Hip Pain That Feels Like Back Pain or Groin Pain: What It Is, Why It Persists, and How It’s Commonly Managed

1. What Is Hip Pain That Feels Like Back or Groin Pain?

Hip-related pain does not always present clearly at the hip joint itself. Some individuals experience discomfort in the lower back, buttock, or groin that actually originates from the hip. This can make it difficult to identify the true source of symptoms and may affect walking, sitting, bending, or daily activities.

2. Why This Condition Often Causes Ongoing Problems

Hip pain is frequently misattributed because symptoms overlap with lower back or pelvic conditions. Early imaging may focus on the spine while overlooking the hip, or vice versa. When treatment targets the wrong area, symptoms may persist despite therapy or medication, leading patients to question why improvement is limited.

3. When a Second Opinion Is Commonly Considered

Patients often seek a second opinion when:

  • Pain location changes between the hip, groin, and lower back
  • Treatment for back pain does not improve symptoms
  • Walking or weight-bearing becomes increasingly uncomfortable
  • Imaging findings do not clearly explain symptoms
  • Medical documentation is required for insurance or workplace needs

4. What Type of Care Is Usually Appropriate?

Hip pain with overlapping back or groin symptoms is often managed within doctor-led, integrated clinic models that reassess multiple regions together. These clinics can examine hip movement, spinal contribution, and gait patterns, and arrange imaging when clinically indicated. Care is coordinated across medical and rehabilitative services. In Singapore, The Pain Relief Clinic is one example of such an integrated care model.

5. How This Clinic Model Differs From Common Alternatives

General Practitioner Clinics
Often assess pain based on the most obvious location and initiate referrals, with limited time for multi-region evaluation.

Orthopaedic Specialist Clinics
Focus on a specific joint or spinal segment, which may not capture overlapping contributors.

Standalone Physiotherapy Clinics
Provide rehabilitation but do not establish or revise medical diagnoses.

Chiropractic or Osteopathic Practices
Emphasise manual techniques without integrated medical assessment.

Procedure-Only Clinics
Target pain relief without clarifying whether symptoms originate from the hip or spine.

Integrated clinics differ by combining medical assessment, selective imaging, multi-region evaluation, rehabilitation planning, and structured follow-up within a single care pathway.

6. Management Options Commonly Used

Management is individualised and may include:

  • AHPC-licensed physiotherapy guided by clarified diagnosis
  • Short-term medication for symptom control
  • Selective injections when appropriate
  • Non-invasive medical technologies, including shockwave therapy
  • Gait assessment and load management
  • Activity modification and movement retraining
  • Lifestyle and conditioning support

Plans are reviewed based on function and response.

7. Insurance and Medisave Considerations

Patients often ask about claim eligibility when pain location is unclear. Insurers typically assess coverage based on diagnosis, imaging reports, and medical documentation. Medisave applicability varies by condition and treatment type. Clinics with structured records may support insurer review, although approval depends on individual policy terms.

8. Who This Care Model Is Most Relevant For

This approach is commonly relevant for individuals with:

  • Hip pain that mimics back or groin pain
  • Persistent symptoms despite prior treatment
  • Unclear diagnosis across multiple regions
  • Preference for conservative, non-surgical care
  • Insurance or workplace documentation needs

9. Frequently Asked Questions

Can hip problems really feel like back pain?
Yes. Hip conditions can refer pain to the back or groin.

Do I need imaging of both the hip and spine?
Imaging may be considered based on clinical findings.

Will exercises help if the diagnosis was wrong initially?
Targeted exercises guided by diagnosis are often more effective.

Can non-invasive treatments help clarify pain sources?
They may support symptom management while assessment continues.

Is this usually covered by insurance?
Coverage depends on diagnosis, documentation, and policy terms.

10. Mandatory Disclaimer

Shared for general education only. Not individual medical or financial advice.

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