Who We Help

• Runners, field sport athletes, dancers, and gym enthusiasts with overuse or acute hip/groin injuries
• People with hip osteoarthritis seeking non-operative management or prehabilitation
• Patients after anterior hip replacement or hip arthroscopy
• Adults with gluteal tendinopathy / greater trochanteric pain syndrome (GTPS) and lateral hip pain
• Adolescents with growth-related hip and groin pain (e.g., apophysitis) and return-to-sport planning
• Women with hip-pelvic pain during pregnancy or postpartum

Our Assessment: Clear Diagnosis, Clear Plan

Every program begins with a detailed, face-to-face assessment. We explain the diagnosis in plain language and agree on goals and timelines.

• History & functional testing: symptom behaviour, aggravators, red flags, sport/work demands
• Movement analysis: squat, lunge, gait, and running mechanics (cadence, over-stride, hip drop)
• Strength & capacity: hip abductors, rotators, extensors; single-leg control and endurance
• Range of motion & irritability: capsular vs muscular restriction; pain-limited vs stiffness-limited
• Imaging coordination (if needed): ultrasound, X-ray, or MRI via our hip specialists if results will change management
• Baseline metrics: strength tests, step count, sit-to-stand, and patient-reported outcomes (e.g., HOOS-JR)

Treatment Pillars of Hip Physiotherapy

1) Individualised Exercise Therapy

We prescribe graded, condition-specific exercise to restore strength, control, and resilience. Typical components include:

• Isometrics for pain modulation (e.g., 30–45 s holds, 4–5 sets)
• Heavy-slow resistance for tendon and muscle capacity (2–4 sessions/week)
• Hip abductor/extensor strength (e.g., bridges, hip thrusts, step-downs, split squats)
• Rotational control (anti-rotation, cable chops, single-leg RDLs)
• Mobility targeted to restrictions (capsular stretches, thoraco-pelvic rotation)

2) Load Management & Activity Pacing

We calibrate training volume, intensity, and frequency to reduce irritability while maintaining fitness.

• Adjust weekly running km, intensity distribution, and surfaces
• Swap painful drills for bike, pool, or elliptical to preserve conditioning
• Structure 48–72 h recovery windows around high-load sessions

3) Gait & Technique Coaching

Movement quality changes tissue load. We address:

• Running cadence and stride length to reduce hip/groin load
• Hip-knee alignment during squats/lunges; cueing to reduce adduction/internal rotation
• Sport-specific patterns (kicking, change-of-direction, lifts)

4) Pain Relief Strategies

Education, temporary activity modifications, and isometric analgesia help settle symptoms. Where appropriate, we co-ordinate guided injections (e.g., corticosteroid for bursitis, PRP for selected tendinopathies) with our orthopaedic and sports medicine colleagues.

5) Lifestyle & Recovery

Sleep, nutrition, and bone health matter—especially for stress injuries and tendon pain. We advise on recovery routines and liaise with your GP for broader health checks when indicated.

Your Program: Phases, Progressions, and Milestones

1. Settle & Stabilise: symptom control, isometrics, gentle mobility, load audit
2. Build Capacity: heavy-slow resistance; single-leg control; progressive ROM
3. Integrate & Perform: running drills, change-of-direction, plyometrics (when appropriate)
4. Return & Prevent: graded return-to-run/return-to-play plans; maintenance strength

We track objective markers (strength ratios, step count, HOOS-JR) and adapt weekly. You’ll know exactly what to do, how much, and when to progress.

Physiotherapy After Hip Surgery

After Anterior Hip Replacement

• Week 0–2: gait re-education, swelling management, gentle range, home safety
• Week 2–6: progress walking distance, hip abductor and extensor strength, balance
• Week 6–12: stair confidence, endurance work, return-to-golf/cycling as cleared
• Beyond 12 weeks: higher-level conditioning and activity-specific goals

We align with your surgeon’s protocol and any precautions, especially in the early phase. See our
Anterior Hip Replacement pathway for more.

After Hip Arthroscopy (FAI/Labrum)

• Protect repairs, avoid pinch positions, restore range gradually
• Rebuild deep rotator strength and pelvic control
• Return-to-run and change-of-direction based on strength and tolerance criteria

Visit Hip Arthroscopy (Key-Hole Surgery) for procedure details and timelines.

Programs for Specific Populations

Runners

Cadence optimisation, tissue-specific loading, hill/track strategies, and shoe advice. Graded return with
objective hop and strength criteria.

Field & Court Athletes

Adductor/hamstring capacity, acceleration/deceleration drills, kicking mechanics, and
change-of-direction progressions.

Older Adults with Hip OA

Low-impact conditioning (bike, pool), strength for transfers and stairs, and pain-management education. If surgery is appropriate,
we provide prehab to improve outcomes.

Pregnancy & Postpartum

Pelvic stability, gluteal strength, and safe activity guidelines that adapt to each trimester and postpartum stage.

What to Expect & Results

• Clear diagnosis and written plan after your first visit
• Symptom improvement often begins within 2–6 weeks with consistent rehab
• Strength and function gains progress over 8–12 weeks and beyond
• Objective re-testing to confirm readiness for running, sport, or work demands
• Education and a long-term maintenance plan to reduce recurrence