How to Treat Hip Flexor Pain (2024)

Hip flexor pain can usually be treated quickly with non-surgical, low-risk treatments. In fact, one study found that 80% of college athletes who reported strained hip flexors were able to return to play in less than one week.1Eckard, T. G., Padua, D. A., Dompier, T. P., Dalton, S. L., Thorborg, K., & Kerr, Z. Y. (2017). Epidemiology of Hip Flexor and Hip Adductor Strains in National Collegiate Athletic Association Athletes, 2009/2010-2014/2015. The American Journal of Sports Medicine, 45(12), 2713–2722. https://doi.org/10.1177/0363546517716179 The most effective treatments are typically rest and self-care.

See Understanding Hip Flexor Pain

Self-Care for Hip Flexor Pain

Making simple changes or including self-care treatments can make daily life with hip flexor pain manageable.

Self-care for hip flexor pain may include:

  • Avoiding bending at the hip, such as when reaching into a stove or picking up a child, in order to rest the affected area.
  • Avoiding activities that put stress on the hip, including any sports that involve running, kicking, or turning. A person may want to consider limiting going up or down stairs or walking long distances; however, activities should not be completely avoided.
  • Applying ice or heat to the affected area of the hip or groin. This can be done with ice cubes or frozen vegetables (in plastic bags) wrapped in a towel, or a hot water bottle.
  • Compressing the affected hip with an elastic bandage to reduce any swelling. The elastic bandage can be wrapped around the hip and pelvis. Compression should be moderately tight without causing any additional pain.
  • Elevating the affected leg when possible to reduce any possible swelling.
  • Taking over-the-counter pain medication, such as ibuprofen (Advil, Motrin) or acetaminophen (Tylenol) may help with hip flexor pain. Be careful when taking over-the-counter pain relief as they may come with side effects and are not recommended for long-term use.

See Groin Strain and Injury

Not all of these remedies will work for everyone. People are encouraged to try out each one to determine what works best.

While many cases of hip flexor pain can be relieved with at-home treatments, sometimes pain persists. In these cases, medical attention may be necessary.

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When to See a Doctor

In many cases, hip flexor pain can be resolved with home treatment within a few weeks. If pain persists for more than 4 to 6 weeks, contact a doctor. A doctor can make a diagnosis and recommend appropriate treatment.

See Causes of Hip Flexor Pain

A person should seek immediate medical attention if they experience:

  • Severe pain or sharp and shooting hip or groin pain
  • The inability to walk or bear weight on the affected hip
  • Sudden swelling in the hip or groin
  • Protruding bones or deformities, especially after falling or a car accident
  • Signs of an infection, such as a fever, redness, and the chills

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These are signs of serious injuries that need immediate medical attention.

Watch: Hip Pain Diagnosis Video

  • 1 Eckard, T. G., Padua, D. A., Dompier, T. P., Dalton, S. L., Thorborg, K., & Kerr, Z. Y. (2017). Epidemiology of Hip Flexor and Hip Adductor Strains in National Collegiate Athletic Association Athletes, 2009/2010-2014/2015. The American Journal of Sports Medicine, 45(12), 2713–2722. https://doi.org/10.1177/0363546517716179

How to Treat Hip Flexor Pain (1)

Dr. Charles Claps is an orthopedic surgeon specializing in hip and knee conditions and joint replacement at Resurgens Orthopaedics. He is experienced performing total hip replacement and outpatient hip replacement surgery.

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How to Treat Hip Flexor Pain (2024)

FAQs

How to Treat Hip Flexor Pain? ›

It typically requires one to three weeks of rest and treatment to recover from mild conditions fully. On the other hand, more severe cases can take around four to six weeks or longer. In addition, injuries that did not receive immediate treatment may take months to recover fully and may also cause chronic pain.

How long does it take for a hip flexor strain to heal? ›

It typically requires one to three weeks of rest and treatment to recover from mild conditions fully. On the other hand, more severe cases can take around four to six weeks or longer. In addition, injuries that did not receive immediate treatment may take months to recover fully and may also cause chronic pain.

Should I stretch my hip flexors if they hurt? ›

Light exercise is encouraged to relieve hip flexor pain. There are several exercises recommended to stretch, strengthen, and reduce hip pain. These exercises do not require any equipment and can easily be done at home.

How do I fix my hip flexor pain? ›

Most people can recover by resting their muscle and using at-home treatments like ice and over-the-counter medicine. If you're feeling pain for a few weeks after your injury or have severe symptoms, see a healthcare provider.

Is walking good for hip flexor strain? ›

After the immediate strain settles down and you can tolerate the pain and discomfort, it's time to get moving! Gentle motion and physical activity are appropriate, the goal is to get back to your normal routine and be able to tolerate simple things like walking, sitting, stairs, etc.

What can be mistaken for hip flexor pain? ›

Lower abdominal strains are sometimes mistaken for hip flexor strains because the pain can be in the same location.

What does a pulled hip flexor feel like? ›

Mild pain and pulling in the front of the hip. Cramping and sharp pain. It may be hard to walk without limping. Difficulty getting out of a chair or coming up from a squat.

What not to do when your hip flexor hurts? ›

Self-Care for Hip Flexor Pain

Avoiding activities that put stress on the hip, including any sports that involve running, kicking, or turning. A person may want to consider limiting going up or down stairs or walking long distances; however, activities should not be completely avoided.

Is heat or ice better for hip flexor pain? ›

Right after an injury or pain flare, it's usually better to use ice. Ice eases pain and swelling by constricting blood vessels and decreasing circulation to the area. After this period, when the area tends to feel tight but not painful, it often helps to switch to heat, says Dr. Lu.

How to pop a hip flexor? ›

Butterfly stretches
  1. Sit up straight with your buttocks firmly touching the floor.
  2. Bend your knees and place the bottoms of your feet together so that your heels touch.
  3. Take a deep breath in to center your stretch.
  4. Gently press your knees down on both sides toward the floor and breathe out. You may hear your hip pop.
Aug 21, 2018

How should I lay to relieve hip flexor pain? ›

Try sleeping on your back

Sleeping on your back evenly distributes your weight and prevents any one joint from getting strained. That means it's beneficial for your hips. If you're not normally a back sleeper, it can be tricky to get used to this position. Try adding a pillow or bolster under your knees.

What aggravates a hip flexor strain? ›

Football, hockey, running, and martial arts are more likely to create this type of injury. However, there are also aggravating factors that can lead to hip flexor strain include, such as: Weak muscles surrounding the hip flexors. Not warming up/ poorly conditioned muscles.

How long does it take for a sore hip flexor to heal? ›

While a mild hip flexor strain can take just a few weeks to heal, it may take more than 6 weeks to recover from a more severe strain.

How to loosen up hip flexors? ›

Hip flexor stretch (edge of table)
  1. Lie on your back on a table or flat bench, with your knees and lower legs hanging off the edge of the table.
  2. Grab your good leg at the knee, and pull that knee back toward your chest. ...
  3. Hold the stretch for at least 15 to 30 seconds.
  4. Repeat 2 to 4 times.

How do I know if I pulled my groin or hip flexor? ›

Signs and symptoms of a hip flexor strain:

Pain in the front of the hip or in the groin. Pain, tenderness, and weakness when walking or climbing stairs. Pain when lifting the knee toward the chest. Pulling sensation in the front of the hip or in the groin.

Should you massage a strained hip flexor? ›

In a word - yes. Generally speaking, massage therapy can be highly beneficial for relieving pain and tightness in any of the body's muscles, and the hip flexors are no different.

What is a Grade 1 hip flexor strain? ›

Grade 1 – is a mild strain. There is a slight pull with tiny tearing. There is no loss of strength, and the muscle and tendon are the correct length.

What exercises should you avoid with a hip flexor strain? ›

Avoid exercises involving repetitive hip flexion, the motion involving bringing your hip or leg up toward your chest. If doing squats, keep them shallow and hold off on lunges entirely, until you receive a diagnosis from your doctor. Do not work through pain. When walking or running, pay attention to pain.

References

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