Hip Flexor Injuries
Article by Matthew Batch

Hip Flexor Injuries
What Is Iliopsoas-Related Groin Pain?
Groin pain can be separated into different categories based on its signs and symptoms. One of these categories is iliopsoas-related groin pain (IRGP).
The iliopsoas is a muscular structure with two components; iliacus and psoas major. They begin at the top of your pelvis and lower back and attach to the top of your thigh. Due to its location, its main function is to flex the hip (think lifting your knee towards your chest). This makes it particularly relevant for activities that involve kicking and running.
There are numerous possible causes of IRGP, some of which can develop acutely or suddenly, and others that progress more gradually over time. It is possible to have changes in the muscle, tendons, bursa and bony structures that contribute to the symptoms of IRGP.
Symptoms
IRGP is often described as a deep discomfort at the front of the hip and top of the thigh, though may also be experienced closer to the abdomen. This may also be accompanied by a snapping sensation at the front of the hip, particularly during movements that involve lowering the leg with the hip turned outwards.
Diagnosis
There are many possible causes of groin pain, some of which do not stem from the groin at all, which is why your physiotherapist or doctor must assess your condition. The key clinical signs and symptoms of IRGP that distinguish it from other causes of groin pain are tenderness when the iliopsoas muscle is touched (palpated). The muscle produces pain by using (contracting) and/or stretching. Depending on the structure/s your health professional suspects is responsible for your symptoms, and if they suspect that imaging results may change your treatment, you may be referred for an x-ray, ultrasound or MRI.
How Do You Relieve Hip Flexor Pain?
The appropriate treatment for IRGP varies from one person to the next and remains guided by the assessment outcomes of your doctor/physiotherapist. A thorough assessment will not only provide an accurate diagnosis but will also identify risk factors that may have led to the development of the condition. This is imperative as it ensures that you regain at least your pre-injury function, and the likelihood of suffering the same injury again is reduced as much as possible.
For a comprehensive assessment of your groin pain and to ensure your recovery is targeted toward your specific needs, do not hesitate to contact your physiotherapist.
Please contact your physiotherapist for a thorough assessment and the quickest relief from your groin pain.
Common Causes of Hip & Groin Pain
General Information
Hip Joint Pain
- Hip Arthritis - Hip Osteoarthritis
- Hip Labral Tear
- Hip Pointer
- Femoroacetabular Impingement - FAI
- Perthes Disease
- Slipped Femoral Capital Epiphysis
- Stress Fracture
- Avascular Necrosis of the Femoral Head
Lateral Hip Pain
Adductor-Related Groin Pain
Pubic-Related Groin Pain
Iliopsoas-Related Groin Pain
Other Muscle-Related Pain
- Piriformis Syndrome
- Muscle Pain -Muscle Strain
- Poor Hip Core
- DOMS -Delayed Onset Muscle Soreness
- Cramps
- Core Stability Deficiency
Systemic Diseases
Referred Sources
Hip Surgery
Hip & Groin Products & FAQs
Groin Pain FAQs
- How Do You Know If Your Groin Pain Is Serious?
- Why Does My Hip Click?
- How Do You Relieve Groin Pain?
- What is a Hip Labral Injury?
- Can You Fix A Torn Labrum Without Surgery?
Hip Pain FAQs
- How Do You Know if Your Hip Pain is Serious?
- Why Does My Hip Click?
- Is there a Test for Arthritis in the Hip?
- What Is Hip Impingement?
- What Is The Best Treatment For Hip Pain?
- Why Are Your Hip Core Muscles Important?