| 18 years clinical experience | 5-star Google reviews | Diagnostic first session | Free parking on site | Sessions available this week |
A sharp pinch at the front of the hip when you squat or lift your knee. Groin pain after running, football or changing direction. Stiffness after sitting or driving. Discomfort when walking uphill, climbing stairs or getting out of a chair. Stretching or massage helps briefly, but the same tightness returns.
These symptoms may involve the hip flexors or adductors, but the painful area is not always the whole explanation. The hip joint, lower back, pelvis, nearby tendons, nerves, workload and movement coordination can create overlapping patterns. Your assessment is used to identify which findings are relevant to you.
Seek prompt medical assessment for severe pain after trauma, inability to bear weight, marked swelling, fever, unexplained illness, rapidly worsening weakness or numbness, or changes in bladder or bowel control.
Pain at the front of the hip or groin can come from several overlapping sources. These include local muscles and tendons, the hip joint, the lower back, the sacroiliac region, nerves or referred pain. A scan finding does not automatically explain current symptoms, and the psoas should not be assumed to be the cause simply because it feels tight.
We compare your history with hip and back movement, strength, sensation, coordination and symptom behaviour. Where findings suggest a significant joint, tendon or neurological problem, appropriate medical assessment may be recommended.
The hip, pelvis, lower back and trunk work together during walking, running, changing direction and lifting. If one part is not contributing effectively, another area may take more load. This can be relevant to adductor or groin symptoms, but it is not assumed to explain every case.
We assess relevant strength, movement and coordination across the hip and wider system. Functional neurology and P-DTR add a brain-based test-and-retest process: an appropriate input is applied, then the original finding is retested. A repeatable change can identify a modifiable layer and guide the next step; it is not a guarantee of permanent tissue change.
Hip symptoms can be influenced by more than one movement or body region. Breathing strategy, trunk control, balance, vision, previous injuries and the way load is shared through the pelvis may be relevant for some people. They are assessed only when the history and examination indicate that they matter.
We do not assume that one breathing pattern causes hip pain or that a single exercise will resolve it. Where a sensory, breathing or movement input produces a useful and repeatable change, it may become part of your treatment or home plan.
FAI describes particular hip-shape findings, such as cam or pincer morphology. These findings can be relevant, but they do not automatically prove why somebody has pain: similar changes can also be present in people without symptoms. Tendon, joint, back and movement findings may overlap.
We do not promise to alter bone shape or assume that surgery is either necessary or unnecessary. The assessment looks for modifiable factors such as movement, strength, coordination and symptom response. If the history or examination indicates that imaging or specialist medical advice is appropriate, this will be discussed clearly.
Functional neurology and P-DTR take a brain-based first approach. Rather than assuming the painful structure is the only problem, we assess how relevant sensory information, muscles, joints and movement patterns are working together.
This is the ‘peeling the onion’ process: we test a finding, apply an appropriate input and immediately retest. A clear change in the room can reveal a functional layer that is currently holding the system back. Sometimes the relevant finding is at the hip or groin; sometimes another area is contributing. Responses differ, and no particular outcome is guaranteed.
Your first appointment is a £100, 60-minute Diagnostic First Session. It includes a detailed history, neurological and movement assessment, treatment where appropriate and immediate retesting to establish whether a finding is relevant.
You receive practical brain-based exercises where appropriate, a written report within 24 hours and an included 30–40 minute Zoom findings call. The purpose is to give you a clearer explanation, an honest prognosis and practical next steps without pressure to book further care.
Some people experience meaningful functional change during the first session. The size and duration of that response vary, and longer-standing or more complex presentations may require a structured plan.
This clinic may suit you if your symptoms keep returning, previous treatment has only helped temporarily, or you want a root-cause assessment. It may also be relevant if:
“Following treatment with Sam, the things I was doing to help actually started to work. Stretching no longer aggravated pain.”, Michael Holland
“As movement improved through my ankles, knees and hips, my back pain reduced significantly.”, Paul Hayes
“The results were evident within a short period of 5 sessions. My pain level, range of motion, and running ability significantly improved.”, Matthew Howell
The clinic is in Shiremoor, Newcastle, with free parking available on site.
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