Hip

Serious Hip Pain FAQ: When Should You Seek Help?

Serious hip pain may need urgent help when it starts after a fall or accident, stops you from walking or bearing weight, looks deformed, or comes with swelling, bleeding, fever, or constant rest pain.

Most hip pain is not an emergency. Many cases relate to muscle, tendon, bursa, joint, or movement irritation. This FAQ helps you recognise red flags, decide when to modify activity, and know when physiotherapy may be appropriate.

For a broader overview of hip pain causes and location patterns, visit our hip pain hub. If your symptoms are concerning but not clearly urgent, see when to worry about hip or groin pain.

serious hip pain difficulty standing weight bearing

Difficulty walking may signal serious hip pain.

What are the red flags for serious hip pain?

Hip pain may be more serious when it follows trauma, prevents weight-bearing, or appears with signs of infection or major injury.

  • Hip pain started after a fall, twist, accident, or direct blow
  • You cannot stand, walk, or bear weight properly
  • Your hip, leg, or joint looks deformed
  • You have swelling, bleeding, or severe bruising
  • The pain is sudden, intense, or rapidly worsening
  • You have fever, chills, marked warmth, or redness around the joint
  • You have constant night pain or pain at complete rest

How do I know if hip pain is serious?

Hip pain is more likely to be serious if it is severe, sudden, linked to a fall or accident, or stops you from walking normally. It also needs prompt medical review if your hip looks deformed or you feel unwell with fever, redness, chills, or marked swelling.

Older adults should be especially careful after a fall. Even a simple fall can sometimes cause a hip fracture. Younger people can also develop serious hip injuries after sport, twisting, high-speed trauma, or a direct blow.

When does hip pain need urgent medical help?

Seek urgent medical help if you cannot bear weight, have severe pain after a fall, notice deformity, or have fever, bleeding, marked swelling, or rapidly worsening symptoms.

Urgent review is also sensible when pain feels very different from your usual symptoms or when intense rest pain does not settle. For a public-health overview, see Healthdirect’s hip pain guide.

Can I walk on hip pain?

You can often walk on mild hip pain if it does not worsen, you do not limp, and the pain improves with gentle movement. Stop and seek assessment if walking becomes painful, unstable, or difficult.

Walking decision guide

  • Usually okay to continue: mild discomfort, improves with movement, no limp
  • Modify activity: moderate pain, stiffness, or symptoms that worsen with walking
  • Stop and seek help: unable to bear weight, severe pain, limping, or sudden pain after injury

If you are unsure, reduce load and arrange an assessment.

Is hip pain after a fall serious?

Hip pain after a fall can be serious, especially if you cannot stand, walk, or bear weight. Pain after a fall may involve a fracture, joint injury, muscle tear, or significant bruising.

Do not try to walk it off if the pain is severe, your leg feels unstable, or weight-bearing is difficult. In that situation, seek medical care first.

Physiotherapist assessing hip joint movement and function during clinical testing

Assessment helps identify the cause of hip pain.

Is hip pain worse at night serious?

Night pain is not always serious. Many hip conditions ache at night because of pressure, inflammation, sleep position, or reduced movement.

However, persistent night pain, pain at complete rest, fever, unexplained weight loss, or pain that keeps worsening should be assessed. These symptoms may need medical review before physiotherapy.

Can serious hip pain feel like back pain or sciatica?

Yes. Hip pain can overlap with lower back pain or sciatica. The location, triggers, and movement pattern often help separate hip-related pain from spine-related pain.

Feature More hip-like More back or sciatica-like
Pain location Groin, outer hip, front of hip Back, buttock, leg
Common trigger Walking, stairs, standing on one leg Bending, sitting, coughing, spine movement
Radiation Often local or around the hip May travel below the knee
Key sign Pain with weight-bearing Pain linked to spine position

What are common non-urgent causes of hip pain?

Common non-urgent causes include hip arthritis, gluteal tendinopathy, greater trochanteric pain syndrome, hip flexor strain, groin strain, and trochanteric bursitis.

Most non-urgent hip pain improves with the right diagnosis, load management, and a progressive rehabilitation plan.

What should I do first for hip pain?

If no red flags are present, reduce painful loading, avoid activities that clearly worsen symptoms, and stay active within comfort. Gentle walking may be suitable if it does not increase pain or cause limping.

Avoid pushing through severe pain, repeated limping, or symptoms that keep worsening. Early assessment can help identify whether the pain is coming from the hip joint, surrounding tendons, bursae, muscles, groin, or lower back.

When should I book a physiotherapy assessment?

Book a physiotherapy assessment if hip pain persists, worsens, limits walking, affects stairs, disrupts sleep, or stops you from sport, work, or daily activity.

A physiotherapist can assess your hip movement, strength, walking pattern, and likely contributing factors. They can also guide exercises, load changes, and whether further medical review is appropriate.

walking recovery after hip pain physiotherapy

Most hip pain improves with the right plan.

What to do next

Seek urgent medical care if you have serious red flags such as inability to bear weight, severe pain after a fall, deformity, fever, bleeding, or rapidly worsening symptoms.

If your symptoms are not urgent but hip pain is persisting or limiting activity, a physiotherapy assessment can help clarify the cause and guide your next step.

Book your appointment – 24/7

Select your preferred PhysioWorks clinic to book online or call.

Follow PhysioWorks

Get free physiotherapy tips, exercise videos, recovery advice, and blog updates.

Facebook Instagram YouTube B X Email PhysioWorks

References

  1. Healthdirect Australia. Hip pain. Healthdirect. Updated 2025. Accessed July 7, 2026.
  2. Mayo Clinic Staff. Hip pain: when to see a doctor. Mayo Clinic. Updated December 23, 2025. Accessed July 7, 2026.
  3. NHS. Hip pain in adults. NHS. Accessed July 7, 2026.

Frequently asked questions

How do I know if hip pain is serious?

Hip pain may be serious if it follows a fall or accident, stops you from walking, causes deformity, or comes with swelling, fever, redness, bleeding, or constant rest pain.

When does hip pain need urgent medical help?

Seek urgent medical help if you cannot bear weight, have severe pain after a fall, notice deformity, or have fever, bleeding, marked swelling, or rapidly worsening symptoms.

Can I walk on hip pain?

Mild hip pain may allow walking if it does not worsen and you do not limp. Stop and seek assessment if walking becomes painful, unstable, or difficult.

Is hip pain after a fall serious?

Hip pain after a fall can be serious, especially if you cannot bear weight. Seek medical care if pain is severe, your leg feels unstable, or walking is difficult.

Is hip pain worse at night serious?

Night pain is not always serious, but persistent night pain, pain at complete rest, fever, or worsening symptoms should be assessed.

Can hip pain be mistaken for sciatica?

Yes. Hip pain can overlap with lower back pain or sciatica. A physiotherapy assessment can help identify whether symptoms are hip-related, spine-related, or both.

When should I book a physiotherapy appointment for hip pain?

Book if hip pain persists, worsens, limits walking, affects stairs, disrupts sleep, or stops you from normal work, sport, or daily activity.

Why Does My Hip Click?

Hip clicking physiotherapy front hip flexion assessment for groin catching
Hip movement testing can help identify whether clicking is harmless or linked with pain, catching, or stiffness.

Quick Answer: Is Hip Clicking Normal?

Hip clicking can be normal when it is painless, occasional, and does not limit walking, sport, stairs, or gym work. It often comes from tendons gliding over bone or pressure changes inside the hip joint.

However, a clicking hip needs assessment if it is painful, frequent, linked with catching, locking, giving way, limping, night pain, or reduced performance. These signs may point to tendon irritation, hip joint irritation, or a condition that needs a clearer plan.

Hip Clicking: Quick Clues

  • Painless click: often normal, especially if it does not limit activity.
  • Front hip snap: may involve the hip flexor or iliopsoas tendon.
  • Outer hip snap: may involve the ITB or gluteal tissues near the greater trochanter.
  • Deep groin click: may need a check for FAIS, labral irritation, or hip joint stiffness.
  • Catching or locking: deserves assessment, especially if it affects walking or sport.

What Causes Hip Clicking?

Hip clicking has several causes. The location of the click gives useful clues. Front-of-hip clicking, side-of-hip snapping, and deep groin catching can each suggest a different source.

Front-of-Hip Clicking

Front hip clicking often relates to the hip flexor or iliopsoas tendon. This tendon can snap as it moves over nearby bone or soft tissue. You may notice it when lifting the knee, getting up from sitting, kicking, climbing stairs, or moving from a bent hip position into standing.

Front hip symptoms can also overlap with Femoroacetabular Impingement Syndrome (FAIS) or hip labral tear, especially if you feel groin pain, pinching, catching, or a blocked feeling with squats, lunges, sitting low, or turning.

Outer Hip Clicking

Outer hip clicking often comes from external snapping hip. This can happen when the iliotibial band, gluteal tendon region, or gluteus maximus moves over the greater trochanter, which is the bony point on the outside of the hip.

This pattern can overlap with Greater Trochanteric Pain Syndrome (GTPS), gluteal tendinopathy, or trochanteric bursitis. It is often worse with walking, stairs, hills, side-lying, or standing on one leg.

Outer hip clicking single-leg step test for lateral hip control
Single-leg testing helps assess outer hip load, snapping, and pelvic control.

Deep Hip or Groin Clicking

Deep clicking, catching, or locking may come from the hip joint. Possible causes include FAIS, labral irritation, hip osteoarthritis, cartilage irritation, or loose bodies inside the joint.

If symptoms overlap with groin pain, this guide may help: What Causes Hip and Groin Pain?

Hip Clicking Pattern Guide

Where you feel it Common pattern Useful next step
Front of hip Hip flexor or iliopsoas snapping Check hip flexor load, strength, and control
Outside of hip ITB or gluteal tissue snapping Assess outer hip tendons and pelvic control
Deep groin Joint-related clicking, catching, or pinching Screen for FAIS, labral signs, or arthritis
After training increase Load-related tendon or control issue Reduce the trigger, then rebuild strength gradually

When Should You Worry About Hip Clicking?

You should seek assessment if hip clicking is painful, frequent, or linked with a change in function. Also book a review if the hip catches, locks, gives way, feels unstable, or stops you from walking, running, working, sleeping, or playing sport.

Seek urgent medical care if you cannot bear weight, have severe pain after trauma, fever, unexplained weight loss, major swelling, severe night pain, or feel unwell with hip pain.

Can Physiotherapy Help Hip Clicking?

Physiotherapy may help when hip clicking relates to tendon irritation, movement control, training load, weakness, or stiffness. The goal is not just to stop a noise. The aim is to identify why the click occurs and whether it matters for your activity.

Assessment Usually Checks

  • where the click occurs: front hip, outer hip, deep groin, or buttock
  • what triggers it: stairs, running, squats, kicking, sitting, or side-lying
  • hip range of motion, strength, balance, and pelvic control
  • signs of FAIS, labral irritation, arthritis, GTPS, or hip flexor pain
  • whether imaging may help if symptoms persist or the hip catches or locks

Treatment May Include

  • Load changes: reduce sprinting, hills, deep squats, or kicking while symptoms settle.
  • Strength exercises: rebuild hip abductors, rotators, hip flexors, and trunk control.
  • Movement retraining: improve squat depth, running cadence, stride control, or kicking mechanics.
  • Manual therapy: joint mobilisation or soft tissue techniques may help short-term comfort when paired with exercise.
  • Return-to-activity planning: progress walking, stairs, gym, running, or sport in stages.

Training tip: If the click is painful, avoid chasing stretches alone. First, reduce the main trigger. Then rebuild hip control, strength, and load tolerance in a staged way.

Should You Keep Exercising With a Clicking Hip?

You can usually keep exercising if the click is painless, does not worsen during activity, and does not cause limping or next-day pain. Choose lower-irritation options while you watch the pattern.

Reduce or pause sharp, loaded, or repeated triggers if pain builds. Common triggers include hill running, sprinting, kicking, deep squats, low chairs, lunges, and repeated stairs.

Related Hip and Groin Guides

Hip Clicking FAQs

Is hip clicking normal?

Yes. Hip clicking can be normal when it is painless, occasional, and does not limit activity. It often comes from tendon movement or pressure changes in the joint. However, painful clicking, catching, locking, giving way, or limping should be assessed.

What causes clicking at the front of the hip?

Front hip clicking often relates to the iliopsoas tendon, which is part of the hip flexor group. It may also overlap with FAIS or labral irritation if you also feel groin pain, pinching, catching, or a blocked feeling with squats or sitting low.

What causes clicking on the outside of the hip?

Outer hip clicking often relates to the ITB or gluteal tissues moving over the greater trochanter. It may occur with walking, stairs, hills, running, or side-lying. If it is painful, GTPS or gluteal tendinopathy may also be involved.

Can hip clicking come from a labral tear?

Yes, a labral tear can cause clicking, catching, locking, or deep groin pain. However, labral changes can also appear on scans in people without symptoms. A physiotherapy assessment helps match scan findings with your pain and movement pattern.

Do I need a scan for hip clicking?

Not always. Many cases can start with a clinical assessment and a trial of load changes and exercise. Imaging may help if symptoms persist, the hip catches or locks, pain follows trauma, or the assessment suggests a joint lesion.

Can physiotherapy stop hip clicking?

Physiotherapy may reduce painful clicking by improving load tolerance, hip strength, pelvic control, and movement technique. The goal is to reduce irritation and improve function. A painless click that does not limit activity may not need treatment.

What To Do Next

Track where you feel the click and which movement triggers it. Note whether it is painless, painful, sharp, catching, or linked with weakness or limping.

If hip clicking is painful, keeps returning, or limits walking, running, gym, work, or sport, book a physiotherapy assessment. A clear assessment can help identify the likely source and guide the right next step.

Book your appointment – 24/7

Select your preferred PhysioWorks clinic to book online or call.

Hip Products

These hip products are commonly used by our physiotherapists to improve strength, posture, movement, plus assist home exercise programs.

View all hip products

Follow PhysioWorks

Get free physiotherapy tips, exercise videos, recovery advice, and blog updates.

Facebook Instagram YouTube B X Email PhysioWorks

References

What Causes Hip and Groin Pain?

Article by John Miller & Erin Runge
hip and groin pain causes assessed with standing hip flexion and rotation

Hip movement checks help guide the next step.

Hip and groin pain causes can include hip joint irritation, groin strain, tendon overload, or pain from the lower back or pelvis. Many people notice pain with walking, running, sitting, stairs, squats, kicking or changing direction.

A hip pain physiotherapy assessment can help sort out the likely source. This is helpful when hip pain overlaps with groin pain.

Quick Answer: What Causes Hip and Groin Pain?

The most common hip and groin pain causes include hip arthritis, femoroacetabular impingement, hip labral tear, groin strain, adductor tendon pain, hip flexor pain, gluteal tendon pain and lower back referral.

Pain site, stiffness, clicking, weakness, limping and activity triggers often give useful clues. A careful check is usually needed because hip, groin and back symptoms can overlap.

Common Hip and Groin Pain Causes

Most causes sit in six groups: hip joint problems, muscle and tendon overload, outer hip pain, referred pain, bone stress, and inflammatory health conditions.

Deep groin pain often points to the hip joint. Inner-thigh pain may involve the adductor muscles or tendons. Outer hip pain often relates to the gluteal tendons or nearby bursa. Back pain can also travel to the hip or groin.

  • Hip joint clues: deep groin pain, stiffness, clicking, catching, pain with sitting, squats or twisting.
  • Muscle or tendon clues: pain with sprinting, kicking, lunges, stairs, running or change of direction.
  • Back-related clues: burning pain, pins and needles, numbness, or symptoms that change with back movement.
  • Bone stress clues: deep pain that worsens with running, jumping or long walks.

Hip Joint-Related Causes

Hip joint pain often feels deep at the front of the hip or groin. It may worsen with sitting, stairs, hills, squats, twisting or getting in and out of a car.

These problems can feel similar early on. Assessment checks hip movement, strength, walking pattern and how symptoms respond to load.

Muscle and Tendon-Related Causes

Soft tissue overload is common in active people, runners, field-sport players and gym users. Symptoms may build slowly or start after a sprint, kick, lunge or sharp change of direction.

Muscle and tendon pain often improves with staged loading. The plan should match the tissue, pain level and activity goal.

hip and groin pain causes checked with adductor squeeze test

Adductor testing can help identify groin sources.

Pain Location Clues

  • Deep groin: the hip joint, labrum, FAI or hip arthritis may be involved.
  • Inner thigh: adductor muscle or tendon load is common.
  • Front of hip: hip flexor pain or joint referral may contribute.
  • Outer hip: gluteal tendons or the trochanteric bursa may be sensitive.
  • Back, buttock or leg symptoms: lower back referral or nerve irritation may be involved.

Lateral Hip Pain Causes

Pain on the outside of the hip often relates to tendon or bursal irritation. Many people feel pain over the side of the hip with side-lying, stairs, hills or standing on one leg.

The key issue is often load sensitivity around the outer hip. Care may focus on reducing compression, changing activity, improving hip strength and rebuilding walking or running tolerance.

Can Back Pain Cause Hip or Groin Pain?

Yes. Lower back pain, sciatica and a pinched nerve can refer symptoms to the front, side or back of the hip.

Back-related symptoms may include burning pain, pins and needles, numbness, or pain below the knee. Hip joint pain usually changes more with hip rotation, squats, stairs or sitting.

Bone, Health and Inflammatory Causes

Less common causes still matter. Osteoporosis can increase fracture risk. Rheumatoid arthritis can cause joint pain, swelling or morning stiffness. Stress fractures can cause deep pain that worsens with impact.

Seek medical advice quickly if pain is severe, traumatic, worsening, linked with fever, or stops you from weight-bearing.

How Does Physiotherapy Help Clarify the Cause?

A physiotherapist checks the pattern rather than guessing from pain location alone. Your assessment may include hip range, strength tests, balance, walking, squat or step checks, spine screening and sport-specific loading.

This helps decide whether symptoms are more likely to involve the hip joint, adductors, hip flexors, gluteal tendons, lower back or another source. It also helps shape a plan for pain relief, load changes, exercise progressions and return to sport.

Imaging may help in some cases. Your physiotherapist may suggest GP review or imaging if your history, symptoms or test findings raise concern.

Should You Keep Exercising?

You may keep moving if symptoms are mild, settle quickly and do not worsen after activity. Reduce sharp, limping or high-speed movements until the cause is clearer.

  • Keep comfortable walking if symptoms do not build.
  • Avoid painful sprinting, kicking, cutting or jumping.
  • Reduce deep squats if they trigger hip or groin pain.
  • Restart strength work gradually.
  • Book an assessment if pain keeps returning.

When Should You Seek Help?

Book an assessment if hip or groin pain lasts more than a few days, limits walking, causes limping, stops sport, affects sleep, or returns when you increase training.

Seek urgent medical care if you cannot bear weight, have severe night pain, fever, unexplained weight loss, major trauma, sudden testicular pain, abdominal pain, or severe pain with feeling unwell.

hip and groin pain causes managed with lateral step reach rehab

Guided control supports safe activity progression.

What To Do Next

If hip or groin pain limits walking, work, training or sport, book a physiotherapy assessment. Early guidance can help identify the likely source, reduce repeated flare-ups and support a safer return to activity.

For athletes and active adults, assessment can also guide load changes, strength progressions and a safer return to running, kicking, cutting or gym training.

Related Information

Hip and Groin Pain FAQs

What causes hip and groin pain?

Hip and groin pain can come from the hip joint, nearby muscles or tendons, bone stress, or referred pain from the lower back or pelvis. Common triggers include walking, running, sitting, stairs, squats and twisting.

Can hip pain cause groin pain?

Yes. Hip joint problems can refer pain into the groin. This can happen with hip arthritis, FAI and hip labral irritation. Pain may worsen with sitting, squats, twisting, stairs or getting in and out of a car.

What does adductor-related groin pain feel like?

Adductor-related groin pain often feels like inner-thigh or groin pain. It may worsen with sprinting, kicking, cutting or squeezing the legs together. It may start suddenly or build slowly with repeated sport load.

When should I see a physiotherapist for hip or groin pain?

Consider an assessment if pain lasts more than a few days, limits daily activity, affects walking, causes limping, stops sport, or keeps returning after rest. Assessment can help guide safe loading.

Can exercise help hip and groin pain?

Exercise may help when it matches the cause and stage of pain. A physiotherapist may guide hip, groin, trunk and leg strength, then progress walking, running, stairs or sport tasks.

Book your appointment – 24/7

Select your preferred PhysioWorks clinic to book online or call.

Hip Products

These hip products are commonly used by our physiotherapists to improve strength, posture, movement, plus assist home exercise programs.

View all hip products

Follow PhysioWorks

Get free physiotherapy tips, exercise videos, recovery advice, and blog updates.

Facebook Instagram YouTube B X Email PhysioWorks

References

  1. Reiman MP, Thorborg K, Hölmich P, et al. Consensus recommendations on the classification, definition and diagnostic criteria of hip-related pain in young and middle-aged active adults from the International Hip-related Pain Research Network, Zurich 2018. Br J Sports Med. 2020;54(11):631-641.
  2. Rolph R, Morgan C, Chapman G, Marsh S. Groin pain in athletes. BMJ. 2020;368:m109.
  3. Short SM, Tenforde AS, Lau B, et al. Hip and groin injury prevention in sport. Int J Sports Phys Ther. 2021;16(1):172-183.
  4. Martins TB, Nunes GS, Freitas-Júnior IF, et al. Risk factors associated with groin pain in athletes: a systematic review with meta-analysis. Life (Basel). 2025.

Hip Impingement

Hip impingement physiotherapy hip flexion internal rotation assessment during groin pain examination

Hip impingement can cause deep front-of-hip or groin pain. It may feel like a pinch, catch or block during squats, sitting, running, kicking or twisting. It often overlaps with other causes of hip pain and groin pain, so a clear assessment helps guide the right plan.

Clinicians often use the term Femoroacetabular Impingement Syndrome, or FAIS. This means your symptoms, clinical signs and imaging findings fit together. Hip shape alone does not prove FAIS, because some people have cam or pincer shapes without pain.

Quick answer: hip impingement often causes a deep groin or front-of-hip pinch during deep bending, twisting, sport or long sitting.

Next step: assessment checks whether symptoms fit FAIS, a hip labral tear, hip flexor pain, adductor overload, back referral or early joint change.

What Is Hip Impingement?

Hip impingement happens when the ball and socket of the hip come into early contact during movement. This contact most often occurs when the hip moves into deep flexion and rotation.

The hip may have a cam shape, a pincer shape or both. These shape features can increase contact between the femoral head-neck junction and the socket rim. This may irritate the labrum, joint surface and nearby tissues.

Still, structure is only one part of the picture. Pain, movement, strength, training load and daily positions all matter.

Common Signs of Hip Impingement

  • deep groin or front-of-hip pain
  • pinching with squatting, lunging or sitting low
  • reduced hip range, especially flexion or rotation
  • clicking, catching or a blocked feeling
  • pain with running, kicking, pivoting or gym training

What Causes Hip Impingement?

Hip impingement usually relates to a mix of hip shape, repeated loading and movement demand. Symptoms may start when training rises, hip control drops, squat depth increases, or sport loads the hip into deep flexion and rotation.

Primary causes often relate to hip development and long-term loading patterns. This is one reason active people and athletes may notice symptoms. Secondary causes may follow previous hip problems or structural change, such as Perthes disease or a previous fracture around the hip.

Hip impingement can also overlap with hip flexor pain, hip adductor tendinopathy, hip labral irritation and lower back referral. Pain location alone is not enough.

What Are the Types of Hip Impingement?

Hip impingement types showing pincer, cam and combined femoroacetabular impingement patterns.
Pincer, cam and combined hip impingement types.

There are three common patterns:

  • Cam impingement: extra bone at the femoral head-neck junction can reduce smooth motion.
  • Pincer impingement: extra coverage from the socket rim can increase contact at the front of the hip.
  • Combined impingement: cam and pincer features both contribute to early contact.

Many people have mixed features. The key question is whether the shape, symptoms and clinical tests all match.

How Is Hip Impingement Diagnosed?

Hip impingement is diagnosed using symptoms, physical tests and imaging where needed. Scans alone are not enough. Some people show hip shape changes without pain.

Your physiotherapist will ask which movements provoke symptoms. They may check whether the hip clicks, catches or feels blocked. They will also ask whether sitting, stairs, squats, running or sport make pain worse.

Assessment usually includes hip range testing, strength testing, movement control checks and provocation tests. These tests aim to reproduce your familiar symptoms. X-rays may help assess hip shape when FAIS is suspected. MRI may help when a labral tear, cartilage injury or another joint problem is being considered. For a broader clinical overview, see the clinical practice guideline for non-arthritic hip pain.

Assessment Usually Checks

  • hip flexion and rotation range
  • pain during squat, lunge, step or sitting positions
  • hip, pelvis and trunk strength
  • clicking, catching, locking or giving way
  • overlap with groin, back or outer hip pain

Hip Impingement Treatment

Most people start with non-surgical treatment. Physiotherapy aims to reduce pain, improve useful hip mobility, rebuild strength and improve hip, pelvis and trunk control. This helps the joint handle load with less repeated pinching.

Early activity changes often help. This may mean reducing deep squats, changing sitting breaks, adjusting running volume, modifying kicking load or changing gym depth for a short time.

A rehabilitation plan may include manual therapy, strength work, movement retraining and a gradual return to sport or gym tasks. Your physiotherapist may also help you adjust training volume, exercise technique and loading speed. For broader context, see our physiotherapy and common physiotherapy treatment techniques pages.

Can You Keep Exercising?

You may keep exercising if symptoms stay mild, your walking stays normal, and pain settles quickly after activity. However, sharp pinching, limping, night pain or worsening next-day stiffness means you should scale back and seek advice.

Hip Impingement Load Guide

Usually okay Walking, easy cycling, light strength work and shallow range exercise if symptoms stay mild.
Modify Deep squats, heavy lunges, sprinting, kicking, pivoting and long sitting if they trigger pinching.
Book assessment Repeated flare-ups, limping, catching, locking, night pain or loss of range.

When Is Surgery Considered for Hip Impingement?

Surgery may be considered when symptoms remain limiting after a well-guided period of rehabilitation and load change. This is more likely when pain affects work, sport, daily function or sleep, and when clinical findings and imaging support hip impingement as the main driver.

Hip arthroscopy is the most common surgical approach. It may address the bony impingement pattern and, where needed, associated labral or cartilage problems. Surgery is not the first step for most people, so conservative care is usually tried first.

When Should You Worry About Hip Impingement?

Organise an assessment if groin or hip pain keeps returning, the hip catches or locks, pain stops you from training, or you are losing range of motion. Ongoing symptoms can mimic or overlap with hip arthritis, greater trochanteric pain syndrome, gluteal tendinopathy or hip clicking.

Seek medical care quickly if hip pain follows major trauma, you cannot bear weight, you feel unwell with fever, pain is severe at night, or symptoms are rapidly worsening.

What to Do Next

If your hip feels pinchy, stiff or painful with loaded movement, a physiotherapy assessment can help clarify whether hip impingement is likely. It can also check whether another hip or groin condition is contributing.

A clear diagnosis matters because treatment should match the structure involved, your activity goals and the movements that trigger symptoms. Many people improve with education, load change, hip strength work, movement retraining and a graded return to activity.

Related Hip Pain Information

Book your appointment – 24/7

Select your preferred PhysioWorks clinic to book online or call.

Hip Products

These hip products are commonly used by our physiotherapists to improve strength, posture, movement, plus assist home exercise programs.

View all hip products

Follow PhysioWorks

Get free physiotherapy tips, exercise videos, recovery advice, and blog updates.

Facebook Instagram YouTube B X Email PhysioWorks

Hip Impingement FAQs

What does hip impingement feel like?

Hip impingement often feels like a deep pinch at the front of the hip or groin. It may worsen during squats, lunges, sitting low, running, kicking or twisting. Some people also notice stiffness, clicking, catching or a blocked feeling.

Is hip impingement the same as FAIS?

Hip impingement is the common term. FAIS, or Femoroacetabular Impingement Syndrome, is the clinical term when symptoms, physical signs and imaging findings fit together. Hip shape alone does not confirm FAIS because some people have shape changes without pain.

Can hip impingement improve without surgery?

Yes. Many people start with physiotherapy, load change, strength work and movement retraining. The goal is to reduce repeated painful pinching, improve hip and pelvis control, and rebuild activity tolerance. Surgery is usually considered only when symptoms remain limiting despite a clear rehabilitation plan.

Should I stretch hip impingement?

Gentle mobility may help some people, but forceful stretching into a painful pinch can irritate symptoms. Many people do better with a mix of activity changes, hip strength, trunk control and careful range work. Your assessment should guide which movements suit your hip.

When should I get imaging for hip impingement?

Imaging may help when symptoms persist, the diagnosis is unclear, or a labral or cartilage problem is suspected. X-rays can assess hip shape. MRI may help assess soft tissues. A physiotherapist or doctor can advise whether imaging is needed.

Can I run with hip impingement?

You may run if symptoms stay mild, your walking or running gait stays normal, and pain settles after training. Reduce speed, hills, stride length or volume if symptoms build. Stop and book an assessment if you limp, lose range, or symptoms keep flaring the next day.

References

  1. Enseki KR, Bloom NJ, Harris-Hayes M, Cibulka MT, Disantis A, Di Stasi S, et al. Hip Pain and Movement Dysfunction Associated With Nonarthritic Hip Joint Pain: A Revision. J Orthop Sports Phys Ther. 2023;53(7):CPG1-CPG70. doi:10.2519/JOSPT.2023.0302
  2. Gómez-Verdejo F, Alvarado-Solorio E, Suarez-Ahedo C. Review of femoroacetabular impingement syndrome. J Hip Preserv Surg. 2024;11(4):315-322. doi:10.1093/jhps/hnae034
  3. Kemp JL, Scholes MJ, Smith AJ, et al. Physiotherapist-led treatment for femoroacetabular impingement syndrome (the PhysioFIRST study): an assessor-blinded, limited disclosure randomised controlled trial. Br J Sports Med. Published online 2026. doi:10.1136/bjsports-2025-110986
  4. Griffin DR, Dickenson EJ, O'Donnell J, Agricola R, Awan T, Beck M, et al. The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement. Br J Sports Med. 2016;50(19):1169-1176. doi:10.1136/bjsports-2016-096743
You've just added this product to the cart: