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. 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 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.

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? ›

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.

How to fix hip flexor pain fast? ›

Ice and heat. Both ice and heat can be helpful 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.

Why is my hip flexor pain not going away? ›

Hip flexor pain are muscle strains and minor ligament sprains can be caused by overuse. These less serious acute injuries generally heal in a short period of time with minimal treatment. However, chronic or recurring hip flexor pain may be a sign of a more serious injury.

How do I reduce inflammation in my hip flexor? ›

After one day, you can apply ice every three to four hours. Don't apply ice directly to your skin (wrap the ice pack in a towel or washcloth). Compression: Compression helps reduce blood flow to your injured muscle and reduces swelling. Apply a compression bandage or wrap around your hip.

What will a doctor do for hip flexor pain? ›

Hip flexor tears or strains can generally be treated with conservative therapy or physical therapy. In rare cases, surgery may be necessary to repair any ruptured tissue.

Should I stretch my hip flexor if it hurts? ›

Gentle stretching exercises can help reduce hip flexor muscle tension as well as reduce the likelihood for future injury. Try these hip flexor stretches, but make sure you don't push too hard — these stretches should be gentle.

What is the best pain reliever for hip flexor? ›

You can use ibuprofen (Advil, Motrin), or naproxen (Aleve, Naprosyn) to reduce pain and swelling. Acetaminophen (Tylenol) helps with pain, but not with swelling. You can buy these pain medicines at the store.

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.

Is walking good for hip flexor pain? ›

Walking helps keep your hip flexors loose. In fact, one of the best things you can do to keep them from tightening up is to get up and walk around every 30-45 minutes during the day. This is especially helpful if you spend a lot of time sitting down.

What aggravates hip flexors? ›

Hip flexor tendinopathy—which includes both tendonitis and tendinosis—may be caused by an acute injury, such as from a fall or car accident, or by overuse, such as from running, gymnastics, or soccer. Additionally, hip flexor tendinopathy can occur with age as the tendons naturally lose elasticity.

How long does it take to fix 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.

Should I keep walking with hip pain? ›

Things like going on a daily walk or going swimming will help to improve your general health and take the strain off your hip, by strengthening other muscles in the body. Sometimes people stop exercising once their pain clears up, but when they do it's common for them to start having problems again quite quickly.

How long does it take for a sore hip flexor 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.

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.

How to release a tight hip flexor? ›

Hip flexor stretch (kneeling)
  1. Kneel on your affected leg and bend your other leg out in front of you, with that foot flat on the floor. ...
  2. Keeping your back straight, slowly push your hips forward. ...
  3. Hold the stretch for at least 15 to 30 seconds.
  4. Repeat 2 to 4 times.

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