The Top 3 Causes of Hip Flexor Pain

Anterior hip pain or “hip flexor” pain is a very common complaint among active individuals. It is something that I see in my clinic almost daily.

There are only a few, very common reasons for anterior hip pain. It is very important to diagnose these causes correctly so the right treatment plan can be implemented.

  1. Hip flexor muscle/tendon strain

    The hip flexors are the group of muscles that work in conjunction to elevate your leg and thus flex your hip.

    These muscles originate on the pelvis or on the lumbar spine and insert onto your thigh bone or femur. An acute injury, and most overuse injuries to these muscles can present as pain in the groin or in the front of your hip.

    Mostly patient have groin pain or hip pain with activities, and no pain at rest.

  2. Hip labrum injury

    This hip labrum is a rim of cartilage that encircles the acetabulum. The acetabulum is the socket portion of your hip, which is a ball and socket joint.

    It acts to deepen the socket and provide a suction effect to keep your hip in place. The hip labrum frequently is injured in athletes who participate in sports requiring deep flexion of their hips, or extremes of range of motion, like dancers.

    The hip labrum can be injured acutely during a trauma to the area or over time which may be caused by impingement between the ball and socket of your femur joint.
    Many times a patient who has been treated for a long time for a hip flexor strain and is not getting better will have an injury to their hip labrum.

  3. Hip arthritis

    Arthritis is the loss of articular cartilage in a joint.

    Cartilage is the smooth surfaces on the ends of the femur bone and in the socket of the hip joint that allows the hip to glide through a smooth and painless range of motion. When this cartilage wears away, or degenerates it can cause pain in the front of the hip near the hip flexor.

If you think you may have a hip flexor sprain, or you have pain in your hip, schedule an appointment with the orthopedic surgeons at Westchester Sport and Spine by calling (914) 358-9700.

Dr. Michael Gott is a Westchester orthopedic surgeon who is fellowship trained in sports medicine. He has also been an active member of the National Ski Patrol as well as a Member of the Windham Mountain Ski Patrol for 18 years.