Hip & Groin

Hip & Groin

Hip and Groin Pain

Hip pain is rarely just the hip, as the low back is often the culprit of developing pathology. The hip has a ball-and-socket joint in which the top of the thigh bone fits into the hollow socket into your pelvis. The ball-and-socket joint allows maximum movement of the bones involved. There are muscles and tendons which form a capsule around the joint and support it. Whenever you move or run, a pillow of cartilage prevents friction between the bones and the socket.


  • Decreased hip mobility
  • Swelling, stiffness, redness, and warmth in the area
  • Limping
  • Difficulty putting weight/pressure on the leg
  • Difficulty urinating, starting the urinary stream, or straining to urinate
  • Burning during and/or after urination
  • Changes in erectile quality, strength of ejaculate, and/or orgasm intensity
  • Pain with ejaculation
  • Pain and/or difficulty with bowel movement
  • Perineal, penile, or anal pain
  • Perineal, penile, or anal pain with sitting and/or exercise

Hip Conditions

  • Bursitis
  • Early Arthritis
  • Femoral Acetabular Impingement (FAI)
  • Gluteal Tendinitis
  • Hamstring Strain
  • Hip Flexor Strain
  • Hip impingement, or femoroacetabular impingement
  • Hip Replacement
  • Muscle Strains (Hip, Groin)
  • Osteoarthritis
  • Posterior hip pain
  • Sacroiliac Joint Pain
  • Total Hip Arthroplasty Rehabilitation


  • Bladder
  • Bowel
  • Chronic Pelvic Pain
  • Erectile Dysfunction
  • Prostate Surgery


We will help you heal, regain strength, mobility and reduce pain by providing an individualized treatment plan using the following modalities:

  • Therapeutic Exercise
  • Functional Training
  • Patient Education
  • Joint Mobilization and Manipulation
  • Soft Tissue Mobilization
  • Dry Needling
  • Trigger Point Therapy
  • Aquatherapy



We will help you heal, regain strength, mobility and reduce pain by providing an individualized treatment plan using the following modalities:

  • Therapeutic Exercise
  • Functional Training
  • Patient Education
  • Joint Manipulation and Mobilization
  • Soft Tissue Mobilization
  • Dry Needling
  • Trigger Point Therapy
  • Posture Modification
  • Balance Exercises
  • Exercises to improve overall strength and Endurance
  • Targeted Pain Relieving
  • Aquatherapy


Balance problems make it hard for people to maintain stable posture and stay upright when standing, walking and even sitting. Balance problems are more common in older adults and are the most common reason they seek help from a doctor. A custom program is designed for each patient to reduce dizziness, improve balance, and improve the general quality of life with vestibular dysfunction. If balance problems go untreated, they can lead to falls.


  • Muscle weakness
  • Joint stiffness and decreased movement
  • Inner ear problems
  • Certain medicines (such as those prescribed for depression and high blood pressure)
  • Lack of physical activity or too much sitting
  • Simple aging


  • Vertigo and dizziness
  • Imbalance, difficulty walking or turning a corner
  • Nausea, ear pain
  • Blurred vision
  • Sensitivity to change in walking surface or footwear
  • Core hip weakness
  • Trouble focusing vision
  • Difficulty concentrating
  • Forgetfulness
  • Discomfort in busy visual environments, i.e., traffic, crowds, stores
  • Hearing loss
  • Tinnitus (ringing, buzzing in-ear)
  • Sensitivity to loud noises
  • Anxiety, panic, depression

Medical Conditions

  • Stroke
  • Parkinson disease
  • Multiple sclerosis
  • Traumatic brain injury
  • Arthritis
  • Spinal cord injury
  • Cognitive diseases (conditions that affect learning or thinking)
  • Diabetes

Balance problems can also occur when one or more of these five systems in the body do not function properly:

Vision: Poor vision can result from age, eye tracking problems, or eye diseases.

Inner ear: The part of the inner ear responsible for balance is the vestibular system. Hence, inner ear problems that affect a person’s balance are also called vestibular problems. Inner ear problems can develop from trauma, aging, poor nutrition, or disease.

Muscular system: Muscle strength and flexibility can decline due to lack of exercise, too much sitting, or disease.

Proprioception: (the awareness of one’s own body position) Body-position sense can become abnormal due to trauma or a disease, such as diabetes.

Circulation: A sudden drop in blood pressure when a person sits or stands up, called orthostatic hypotension, can make a person feel dizzy or lightheaded. This may cause a person to faint and fall. Circulation problems can be caused by heart problems, dehydration, and some diseases.

The brain receives and combines information from the eye, inner ear, and body-position senses for balance control. It then sends signals to muscles to move or adjust to stay balanced. A person may not be able to maintain or correct their balance if:

  • One or more of the senses is not sending correct signals to the brain
  • The muscles cannot carry out the movements


Passive Physical Therapy for Balance

  • Canalith repositioning
  • Activity modification
  • Education

Active Physical Therapy for Balance

  • Balance training
  • Strength training
  • Core strengthening
  • Gait training
  • Flexibility training
  • Activities of daily living
  • Visual tracking exercise
  • Proprioceptive training



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