Condition pillar . Hip Pain

Hip Pain at Physio+

AI summary

Hip pain at Physio+ covers femoroacetabular impingement, labral tears, gluteal tendinopathy, trochanteric bursitis, and post hip replacement rehab. A strength and mobility plan built around true hip mechanics resolves most non surgical cases inside six to ten weeks. Post surgical recovery runs on a protocol coordinated directly with your orthopedic surgeon.

What hip pain actually is

Hip pain rarely comes from the hip joint alone. The most common pattern we see in Lindale and Tyler is weak glutes with a tight hip flexor, producing impingement at the front of the joint and bursitis at the side. Fix the pattern and the joint calms down. True intra articular pathology (labral tears, advanced arthritis, FAI that needs surgery) exists but is less common than the pattern problem.

Common causes we see

  • Weak gluteus medius and maximus forcing hip flexors to stabilize
  • Prolonged sitting compressing the hip capsule and flexors
  • Running or squatting with poor pelvic control
  • Post hip replacement and labral repair recovery
  • Referred pain from the lumbar spine that mimics hip pathology
  • Trochanteric bursitis from IT band tension and gait patterns

Our approach

We start with manual therapy to free the capsule, progressive glute strengthening, and hip flexor mobility work. Dry needling helps for piriformis and gluteus medius trigger points. Cameron Berry handles most of our post operative hip cases.

A Physio+ hip evaluation takes sixty minutes. We range, strength test, screen the lumbar spine, and watch you walk, squat, and hinge. You leave visit one with a pattern diagnosis, two to three exercises, and a plan.

What we actually do in clinic.

From first visit to finished plan.

Step 01
Sixty minute evaluation, range, gait, lumbar and hip screen
Step 02
Manual mobilization and dry needling if trigger points present
Step 03
Progressive glute and hip flexor program
Step 04
Return to squatting, running, or full work capacity
Hip hinge pattern coaching on a plyo box at Physio+
Hip

Hinge. Not hunch.

Hip pain is usually a loading problem, not a flexibility problem. We rebuild the hinge, the squat, and the step before we send you back.

Hip Pain questions.

Is my hip pain from a labral tear?

Labral pathology is common on MRI even in asymptomatic people. Most hip pain we see is mechanical and labrum related findings often resolve with pattern correction. We send for surgical consult only when conservative care has failed.

01
Do I need a hip replacement?

Very few of our hip pain patients end up needing surgery. When they do, we coordinate directly with the orthopedic surgeon and run the post op protocol from day one.

02
Why does the side of my hip hurt when I walk?

Lateral hip pain is usually gluteus medius tendinopathy or trochanteric bursitis. It responds to progressive glute loading and IT band mobility, not stretching.

03
Can I still squat and deadlift?

Almost always, yes. We modify depth, stance, and load for the acute phase and return you to full range inside six to eight weeks.

04
Should I stretch my hip flexors every day?

Short sessions of hip flexor mobility help. But if glutes are weak, stretching alone will not fix the pattern. Strength is the fix.

05
How long until running feels normal again?

Most runners are back to easy miles inside three to four weeks and to full training inside six to ten weeks, depending on mileage.

06
Ready when you are

Get a real plan for hip pain.

Book the $99 audit. You leave with a working diagnosis, two to three exercises, and a clear timeline.