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Hip pain
Hip pain treatment in North York.
Groin, outer hip and buttock pain are three different problems that all get called hip pain. The assessment works out which one you actually have before anything is treated.
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What is going on
Three problems, one word.
“Hip pain” describes a location, not a diagnosis — and where exactly it hurts is the most useful thing you can tell us.
Groin
Pain felt deep in the groin or the front of the hip is the pattern most associated with the joint itself. It often shows up on stairs, getting in and out of a car, or putting on socks — movements that rotate a loaded hip.
Outer hip
Pain over the bony point on the side, often worst lying on that side at night, usually involves the tendons and bursa there rather than the joint. It responds to load management and targeted strengthening rather than to stretching, which frequently makes it worse.
Buttock
Pain behind the hip is the one most often referred from somewhere else — the lower back, the sacroiliac joint or the deep hip rotators. If it travels down the leg, that changes the assessment considerably.
How it is treated
Settle it, then load it.
Hands-on treatment can calm an irritable hip, but what tends to keep it calm is strength through the glutes and the trunk. Both matter, in that order.
Assessment first
Where it hurts, what provokes it, how the hip moves under load, and what the back and the knee below are contributing. That is what separates the three patterns above.
45–60 minHands-on and load management
Manual therapy, soft tissue work and specific advice on what to change in the short term — often the sitting, the stairs and the side you sleep on.
EarlyProgressive strengthening
A programme you can actually keep doing, built up as the hip tolerates it, aimed at the thing you want to get back to rather than at a generic standard.
OngoingAlso treated here
Other things we see every week.
Back pain
Lower and upper back pain, from a sudden strain to pain that has quietly become normal.
Learn moreSciatica
Pain, pins and needles or weakness travelling from the back down through the leg.
Learn moreNeck pain & headaches
Stiffness, desk-related strain and the headaches that often come with them.
Learn moreShoulder pain
Rotator cuff injuries, impingement and the slow stiffening of a frozen shoulder.
Learn moreTMJ & jaw pain
Jaw clicking, clenching and pain that radiates to the ear or temple.
Learn moreTennis elbow & forearm strain
Elbow and forearm pain from racquets, keyboards and repetitive work alike.
Learn moreKnee pain
From a twist on the stairs to pain that flares with every run — assessed before it is treated.
Learn morePlantar fasciitis & heel pain
That first-steps-in-the-morning heel pain, and the foot mechanics behind it.
Learn moreFrozen shoulder
Shoulder stiffness that worsens in stages — distinct from a rotator cuff injury, and treated differently.
Learn moreCarpal tunnel & wrist pain
Numbness, tingling and night-time hand symptoms from the wrist, keyboard and repetitive work.
Learn moreAnkle sprain
The rolled ankle that never quite settled, and the instability that follows it.
Learn moreArthritis & joint stiffness
Stiff, aching joints — strength and movement for osteoarthritis, and referral when the pattern says something else.
Learn moreSports injury rehab
Getting back to sport against criteria rather than a calendar — and not getting injured again on the way.
Learn moreDesk posture & ergonomics
Neck, back and wrist strain from a desk job — the workstation, the working day, and the symptoms both have caused.
Learn moreFalls prevention & balance
Unsteadiness, near-misses and confidence after a fall — balance and strength work for older adults.
Learn moreWhiplash
Neck injury after a collision — treated here, and billed to your auto insurer.
Learn moreCommon questions
Answers before you book.
Is my hip pain actually coming from my hip?
Often it is not. True hip joint pain is usually felt in the groin, and frequently deep rather than sharp. Pain over the outer hip more often comes from the tendons and bursa on the side of the pelvis, and pain in the buttock can come from the lower back or the sacroiliac joint. Sorting out which is which is most of what the assessment does, because the three are treated quite differently.
Why does it hurt more when I sit, or when I get up?
Prolonged sitting shortens the muscles at the front of the hip and loads the joint in flexion, so the first few steps afterwards are often the worst part of the day. Pain that eases once you are moving and returns after rest is a common pattern and a useful clue at assessment — it is worth mentioning rather than assuming it is unremarkable.
Can I keep exercising?
Usually yes, with changes to what and how much rather than stopping altogether. Complete rest tends to leave the surrounding muscle weaker without resolving what caused the problem. Your practitioner will tell you which movements to keep, which to modify and which to leave alone for now.
Do I need an X-ray or a scan first?
Not usually to begin. Most hip pain is assessed clinically, and imaging findings in the hip are common in people with no pain at all, so a scan does not always answer the question. Where the assessment suggests imaging would change the plan, we say so and point you to your physician.
What if I have been told I need a hip replacement?
Physiotherapy has a role both before and after that decision — strength and mobility going into surgery affect the recovery afterwards, and some people manage well for a long time without it. That is a conversation for you and your surgeon; we work alongside it rather than arguing with it.
Is treatment covered by insurance?
Under most extended health plans, yes. We direct bill the major insurers, and we bill WSIB or your auto insurer where the hip pain follows a workplace injury or a collision. Coverage is confirmed before treatment begins.
Question not answered here? Call 647.710.6927, send us a message, or book online and ask at your visit.
Ready when you are
Book a hip pain assessment.
Online booking through Fresha, or call the clinic during opening hours.
Booking opens our profile on Fresha, our online booking system — real-time availability and an emailed confirmation.