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Physiotherapy

Hip
Pain.

Hip pain affects people of all ages — from young athletes with labral tears to older adults with osteoarthritis. Accurate diagnosis is critical because the hip can refer pain to the groin, thigh, buttock, and knee, often leading to misdiagnosis and delayed treatment.

Causes & Conditions

Diagnosing
hip pain.

The hip joint is the body’s largest ball-and-socket joint, carrying 3–5 times body weight during walking and up to 8 times during running. Its deep, stable architecture makes true hip joint pain less common than pain from surrounding structures — which is why assessment must differentiate intra-articular from extra-articular sources.

Femoroacetabular impingement (FAI) and labral tears have emerged as a leading cause of hip pain in active adults under 50, frequently missed by general imaging. Specialized physiotherapy assessment can identify these conditions and guide appropriate management.

  • Hip osteoarthritis — progressive cartilage loss causing groin pain, stiffness, and reduced range of motion
  • Femoroacetabular impingement (FAI) — cam or pincer morphology causing labral and cartilage damage
  • Acetabular labral tear — fibrocartilage rim tear causing clicking, locking, and anterior groin pain
  • Greater trochanteric pain syndrome — gluteus medius/minimus tendinopathy and trochanteric bursitis
  • Piriformis syndrome and deep gluteal syndrome — sciatic nerve compression in the deep gluteal space
  • Hip flexor strain and iliopsoas tendinopathy — anterior hip pain in runners and kicking athletes
  • Adductor strain and athletic pubalgia — groin injuries in kicking and cutting sport athletes
  • Avascular necrosis — bone death from compromised blood supply requiring urgent medical management
  • Snapping hip syndrome (coxa saltans) — audible or palpable snapping from IT band or iliopsoas
  • Post-hip replacement rehabilitation — structured recovery after total arthroplasty
Our Treatment

Targeted hip
rehabilitation.

Manual Therapy

Hip joint mobilization and soft tissue therapy to restore joint range of motion and reduce pain.

Class IV Laser

Deep penetrating photobiomodulation targeting hip joint inflammation, gluteal tendinopathy, and bursitis.

IMS / Dry Needling

Gluteal, piriformis, and hip flexor trigger point release — particularly effective for greater trochanteric pain syndrome.

Focused Shockwave

Calcific gluteal tendinopathy and recalcitrant trochanteric bursitis — stimulates repair and breaks down calcification.

Active Rehabilitation

Hip abductor, external rotator, and core strengthening — the foundation of all hip rehabilitation programs.

Post-Hip Replacement Rehab

Protocol-based rehabilitation after total hip arthroplasty — restoring gait, strength, and function.

What to Expect

From assessment
to full function.

Assessment includes hip range of motion, FADIR and FABER tests for labral pathology, Thomas test for hip flexor tightness, single-leg squat assessment, and neurological screening to rule out lumbar referral.

Hip osteoarthritis and greater trochanteric pain syndrome typically respond within 8–12 sessions. Post-surgical hip replacement rehabilitation follows a structured 12–24 week protocol. Labral pathology may require a longer conservative trial before surgical assessment.

  • ICBC direct billing for MVA hip injuries
  • WorkSafeBC accepted for occupational hip conditions
  • Post-surgical protocol coordination with your orthopaedic surgeon
  • Shockwave available for calcific gluteal tendinopathy
  • Progressive return-to-sport and return-to-work programs
  • No referral required in BC

Ready to start
your recovery?

Surrey, BC · ICBC & WorkSafeBC Accepted · Direct Billing

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