That deep ache in your hip or groin.
Hip pain can make every step feel like a negotiation — affecting your walk, your sleep, and your ability to do the things you enjoy. It's also one of the most commonly misread pain problems, because pain that originates in the hip often shows up somewhere else entirely.
Often seen within a few days — sometimes as soon as tomorrowRequest your first visit
Pick a day and time that works at a NASPAC office near you — we'll call you right back to lock it in.
No referral needed. We verify your insurance before you arrive.
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A NASPAC team member from a NASPAC office near you will reach out to confirm your visit and answer any questions.
What hip pain really is.
The hip joint is a ball-and-socket joint built for both stability and range of motion. When something disrupts that balance — whether it's arthritis, bursitis, a labral tear, or a problem in a nearby structure — you feel it as groin pain, outer-hip pain, buttock pain, or sometimes thigh pain. That variability is exactly why getting the right diagnosis is so important before treating.
One of the more common diagnostic challenges is distinguishing true hip-joint pain from pain that's referred from the lower back or sacroiliac joint. Lower-back and hip problems frequently coexist, and treating one without identifying the other leads to incomplete relief. A careful exam — and sometimes a targeted diagnostic injection — is often the most reliable way to sort it out.
The good news
Most hip pain responds well to non-surgical treatment. Targeted injections, physical therapy to restore hip mechanics, and activity modification can provide lasting improvement for a wide range of hip conditions. Surgery is rarely the starting point — it's reserved for cases where those approaches have been tried and genuinely aren't enough.
Intra-articular vs. extra-articular hip pain
We distinguish pain arising from inside the joint (intra-articular — arthritis, labral tears) from pain arising outside it (extra-articular — trochanteric bursitis, iliopsoas tendinopathy). That distinction changes the target. A diagnostic hip injection under imaging can confirm whether the joint itself is the pain generator before committing to treatment.
Common signs we treat.
Groin or outer-hip ache
A deep, dull ache in the front of the hip or groin — often felt when walking, climbing stairs, or getting up from a chair — is a hallmark of joint-related hip pain.
Stiffness after sitting
Difficulty getting up smoothly after sitting for a while, or reduced ability to rotate the hip outward, are early signs that the joint or surrounding tissue needs attention.
Pain into the buttock or thigh
Hip pain that spreads into the buttock or outer thigh can come from the joint itself, from the bursa, or from a referred source — distinguishing between these shapes the treatment.
From hurting to healed.
We work from the least-invasive options upward, escalating only if you need it. Most patients improve well before surgery is ever discussed.
Diagnose the cause
A physician examines you and, if needed, reviews imaging to pinpoint exactly what's driving the pain.
Calm it down
Targeted physical therapy, activity guidance, and medication to settle the irritation and reduce inflammation.
Image-guided injections
If pain persists, a precisely targeted injection delivered to the source under imaging.
Advanced options
For the few who need more, minimally invasive interventional procedures — with surgery as a last resort.
Treatment is matched to your specific diagnosis at your visit. The options shown reflect NASPAC's general approach and should be confirmed against the practice's verified procedure list.
Still have questions?
The most common causes in adults are osteoarthritis, trochanteric bursitis (outer-hip bursa inflammation), and hip flexor or labral problems. Less commonly, referred pain from the lower back or SI joint produces hip-area symptoms. Identifying the exact source is the first and most important step.
Possibly — and it's a genuinely common overlap. Lower-back nerve problems, sacroiliac joint dysfunction, and hip arthritis can all produce similar patterns of pain. We assess both regions and, when needed, use a targeted injection to isolate which structure is actually driving your symptoms.
For most people, yes. Non-surgical options — including image-guided injections (corticosteroid, hyaluronic acid, or PRP), physical therapy focused on hip mechanics, and activity pacing — produce meaningful and lasting improvement for the majority of hip pain conditions. Surgery becomes a conversation only when those options have been given a fair trial and haven't produced enough relief.
A hip injection delivers medication directly into or around the hip joint under imaging guidance (usually fluoroscopy or ultrasound), ensuring precision. Depending on your diagnosis, the agent might be a corticosteroid to reduce inflammation, hyaluronic acid to improve joint lubrication, or PRP to support tissue healing. Most patients tolerate the procedure well and see improvement within one to two weeks.
Stop living with the hip pain.
Book with a board-certified pain physician near you — most patients are seen within days.
Book an appointment → Or call (855) 862-7767