Groin and hip pain

Groin and hip pain

Struggling with groin or hip pain?

We provide effective hip and groin pain physiotherapy to help you recover faster and get back to the activities you love.
Groin and hip pain refers to discomfort felt in the inner thigh, lower abdomen, hips or pubic region. It can develop gradually over time or occur suddenly, depending on the cause. While commonly seen in athletes involved in kicking, sprinting, and change-of-direction sports (like football, hockey, and AFL), groin pain can affect anyone — from active individuals to desk-based workers.

Groin and hip pain is often multi-factorial and may involve one or more structures, including muscles, tendons, ligaments, or joints. A thorough assessment is essential for accurate diagnosis and effective management.
Groin and hip pain treatment at West Coast Physio

Common causes of groin and hip pain

Groin and hip pain can result from several different sources, including:

  • Adductor-related groin pain – overuse or strain of the adductor (inner thigh) muscles
  • Iliopsoas-related groin pain – involving the hip flexor muscles, especially during running or kicking
  • Pubic-related pain (osteitis pubis) – inflammation at the front of the pelvis, common in sports with high loads
  • Inguinal-related pain – involving the lower abdominal wall
  • Hip joint conditions – such as femoroacetabular impingement (FAI) or labral pathology
  • Referred pain – from the lower back or pelvis

These presentations are commonly classified under the Doha Agreement clinical terminology for groin pain in athletes.

How we can help manage your groin or hip pain

At our clinic, we follow best-practice, evidence-based guidelines to assess and treat groin and hip pain. Our approach focuses on accurate diagnosis, progressive rehabilitation, and returning you safely to activity or sport.

Thorough Assessment & Diagnosis

We follow a structured approach to classify groin pain based on clinical presentation. This helps us target the most relevant area — whether it’s adductor, hip flexor, pubic, or joint-related — and design the right treatment pathway.

Based on: Doha Agreement, Weir et al., British Journal of Sports Medicine, 2015

Progressive Loading & Strengthening

The cornerstone of groin pain management is a structured rehabilitation program that includes progressive strength and load-based exercises for the hip, core, and pelvis.

Research shows that a 12-week adductor strengthening program can significantly reduce injury risk and improve pain (Harøy et al., BJSM, 2019)

Return to Sport or Activity Planning

For athletes, we develop stage-based return-to-sport protocols that include sport-specific drills, agility, and change-of-direction mechanics. For non-athletes, we help restore confident movement and function for work, fitness, or daily life.

Supported by: Holmich et al., 1999; evidence supports active over passive rehab for long-standing groin pain

Manual Therapy & Symptom Management

Where appropriate, we may use hands-on techniques to reduce muscle tension, improve hip mobility, or assist with pain relief in the early stages.

Manual therapy is most effective when combined with active rehab, not as a stand-alone treatment (Cowan et al., 2010)

Education & Load Management

We guide you in managing training loads, rest-to-work ratios, and other factors to reduce recurrence risk. Helping you understand your condition and treatment plan improves long-term outcomes.

Supported by: Mendiguchia et al., 2017; education and load management reduce reinjury risk

Physio for groin and hip pain: FAQs

Rest alone often leads to recurrence. Strengthening and progressive loading are essential.

Areas We Serve

We provide physiotherapy services to clients with groin and hip pain across the Perth northern suburbs. Some of the most common areas we serve include:

Doubleview, Scarborough, Innaloo, Woodlands, Wembley Downs, Churchlands, Karrinyup, Gwelup, Osborne Park, City Beach, Floreat, and Trigg.

If you're located nearby and looking for expert groin and hip pain care, we're just a short drive away.

Additionally, we provide expert and specialist physiotherapy care to many clients who live in Perth and regional Western Australia – your rehabilitation is our priority and many of our clients are prepared to drive further to receive quality care.