Anterior Hip Pain when flexing above 90 degrees

[middleweight]

Hi all

I am experiencing pain when actively flexing my hip above 90 degrees. I feel this pain around the anterior/medial junction. I'm also experiencing popping in my hip at random points and I have a general feeling of tightness/aching. I also have a positive FADIR test.

I have had an x-ray which was all clear, so no bone issues. I have also had a physical exam from the Dr, no sign of a hernia.

Any soft tissue work I try to do, rolling or stretching, seems to aggravate it. I've tried loosening adductors, hamstrings, quads, ITB, TFL, all seem to have a negative effect. I've also targeted glute strength, which seems to help somewhat, but i can never get to the point of being pain free.

I have no pain if someone puts my hip into flexion above 90 and I can drop into a squat position without pain although i feel this aggravates it.

I have been experiencing this pain for around 6 months.

Any ideas what it could be?

Many thanks

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[AzzaRehab]

Hi,


Good to hear there isn't any bony abnormality and that passive hip range is pain free. Have you tried releasing piriformis / glutes? Sitting on a ball and massaging into the area just next to your sitting bone would help to release the antagonists of the hips flexors.

Perhaps try following this technique: https://vimeo.com/136490239

It would also be interesting to see how you respond to mobilising the anterior abdominal fascia. Find your navel and move out to the side by about 2cm, apply firm pressure with your fingertips and massage the area in a circular motion.

Let us know how you get on.