5 Hip Pain Symptoms that may be Serious


If physical activity plays an important role in your lifestyle, you have no doubt had your share of aches and pains, and most go away on their own. But habitually ignoring pain may cause you to overlook important symptoms that signal a serious degenerative condition that should be treated. Certain types of hip pain in particular can indicate a worsening overuse injury that could become debilitating if ignored.

Hip Anatomy and Function

As a large ball-and-socket joint, your hip joint has the unique ability to move in multiple planes, with a broad range of motion. Designed for repetitive motion, proper hip function depends on good pelvic stability and a strong core. As part of the lower kinetic chain, the hip can be affected by misalignments of the knee and ankle, and vice versa. Because of its proximity to the lumbar spine, hip dysfunction can cause low back pain.

The hip joint is formed by the head of the femur serving as the ball, and the acetabulum of the pelvis forming the socket. The joint is held securely in place by ligaments. The hip joint capsule is lined with a synovial membrane that produces synovial fluid for lubrication of the joint. Fluid-filled bursa sacs cushion areas of friction between muscles, tendons, and bones. The pelvic and thigh bones are covered with cartilage at the ends for further protection. However, overuse and aging can lead to wear and tear that reduces function and causes pain in the groin and hip.


Symptoms that may Signal Trouble

After vigorous exercise, it is not uncommon to experience delayed onset muscle soreness in the hip region, which usually diminishes and disappears in a few days’ time. However, chronic pain that persists for weeks or months should not be ignored. What begins as a minor overuse injury can escalate to a major problem if left untreated.

Pay particular attention to these five hip pain symptoms:

  • Pain that persists for longer than a month
  • Pain radiating from the hip to the groin
  • Hip and/or groin pain during physical activity, sitting, sleeping or driving
  • Hip and/or groin pain with leg lifts or hip flexion
  • Reduced hip range of motion and stiffness in the joint

These symptoms can indicate a number of conditions, many of which can be treated and remedied with physical therapy in the early stages. The longer you put off treatment, the more difficult it will be to rehabilitate a damaged hip.

Hip Pain Specialist in NYC

If you are experiencing ongoing hip pain symptoms, the physical therapy team at NYDNR can put you on the road to recovery. We use cutting edge technologies and innovative therapies that cannot be found in most rehab clinics.

Some of our rehab tools include:

Contact NYDNR today, and let us help you reach your peak potential for performance and function.



A clinical exam and diagnostic ultrasound imaging can help your therapist pinpoint the exact location and cause of your hip and groin pain.

Ultrasound enables you and your therapist to view the hip and groin region in real time, while in motion. In addition to ultrasound, video gait analysis can help us identify faulty movement mechanics that contribute to hip and groin pain. Once the exact cause is determined, an effective treatment plan can be initiated.


Please explore more advanced diagnostic option unavailable anywhere else:


Hip dysfunction and pain can be a complex issue due to interactions of the trunk, pelvis, low back, groin and hip joint. Physical therapy and rehabilitation that is based only on subjective clinical analysis often addresses the symptoms without resolving the underlying cause.


At NYDNRehab, our groundbreaking motion analysis technology and high resolution diagnostic ultrasonography have enabled us to develop a battery of tests that perfectly reveal the dynamic functional pathology of the hip joint and pelvis. Our tests are evidence-based protocols that are considered to be the gold standard in the world of research.

Our testing protocol includes:


Combined lumbopelvic hip stability test using DLEST methodology with C.A.R.E.N., our computer assisted rehab environment


Hip joint stability test using DLEST methodology with C.A.R.E.N.


3D star excursion banner test (SEBT) for assessing the involvement of the hip joint and muscles in postural stability


3D gait or running analysis


3D kinematic joint angle analysis during a squat, lunge, drop jump and pelvis on hip rotation


Rehabilitative ultrasonography for viewing intrinsic hip stabilizing muscle activation patterns


In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

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