
Hip Conditions
Hip Flexor Tendonitis
Hip Flexor Tendonitis

Our hip flexor muscle group goes from our lumbar spine at a 45-degree angle to attach into the medial portion of our hip. Spasms of this muscle or irritation of it can cause pain and inflammation of the tendon where it attaches to the bone. Prolonged sitting or standing can increase the risk of having these issues, especially if you don’t stretch this muscle out before activity or sports.
Common symptoms include:
- Hip pain that progressively worsens with activity
- Clicking or popping in hip or groin region
- Hip pain when sitting or rising from a seated position
- Pain that refers to the lower back, groin, or leg regions
Sciatica

Piriformis syndrome usually starts with localized pain, tingling, or numbness in the buttocks. Pain can be severe and extend down the length of the sciatic nerve down the back of the leg. The pain is commonly due to the piriformis muscle compressing the sciatic nerve, such as while sitting in a chair at a desk, sitting in a car seat, or with running — especially uphill. Pain may also be triggered while climbing stairs, applying firm pressure directly over the piriformis muscle, or sitting for long periods of time.
Common Sciatica symptoms include:
- A dull ache in the buttock
- Pain down the back of the glut, thigh, calf, or foot
- Pain when walking up stairs or inclines
- Increased pain after prolonged sitting
- Reduced range of motion of the hip joint
SI Joint Pain

Sacroiliitis may be felt as a deep pain in the back or buttocks that typically gets better with activity. It generally is worst at night or in the early morning. Sacroiliitis is a common cause of inflammatory back pain. Symptoms of sacroiliitis tend to occur early on in the course of ankylosing spondylitis and may be the reason your sacroiliac joints are tender if you have this disease.
Symptoms often aggravated with:
- Prolonged standing
- Bearing more weight on one leg than the other
- Stair climbing
- Running
- Taking large strides
Hamstring/Quad Injuries

Once a muscle strain occurs, the muscle is vulnerable to re-injury. It is important to let the muscle heal properly and to follow preventive guidelines from your doctor.
A hamstring injury occurs when you strain or pull one of your hamstring muscles. The hamstrings are a group of three muscles that run along the back of your thigh. You may be more likely to get a hamstring injury if you play a sport that involves sprinting with sudden stops and starts. Hamstring injuries typically are very limiting and can present with black and blue bruising if tears occur.
A quadriceps injury occurs when you strain or pull one of your four quad muscles that attach your hip to your knee at the kneecap. You may be more likely to injury this muscle if you participate in a sport that requires a quick or strong contraction of the quad, as in football, running, basketball, tennis or a similar sport that involves sprinting or sudden stops and starts.
Labrum Tears

It was once believed that a single injury was the main reason labral tears occurred (running, twisting, slipping). Improved radiographic imaging and anatomy studies now make it clear that abnormal shape and structure of the acetabulum, labrum, and/or femoral head can also lead to the problem. Injury is still a major cause for labral tears. Anatomical changes that contribute to labral tears combined with repetitive small injuries lead to a gradual onset of the problem. Athletic activities that require repetitive pivoting motions or repeated hip flexion cause these type of small injuries.
Symptoms may include:
- Sharp pain around hip or groin region
- Increase in pain with hip rotation
- A feeling of your hip catching or clicking
- Joint instability in the hip
Hip Bursitis

By far, the most common type of hip bursitis is from the trochanteric bursa. This can be injured in one of two ways: through a direct impact to the bursa, such as a fall onto the outer hip, which is known as traumatic bursitis, or through repetitive friction from the overlying muscles and tendons, usually during running. This repeated friction results in the bursa becoming inflamed and swollen.
Every time the tendons then rub over the bursa, this causes pain. Typically, the pain is worse at night, when lying on the affected hip, and when getting up from a chair after being seated for a while. It also may get worse with prolonged walking, stair climbing, or squatting.
Trochanteric bursa —outside of the hip between the greater trochanter and gluteal muscles.
Gluteus medius bursa —between the gluteus medius muscle and the greater trochanter
Iliopsoas bursa —between the iliopsoas muscle at the front hip joint and the underlying bone
Ischial bursa —between the hamstring tendons and the base of the pelvis.