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Pain in the hip and groin region can come from several different structures. It may originate from within the hip joint itself — including the joint surface, ligaments, or labrum — or from surrounding muscles, tendons, or bursae. Sometimes, hip and groin pain can even be referred from the lower back or pelvis.
Because so many structures can contribute to pain in this area, an accurate diagnosis is key. At Head2Toe, our experienced physiotherapists will identify the true cause of your symptoms and create a plan to help you move freely again.
Common Signs and Symptoms
- Pain in the front, side, or back of the hip
- Groin discomfort during walking, sitting, or squatting
- Stiffness after rest or prolonged sitting
- Clicking, locking, or catching sensations in the hip
- Weakness or difficulty climbing stairs
- Pain that radiates to the thigh, buttock, or lower back
Causes / Why It Happens
Hip and groin pain can develop from acute injury, repetitive strain, or degenerative changes. Common causes include:
- Muscle or tendon injuries such as adductor or hip flexor tendinopathy
- Osteoarthritis or cartilage wear in the hip joint
- Labral tears or impingement where the joint surfaces pinch during movement
- Trochanteric bursitis (inflammation on the outer hip)
- Piriformis syndrome or referred pain from the lower back
- Poor core or pelvic stability, leading to uneven load on hip muscles and tendons
- Overtraining or sudden increase in activity in athletes
Why Choose Head2Toe?
At Head2Toe, we take a comprehensive and evidence-based approach to managing hip and groin pain.
Expert diagnosis
our physiotherapists perform detailed assessments to pinpoint the source of your pain.
Personalised treatment plans
your care is tailored to your condition, goals, and activity level.
Integrated care
we address not only the hip but also the spine, pelvis, and core that influence hip mechanics.
Active rehabilitation focus
we combine hands-on therapy with functional and strength-based programs for long-term results.
Fast access to imaging and referral
if further investigation is needed, we can refer for X-rays, ultrasound, or MRI, or liaise with GP’s and Surgeon’s to organise this.
How We Treat It
Our treatment focuses on relieving pain, restoring mobility, and rebuilding hip and core strength to prevent recurrence.
Your physiotherapist may use:
- Joint mobilisation and traction to restore movement
- Soft tissue or trigger point massage to reduce muscle tension
- Dry needling for pain and tightness
- Neural mobilisation if symptoms are nerve-related
- Core stability and hip strengthening to improve support and control
- Balance and proprioceptive retraining for functional stability
- Biomechanical analysis to correct movement inefficiencies
For sporting injuries, you’ll receive a graded return-to-training program to safely rebuild load tolerance and performance.
What to Expect in Your Appointment
At your first appointment, your physiotherapist will:
- Take a detailed history of your symptoms, activities, and lifestyle factors.
- Perform a comprehensive examination of your hip, back, and pelvis.
- Explain your diagnosis clearly and outline your personalised treatment plan.
- Begin hands-on therapy and prescribe simple exercises you can start immediately.
- Provide education on load management, posture, and activity modifications.
- Reassess progress regularly and adjust your plan as you recover.
If needed, we can arrange imaging (X-ray, ultrasound, MRI) or refer to an orthopaedic specialist for further opinion.
Highlight Patient Types
We commonly help:
- Older adults with hip osteoarthritis or bursitis
- Athletes (footballers, runners, gym-goers) with groin or adductor strains
- Office workers with referred hip pain from sitting postures
- Women postpartum or with pelvic instability
- Manual workers with lifting or twisting-related pain
Frequently Asked Questions
Can hip or groin pain come from my back?
Yes. Many people experience referred pain from the lower back or pelvis, which can mimic hip symptoms. That’s why a detailed assessment is essential.
How long will recovery take?
This depends on the cause. Mild muscle strains may resolve in weeks, while tendinopathies or arthritis may take several months with progressive rehabilitation.
Do I need to stop exercising?
Not necessarily. In most cases, we modify rather than stop activity, helping you stay active while healing.
Will I need imaging?
Often not initially. Physiotherapy assessment usually identifies the source of pain, but scans can be organised if your recovery plateaus or we suspect a structural issue.
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What We Care For
Physiotherapy is the assessment, diagnosis and treatment of musculoskeletal injuries. Some of the conditions we treat in Melbourne include:
Don’t let hip & groin pain hold you back
Book an appointment with one of our experienced physiotherapists today and take the first step toward restoring your strength, stability, and confidence.
42 Pascoe Vale Road, Moonee Ponds 3039