Hip Flexor Pain — Muscle Injury or Something More? | Outpatient Joint Replacement Center Of America (2024)

Hip pain affects millions of people, and it can take many different forms. A large number of people report experiencing hip flexor pain. Aches, pain and stiffness of the muscles and connective tissue that help lift the upper leg to the torso or enable you to bend at the waist.

Patients typically experience hip flexor pain in the groin region or the front of the hips and it can be worsened by movements like kicking, changing direction suddenly or any activity that requires lifting the leg such as climbing stairs.

Hip flexor pain are muscle strains and minor ligament sprains can be caused by overuse. These less serious acute injuries generally heal in a short period of time with minimal treatment. However, chronic or recurring hip flexor pain may be a sign of a more serious injury.

If you’re searching for relief from hip flexor pain, or general hip pain and would like to learn more about potential causes, please read the following information. If you have any questions or would like to find out more about your treatment options, don’t hesitate to reach out to the caring team at Outpatient Joint Replacement Center of America (OJRCA).

Overview of Hip Flexor Anatomy and Hip Flexor Pain

The hip flexors consist of several muscles that do the work of lifting the upper leg toward the upper body or enabling us to bend at hips. These muscles and accompanying tendons include the iliopsoas, which are two very large muscles that start in the lower back, extend through the hips and connect to the thigh bone. Another major hip flexor muscle is the rectus femoris, which is part of the quadriceps and extends over the thigh bone from the hips to the knee.

We put a large amount of stress on the hip flexor muscles during daily activities. This is especially true for people who work physical jobs or athletes. If these muscles and tendons become overworked, small tears can develop that cause hip pain. These small tears are essentially what cause muscle strains and ligament sprains, respectively.

Other Causes of Hip Flexor Pain Include Labral Tears, Bursitis, Hip Impingement and arthritis

Strains and sprains in the upper leg and hips aren’t the only potential sources of hip flexor pain and hip pain. For example, tears can develop in the labrum, which is a soft ring of cartilage that surrounds and is attached to the hip socket. This type of hip pain is often described as a dull ache or a sharp catch in the front of the hip or groin.

Hip bursitis is inflammation of small fluid-filled sacs that help allow the muscles around the hip to glide against the thigh bone. A specific type of hip bursitis is iliopsoas bursitis in the hip flexor area.

Another injury that can cause similar symptoms to hip flexor pain is hip impingement. This is usually caused by abnormal bone development or growth and can result in groin pain and reduced range of motion in the upper leg.

Finally, arthritis is an extremely common cause of hip pain as everyone gets older, particularly osteoarthritis resulting from age-related degeneration of cartilage and other soft tissue. Arthritis symptoms can be wide-ranging, from aches and stiffness in the inner hip, to hip flexor and groin pain in the front of the hips.

Diagnosing and Treating Hip Flexor Pain

For hip flexor pain that does not improve in a few days to a week at the most, patients should seek help from a qualified medical professional. A correct diagnosis and treatment plan can give you the best chance of a positive outcome and good long-term quality of life.

Your doctor will review your medical history to find out if you are predisposed to certain conditions or injuries, or if they run in your family.

Another important step is a physical evaluation that includes hands-on examinations and range-of-motion tests. This can help to pinpoint the source of hip pain. Diagnostic testing and imagery may be used to reach a positive diagnosis or rule out other conditions.

Upon diagnosis, the specific course of treatment will depend on the source of hip flexor pain. Most minor injuries require rest, ice, compression, elevation and possibly over-the-counter medication to manage symptoms while the affected tissue heals.

More serious injuries or conditions can also benefit from physical therapy. Another promising area of treatment are injections, such as platelet-rich plasma injections, amniotic fluid injections or viscosupplementation, that are designed to help the body’s natural healing and regeneration process.

Is Surgery Ever Recommended for Hip Flexor Pain?

Surgery for hip flexor pain is typically only indicated for severe issues such as muscle or ligament tears and ruptures or fractures.

Another potential reason for surgery is hip joint damage caused by different forms of arthritis or long-term wear and tear on the joint. In these situations, a hip replacement surgery may help relieve pain and restore function on a long-term basis.

Experience the OJRCA Difference

For patients exploring hip replacement surgery who have misgivings about highly invasive inpatient procedures, there is an alternative. Continuing development of surgical techniques and state-of-the-art technology enable a muscle, tendon, tissue-sparing approach that allows for full use and motion of the hip immediately after the procedure. The decreased incision sizes, most between three and five inches help promote a streamlined, outpatient procedure.

At OJRCA, we combine these techniques with our unique multimodal pain prevention protocol that has revolutionized joint replacement recovery. The result is a reduced risk of complication and a shorter recovery compared to traditional approaches to hip replacement surgery.
To learn more about your options for hip pain relief, contact one of our representatives today or call us at (813) 492-4607. We will work with you to develop an individualized treatment plan that can help you find lasting relief from hip flexor pain.

Hip Flexor Pain — Muscle Injury or Something More? | Outpatient Joint Replacement Center Of America (2024)

FAQs

What can be mistaken for hip flexor pain? ›

Lower abdominal strains are sometimes mistaken for hip flexor strains because the pain can be in the same location.

What kind of doctor treats hip flexor pain? ›

Getting a Diagnosis for Hip Flexor Pain

Ultimately, there are many reasons a person may experience hip flexor pain. A health care professional, such as a physical therapist, physical medicine and rehabilitation doctor (physiatrist), or orthopedic surgeon can accurately diagnose the underlying cause of hip flexor pain.

How do I know if my hip pain is muscle or joint? ›

Problems within the hip joint itself tend to result in pain on the inside of the hip or the groin. Hip pain on the outside of the hip, upper thigh or outer buttock is usually caused by problems with muscles, ligaments, tendons and other soft tissues that surround the hip joint.

Why is my hip flexor pain not going away? ›

Hip flexor pain are muscle strains and minor ligament sprains can be caused by overuse. These less serious acute injuries generally heal in a short period of time with minimal treatment. However, chronic or recurring hip flexor pain may be a sign of a more serious injury.

How do I know if my hip flexor is strained or torn? ›

Symptoms of a hip flexor tear or strain

The pain and other symptoms can range from mild to so intense that it impacts your mobility. Other symptoms of a hip flexor tear or strain include: Pain when lifting the leg to the chest or stretching the hip muscles. Swelling, bruising or tenderness in the hip or thigh area.

What is the difference between hip flexor pain and SI joint pain? ›

SI joint pain usually accompanies difficulties standing, walking, climbing stairs, or getting out of the car. Hip pain typically occurs when walking and putting weight on or rotating the leg.

What is the one leg test for hip replacement? ›

Inability to perform the one leg test

If you can't stand on your problem leg for longer than a minute – even with the support of a door frame or table-top for balance, then you might have a problem with your hip. There are some other exercises you can try at home to see if you could benefit from hip pain treatment.

How to tell if pain is muscular or joint? ›

Joint Pain: What Is the Difference? Joint and muscle pain represent two different medical conditions. While muscle pain is pain felt when the body is in motion, joint pain is more often felt when the body is at rest.

What is a red flag for hip pain? ›

Several telltale signs can identify red flags of hip conditions. Pain radiating from the hip to the thigh, groin, or lower back may indicate a more serious issue. The inability to walk normally or with any degree of comfort is another important symptom that should not be ignored.

What is the best medicine for hip flexor pain? ›

Compression should be moderately tight without causing any additional pain. Elevating the affected leg when possible to reduce any possible swelling. Taking over-the-counter pain medication, such as ibuprofen (Advil, Motrin) or acetaminophen (Tylenol) may help with hip flexor pain.

What is the fastest way to heal a hip flexor strain? ›

Follow these steps for the first few days or weeks after your injury:
  1. Rest. Stop any activity that causes pain.
  2. Gentle stretching to extend your hip can help with recovery.
  3. Ice the area for 20 minutes every 3 to 4 hours for 2 to 3 days. Do not apply ice directly to your skin. Wrap the ice in a clean cloth first.

Should I stretch my hip flexor if it hurts? ›

Light exercise is encouraged to relieve hip flexor pain. There are several exercises recommended to stretch, strengthen, and reduce hip pain. These exercises do not require any equipment and can easily be done at home.

What does an inflamed hip flexor feel like? ›

Mild pain and pulling in the front of the hip. Cramping and sharp pain. It may be hard to walk without limping. Difficulty getting out of a chair or coming up from a squat.

How to tell the difference between hip flexor pain and hip impingement? ›

The key differentiator in hip flexor pain vs. hip impingement is at what range the symptoms are provoked. Impingement: felt at end range hip flexion i.e. squat or the thigh to chest test. Hip Flexor Adhesion: felt at end range hip extension or the lunge stretch test.

Where does hip flexor pain radiate? ›

A lot of people suffer from dysfunctional hip flexor muscles. This is due to faulty biomechanics and poor posture. The condition can be caused because of too much stress or sitting too much as well resulting in pain in the lower back area, ankles, knees, and feet.

What is the difference between psoas and hip flexor pain? ›

A psoas tear occurs when this muscle experiences a sudden forceful stretch or strain beyond normal limits. Tight hip flexors are different from a psoas tear and are typically caused by prolonged sitting or lack of activity. Depending on how long the person has been sedentary, mild to severe muscle tightness can occur.

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