sacroiliac joint, or other structures.
- Nerve entrapments - Including lateral femoral cutaneous nerve (meralgia paraesthetica) and obturator nerve.