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Episode
3 of 3
Published
Nov 20th, 2019
Run Time
17m 33s
Topic
Hip Exam
Your Instructor

Episode Summary

Learn how to assess hip and groin pain more effectively by matching your exam to the athlete’s history, symptoms, and sporting demands. Discover practical ways to distinguish intra-articular from extra-articular problems while keeping rehabilitation progressive, individualized, and focused on safe return to activity.

Management of hip and groin pain is presented as a practical, context-dependent process rather than a diagnosis based on one test. The main focus is on interpreting symptoms within the athlete’s environment, sport, injury mechanism, and history. Acute soccer-related groin pain may point more toward adductor, iliopsoas, inguinal, or pubic causes, while mechanical symptoms such as catching or popping can suggest intra-articular problems like labral injury or osteoarthritis. A detailed assessment is emphasized: clarify where pain began, screen the lumbar spine and serious pathology, and distinguish intra-articular from extra-articular sources. Clinical findings should be weighed alongside imaging, while recognizing that structural differences do not always match symptoms. Treatment centers on good physiotherapy with progressive, individualized loading instead of excessive rest. Squats and lunges are used both to assess symptoms and to modify movement by reducing hip flexion, adduction, or internal rotation when needed. Learners can expect guidance on adapting exercises, monitoring load tolerance and capacity, considering psychosocial factors, and planning return to sport through education, symptom calming, continued strength work, and patient-specific goal setting.