Patients suffering from hip pain or groin pain are often seen in physiotherapy practice. Pain may be caused by local structures within or around the hip or groin, or, may be referred from other sources (such as the lower back, pelvis or sacroiliac joint).

Sudden onset hip and groin pain often occurs in athletes involved in fast moving change-of-direction sports, kicking sports and those sports which involve rapid acceleration and deceleration (such as football, soccer and basketball). These acute injuries usually involve tearing of a muscle or tendon within the region. One of the most common causes of sudden onset pain at the front of the hip is a Hip Flexor Strain whilst the most likely cause of sudden onset groin pain is a Groin Strain.

Gradual onset groin pain often occurs in those patients involved in sports or activities that combine high running loads, rapid change-of-direction, and repetitive kicking. One of the most common causes of this exercise related gradual onset groin pain is Osteitis Pubis. In older patients with gradual onset hip or groin pain, the most likely cause of symptoms is degenerative changes in the hip joint, such as Hip Osteoarthritis.

There are numerous other causes of hip and groin pain, some of which present suddenly due to a specific incident, others which develop gradually over time.

Below are some of the more common causes of hip and groin pain with a brief description of each condition to aid diagnosis. Conditions have been organised according to sudden or gradual onset and common or less common conditions for ease of use.

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