Hip and groin pain can be a constant low grade ache often with a sharp catching pain on movement in the front of your hip. Usually it will just slowly creep up with the pain on and off over a few months starting for no apparent reason. Sometimes it can be due to trauma (car accident/fall off horse) but this is not common.
The pelvis is designed to best absorb impact from the leg into the back of the joint where the cartilage is thickest.
Hip and groin pain is caused by increased loading into the front of the joint.
This disruption in force transfer can be caused by a number of reasons:
Most hip and groin pain can be controlled with commitment to a structured physiotherapy rehabilitation program.
It doesn’t matter what structure is affected causing pain, it is more important to determine why the pain is occurring.
If there is only an isolated acetabular tear – surgery is usually not indicated as there are very poor outcomes. If there is arthritis already present and the labral tear is repaired – wear and tear tends to be accelerated which leads to a total hip replacement (See Blog article – Do You Have Arthritic Hips? Why Do You Need to Consider an Anterior Hip Replacement?) sooner rather than later.
If within 3 months of Physiotherapy there is not significant improvement, we would consider a referral to an orthopaedic surgeon and imaging for further exploration. In any case, the strength gained with Physiotherapy Exercises pays dividends in the long run by improving hip biomechanics and hence the recovery from surgery is a faster, smoother process.