Hip Pain
Hip pain can come from the joint itself, the tendons and muscles around it, or be referred from the lower back. Common presentations include pain on the outside of the hip (often related to the gluteal tendons, and a common reason for trouble lying on that side), groin pain, hip stiffness and osteoarthritis, and pain in runners, riders and people on their feet all day.
“Sciatica” — What It Actually Means
“Sciatica” is the word most people use for pain that runs from the buttock down the back of the leg. It describes where the pain is, not what’s causing it. Nerve-related leg pain does happen — often when a nerve in the lower back is irritated — but pain in the same area can also come from the hip, the gluteal muscles, or the joints of the lower back and pelvis.
Working out which it is is a key part of your assessment, because it changes how we manage it. More about back pain →
How We Help
We assess your lower back, pelvis and hip together, including nerve checks where leg pain is present. Treatment typically combines hands-on techniques and, where appropriate, dry needling, with graded exercise to build strength and tolerance, and practical advice on sitting, sleeping, driving and work. If nerve symptoms are significant or not settling, we’ll refer you to your GP for further investigation.
When to Seek Medical Care
Go to an emergency department straight away if back or leg pain comes with numbness around the groin or buttocks, new difficulty controlling your bladder or bowels, or weakness in your legs that is getting worse. These can be signs of cauda equina syndrome, which is a medical emergency.
See a doctor promptly for hip pain after a fall (especially in older adults), a hip that can’t take your weight, or pain with fever or unexplained weight loss. If we identify anything at your appointment that needs medical attention, we’ll tell you directly and help arrange it.