Groin pain is a common complaint affecting both sporting and less active populations. Groin pain is frequently associated with injury to the adductor muscle group of the inner thigh. However, muscle injury is not the only cause of groin pain and symptoms are frequently either persistent or recurrent.

Another cause of groin pain is femoroacetabular impingement syndrome (FAI). This condition is considered a movement related disorder of the hip joint and is caused by premature contact between the proximal femur (thigh bone) and the acetabulum (hip socket).

Recent research published in the Lancet has demonstrated that personalised hip therapy programmes improve hip related quality of life for patients with FAI.

The diagnosis of FAI can involve both clinical assessment and radiological imaging when required. A simple test which aids diagnosis involves hugging the knee of the affected side diagonally across the chest and monitoring for the reproduction of groin pain. Reproduction of pain may indicate FAI.

Hip therapy for people with FAI may include education/advice, progressive strengthening exercise programme, stability exercise, stretching and manual therapy.

If you are having ongoing groin pain that is not improving with time, it might be time to see one of our physiotherapists. They will perform specific hip joint tests to help differentiate between a joint and muscle condition, and then refer for further investigations if needed. An individualised exercise programme will then be given to help improve your pain and help get you back to you normal activities.