Hip

Serious Hip Pain: When Should You Seek Help?

Serious hip pain may need urgent medical attention when it starts after a fall or accident, stops you from standing or bearing weight, causes visible deformity, or occurs with fever, marked swelling or rapidly worsening symptoms.

Most hip pain is not an emergency. Muscle, tendon, bursa, joint and lower-back problems can all cause hip-area pain. The important first step is deciding whether you need emergency care, prompt medical assessment or a non-urgent physiotherapy review.

For a broader guide to pain locations and possible causes, visit our hip pain hub. You can also read about when to worry about hip or groin pain.

serious hip pain difficulty standing weight bearing

Difficulty standing or bearing weight may signal a serious hip injury.

What should you do about serious hip pain?

Use the warning signs below to choose the safest next step. Do not book physiotherapy first when symptoms suggest a fracture, serious injury, infection or medical emergency.

Emergency care now

Call Triple Zero (000) or attend an emergency department when hip pain follows a serious accident or injury and you have:

  • an obvious hip or leg deformity
  • an open injury or uncontrolled bleeding
  • severe pain with an inability to stand or bear weight
  • signs of serious illness, collapse or medical distress

Seek prompt medical assessment

Arrange urgent or same-day medical advice when you have:

  • sudden severe hip pain without a clear cause
  • a hot, red or markedly swollen hip
  • fever, chills or feeling generally unwell
  • rapidly worsening pain or function
  • persistent unexplained pain at complete rest
  • ongoing night pain with other concerning symptoms

Physiotherapy may be appropriate

Consider physiotherapy when no urgent warning signs are present but hip pain:

  • persists or keeps returning
  • limits walking, stairs, work or sport
  • causes limping or reduced confidence
  • disrupts sleep without other red flags
  • does not improve with sensible activity changes

What are the red flags for serious hip pain?

Red flags are symptoms or circumstances that may indicate a fracture, significant joint injury, infection or another condition needing medical care.

  • Severe hip pain after a fall, collision, accident or direct blow
  • Inability to stand, walk or bear weight through the affected leg
  • An obvious change in the shape or position of the hip or leg
  • An open wound, uncontrolled bleeding or severe swelling
  • Sudden pain that is intense or rapidly worsening
  • Fever, chills, marked warmth or redness around the joint
  • Feeling generally unwell alongside severe hip pain
  • Persistent unexplained pain at complete rest

One symptom alone does not always confirm a serious condition. However, severe pain combined with trauma, inability to bear weight or systemic illness needs prompt medical assessment.

How do I know if hip pain is serious?

Hip pain is more concerning when it is severe, sudden, linked to trauma or stops you from walking normally. Visible deformity, marked swelling, fever, redness or feeling unwell also increase the need for medical review.

Older adults should take hip pain after a fall seriously, even when the fall seemed minor. A hip fracture may sometimes occur without dramatic bruising or an obvious change in leg position.

Younger people can also sustain significant hip injuries during sport, twisting incidents, high-speed accidents or direct contact.

When does hip pain need emergency help?

Seek emergency help when serious hip pain follows major trauma, the hip or leg looks deformed, an open injury is present, bleeding will not stop, or you cannot stand or bear weight.

Call Triple Zero (000) for a serious injury or medical emergency. Avoid trying to walk on the affected leg while waiting for help.

When should I seek prompt medical assessment?

Seek prompt medical advice for sudden severe hip pain without an accident, rapidly increasing pain, significant swelling, a hot or red joint, fever, chills or feeling generally unwell.

Persistent unexplained pain at complete rest also deserves assessment, particularly when it occurs with unexplained weight loss, fever, recent infection or a history of serious illness.

For further public-health guidance, see Healthdirect’s hip pain guide.

Can I walk on hip pain?

You may be able to continue gentle walking when discomfort is mild, your walking pattern remains normal and symptoms do not increase during or after activity.

Walking decision guide

Usually reasonable to continue: mild discomfort, no limp and symptoms remain stable or ease with gentle movement.

Reduce or modify walking: pain increases with distance, stiffness builds, or you start changing how you move.

Stop and seek help: severe pain, sudden pain after injury, instability, marked limping or inability to bear weight.

Walking ability does not prove that an injury is minor. Some people can still take a few steps despite a fracture or significant soft-tissue injury.

Is hip pain after a fall serious?

Hip pain after a fall can be serious, particularly when you cannot stand, walk or place normal weight through the leg. Possible causes include a fracture, joint injury, muscle or tendon tear, and significant bruising.

Do not try to walk it off when pain is severe, the leg feels unstable or weight-bearing is difficult. Seek medical care first.

Physiotherapist assessing hip joint movement and function during clinical testing

Assessment can help separate hip, groin and lower-back causes once urgent conditions have been excluded.

Is hip pain at night serious?

Night pain is not always a red flag. Tendon irritation, arthritis, pressure on the outer hip, sleep position and reduced movement can all make hip pain more noticeable at night.

Arrange an assessment when night pain persists, keeps worsening or occurs with fever, unexplained weight loss, marked swelling, feeling unwell or pain at complete rest.

Can serious hip pain feel like back pain or sciatica?

Yes. Hip pain can overlap with lower-back pain and sciatica. Pain location alone does not always identify the source.

Features that may be more hip-related

  • groin, outer-hip or front-of-hip pain
  • pain with walking, stairs or standing on one leg
  • reduced hip movement or stiffness
  • pain when bearing weight through the leg

Features that may be more spine-related

  • lower-back or buttock pain
  • pain travelling down the thigh or below the knee
  • tingling, numbness or altered sensation
  • symptoms linked to sitting, bending, coughing or spinal position

These patterns are guides rather than diagnostic tests. Hip and spinal conditions can occur together, so assessment may be needed when symptoms are persistent or unclear.

What are common non-urgent causes of hip pain?

Many cases of hip pain are not emergencies. Common causes include:

Non-urgent hip pain may still need assessment when it limits normal movement, causes repeated limping or fails to improve.

What should I do first for non-urgent hip pain?

When no red flags are present, temporarily reduce activities that clearly increase symptoms. Stay active within comfort and avoid repeatedly pushing through severe pain or limping.

Gentle walking may be suitable if your symptoms remain mild and your gait stays normal. Avoid aggressive stretching, heavy loading or repeated impact when these activities clearly worsen pain.

When should I book a physiotherapy assessment?

Book a physiotherapy assessment when hip pain persists, keeps returning or limits walking, stairs, work, exercise, sleep or sport.

A physiotherapist can assess hip movement, strength, walking pattern and load tolerance. They can also consider whether symptoms may come from the hip joint, tendons, bursae, muscles, groin or lower back.

If your assessment identifies features that need medical investigation, your physiotherapist can advise you about the appropriate next step.

What to do next

Seek emergency or urgent medical care first when you cannot bear weight, have severe pain after trauma, notice deformity, have an open injury, develop fever or feel seriously unwell.

When no urgent warning signs are present but hip pain persists or limits normal activity, physiotherapy may help clarify the cause and guide safe recovery.

Frequently asked questions

How do I know if hip pain is serious?

Hip pain may be serious when it follows a fall or accident, stops you from standing or bearing weight, causes visible deformity, or occurs with marked swelling, fever, redness or rapidly worsening symptoms.

When does hip pain need emergency help?

Seek emergency help for severe hip pain after major trauma, obvious deformity, an open injury, uncontrolled bleeding or an inability to stand or bear weight. Call Triple Zero (000) for a serious injury or medical emergency.

Can I walk on hip pain?

Gentle walking may be reasonable when discomfort is mild, your gait remains normal and symptoms do not worsen. Stop walking and seek help when pain is severe, you become unstable or you cannot bear weight.

Is hip pain after a fall serious?

Hip pain after a fall can be serious, especially for an older adult or when standing and walking are difficult. Do not try to walk it off when pain is severe or the leg feels unstable.

Is hip pain at night always serious?

No. Many non-urgent hip conditions ache at night. However, persistent worsening night pain with fever, weight loss, marked swelling, feeling unwell or pain at complete rest needs assessment.

When should I see a physiotherapist for hip pain?

Consider physiotherapy when no urgent warning signs are present but pain persists, keeps returning or limits walking, stairs, sleep, work, exercise or sport.

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References

  1. Healthdirect Australia. Hip pain. Healthdirect Australia. Accessed July 22, 2026.
  2. Mayo Clinic Staff. Hip pain: when to see a doctor. Mayo Clinic. Accessed July 22, 2026.
  3. National Health Service. Hip pain in adults. NHS. Accessed July 22, 2026.

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.

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Hip Products

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View all hip products

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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 may include irritation inside the hip joint, a groin strain, tendon overload, bone stress or referred pain from the lower back or pelvis. Symptoms often appear during walking, running, sitting, stairs, squats, kicking or changing direction.

A hip pain physiotherapy assessment can help identify the most likely source. This is especially useful when hip pain overlaps with groin pain or lower back symptoms.

Quick Answer: What Causes Hip and Groin Pain?

Common hip and groin pain causes include hip osteoarthritis, femoroacetabular impingement, hip labral irritation, groin strain, adductor tendon pain, hip flexor pain, gluteal tendon pain and referred pain from the lower back.

Pain location offers clues, but it does not confirm a diagnosis. Stiffness, clicking, weakness, limping, altered sensation and activity triggers help build a clearer clinical pattern.

What Are the Main Hip and Groin Pain Causes?

Most causes fit within several broad groups: hip joint problems, muscle or tendon overload, outer hip conditions, referred pain, bone stress and inflammatory or medical conditions.

Deep pain at the front of the hip or groin can suggest involvement of the hip joint. Inner-thigh pain may involve the adductor muscles or tendons. Outer hip pain commonly relates to the gluteal tendons or nearby bursa. However, symptoms can overlap, and lower back problems may also refer pain into the hip or groin.

Deep Front Hip or Groin Pain

The hip joint, labrum, FAI or hip arthritis may contribute.

Common clues: stiffness, clicking, catching, reduced rotation, sitting pain, squatting pain or difficulty getting out of a car.

Inner-Thigh or Groin Pain

The adductor muscles or tendons are common sources.

Common clues: pain with squeezing the legs together, sprinting, kicking, cutting, lunging or changing direction.

Outer Hip Pain

Gluteal tendon or trochanteric pain may be involved.

Common clues: pain with side-lying, stairs, hills, walking, standing on one leg or lying directly on the painful side.

Back, Buttock or Leg Symptoms

Lower back referral or nerve irritation may contribute.

Common clues: burning pain, pins and needles, numbness, pain below the knee or symptoms that change with spinal movement.

Important: These patterns provide clues only. More than one structure may contribute, and pain location alone cannot confirm the diagnosis.

What Symptoms Suggest a Hip Joint Problem?

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

Several joint-related problems can feel similar during their early stages. Assessment may examine hip movement, strength, walking, single-leg control and how symptoms respond to different positions and loads.

Could the Pain Come From a Muscle or Tendon?

Muscle and tendon overload is common in active people, runners, field-sport athletes and gym users. Symptoms may build gradually or begin after a sprint, kick, lunge or sudden direction change.

Muscle and tendon problems often respond to staged loading. However, the exercise plan should match the likely tissue, symptom level, current capacity and activity goal.

hip and groin pain causes checked with adductor squeeze test

Adductor testing can help identify possible groin-related sources.

What Causes Pain on the Outside of the Hip?

Outer hip pain commonly relates to sensitivity within the gluteal tendons and surrounding tissues. Many people notice pain during side-lying, walking, stairs, hills or prolonged single-leg standing.

Care often focuses on reducing irritating compression, adjusting activity, improving hip strength and gradually rebuilding walking or running tolerance.

Can Back Pain Cause Hip or Groin Pain?

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

Back-related symptoms may include burning pain, pins and needles, numbness, leg pain or symptoms that change when you move your spine. By comparison, hip joint symptoms often change more with hip rotation, squatting, stairs, sitting or getting in and out of a car.

What Other Health Conditions Can Cause Hip or Groin Pain?

Less common causes still require consideration. Osteoporosis may increase fracture risk. Rheumatoid arthritis may cause joint pain, swelling and prolonged morning stiffness. A stress fracture may cause deep pain that worsens with impact, running or repeated loading.

Medical review becomes more important when pain is severe, follows trauma, worsens despite rest, affects general health or prevents weight-bearing.

How Does Physiotherapy Help Identify the Cause?

A physiotherapist examines the full symptom pattern rather than relying on pain location alone. Assessment may include hip range, strength, resisted muscle testing, balance, walking, squats, steps, spinal screening and activity-specific loading.

These findings help determine whether symptoms are more likely to involve the hip joint, adductors, hip flexors, gluteal tendons, lower back or another source. They also guide load modification, rehabilitation exercise and return-to-activity planning.

Imaging may help in selected cases. Your physiotherapist may recommend GP review, medical assessment or imaging when your history or examination findings suggest this is appropriate.

Should You Keep Exercising?

You may continue comfortable movement when symptoms remain mild, settle quickly and do not worsen later that day or the next morning.

  • Keep walking if pain does not build or cause limping.
  • Reduce painful sprinting, kicking, cutting or jumping.
  • Modify deep squats if they reproduce hip or groin pain.
  • Restart strength work gradually rather than testing maximum loads.
  • Arrange an assessment if symptoms repeatedly return.

When Should You Seek Help?

Book an assessment when hip or groin pain lasts more than a few days, limits walking, causes limping, stops sport, affects sleep or returns whenever activity increases.

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

hip and groin pain causes managed with lateral step reach rehab

Guided control and progressive loading support a safer return to activity.

What To Do Next

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

For athletes and active adults, assessment may also guide training changes, strength progression and return to running, kicking, cutting or gym exercise.

Related Hip and Groin Information

Hip and Groin Pain FAQs

What causes hip and groin pain?

Hip and groin pain may 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 may refer pain into the groin. This can occur with hip arthritis, femoroacetabular impingement and hip labral irritation. Symptoms 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. Symptoms may begin suddenly or build gradually with repeated loading.

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 repeatedly returns after rest.

Can exercise help hip and groin pain?

Exercise may help when it matches the likely cause and stage of pain. Rehabilitation may include hip, groin, trunk and leg strengthening followed by gradual progression of walking, running, stairs or sport tasks.

Choose your clinic and appointment pathway

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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

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

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

Choose your clinic and appointment pathway

Select a PhysioWorks clinic to continue to live booking, an appointment request or reception assistance.

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

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

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
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