Hip flexor pain usually is the result of a muscle pull, strain or tear and can range in severity from an annoying little twinge to a debilitating injury. The hip flexor muscles — rectus femoris, psoas major and illiacus — are responsible for drawing up the knee toward the chest and are important for walking, running, jumping and kicking. An injury to these muscles can make it difficult to perform simple activities such as sitting, standing, walking and even sleeping. Managing hip flexor pain is an important part of recovering from such an injury and returning to an active lifestyle. Treatment for hip flexor pain typically involves resting the muscles, using ice to help reduce the pain and then stretching and exercising the muscles after healing has begun.
Muscle spasms, swelling, tenderness and bruising are possible symptoms of an injury to the the hip flexor muscles, but the most common symptom is pain. This is a sharp pain that is centered at the front of the hip but might radiate down the thigh or to the lower back. Hip flexor pain is sharpest when lifting the knee, and the injured person might have difficulty climbing stairs and might walk with a limp. Depending on the severity of the injury, the person might be able to carry on with only a minor distraction or might be unable to stand upright.
Treatment for hip flexor pain will initially involve rest, and the patient should avoid any activities that cause pain. Depending on the injury, crutches might be required to walk without aggravating the injury. Attempts to “walk it off” will only prolong the injury, potentially creating a chronic problem. Ice packs used for 20 minutes every two hours during the first few days can significantly reduce recovery time as well as reducing pain and swelling.
Once the patient has begun to heal, physiotherapy can begin. A physiotherapist can put together an effective exercise plan designed to gently restore strength and flexibility to the muscles. Stretching, massage, ice or heat treatment and electrotherapy also might be used to speed recovery. Consultation with a qualified physiotherapist or medical professional is recommended for anyone experiencing hip flexor pain.
Prevention is, of course, the preferred method of managing hip flexor injuries. Many injuries are caused by overexertion, but tight muscles and poor flexibility also are factors. Taking the time to stretch and warm up prior to sports activities or heavy exertion can reduce the chance of straining the hip flexor muscles. When taking part in exercise, care should be taken to maintain proper form and technique. Good posture also can help prevent injury.