Assessment
Your physiotherapist discusses your symptoms, goals, medical history and lifestyle, then completes a thorough assessment. Initial appointments are typically 45 to 60 minutes, so there is time to do it properly.
What We Treat
Hip & Groin Pain Treatment in London
Hip and groin pain is slippery. It refers into places it did not start, it takes people out of sport for whole seasons, and it is one of the areas where a careful assessment saves the most time. Getting the source right is most of the treatment.
Overview
Understanding hip & groin pain
Groin pain has more possible sources than almost anywhere else in the body, and they overlap. Hip joint, adductors, hip flexors, pubic bone and the abdominal wall can all produce pain in roughly the same place, and more than one is often involved at once.
What we assess and treat:
- Hip joint problems: impingement, labral irritation and osteoarthritis, typically pain deep in the front of the hip or the groin.
- Adductor-related groin pain: the most common picture in kicking and change-of-direction sport.
- Gluteal tendinopathy: pain on the outside of the hip, often worst lying on that side at night.
- Hip flexor and pubic-related pain: common in footballers and in runners increasing speed work.
- Hamstring origin pain: deep pain at the sitting bone, worse sitting and on hills.
- After hip replacement or arthroscopy: staged rehabilitation to your surgeon's protocol.
Sanchez has spent his career in football academy physiotherapy at QPR and Crystal Palace, where groin pain is the injury that defines a season. That experience matters here more than in most areas, because knowing which of the overlapping structures to test first is what shortens the process.
Physiotherapy leads the plan. Running gait reviews address the loading pattern where the pain is running-related, and soft tissue therapy supports the surrounding muscle. See also tendinopathy, arthritis and post-operative rehabilitation.
Excellent
From 4 five-star Google reviews
Source: Google
I first started using Tom last year to help relieve back pain, he has been extremely helpful and now he's supporting me with sprint and fitness training, whilst helping with any minor injuries. Can't recommend him and his team more highly.
I went to Tom with a shoulder injury that had not improved for several months. Tom is very knowledgeable and quickly identified the issue and put me on a course of exercises that, in conjunction with a couple more sessions, steadily resolved the problem. I would highly recommend him.
Parinita was brilliant! Identified my knee problem immediately, used a range of equipment and exercises not only to strengthen my knee, but to maintain it and improve my running long-term.
Excellent service! Sanchez is a true professional who helped me heal a previous injury. Highly recommend!
Hip and groin physiotherapy can help to:
Identify the actual source
Hip joint, adductor, hip flexor, pubic bone and abdominal wall all refer to the same area, and often more than one is involved. Initial appointments run 45 to 60 minutes because working through them systematically is what saves you months.
Draw on football-academy experience
Sanchez spent his career in academy physiotherapy at QPR and Crystal Palace, where groin injuries define a season. Knowing which structure to test first, and which combination of them tends to travel together, is experience rather than protocol.
Build adductor strength that holds
Progressive strengthening has the best evidence of anything for groin pain, and the loads involved are not small. Our clinics sit inside gym facilities, so that work happens properly rather than being approximated at home.
Settle pain on the outside of the hip
Gluteal tendinopathy has a very recognisable pattern: worse lying on that side at night, worse on stairs. It responds to loading and to reducing what compresses the tendon. It takes months, and we will say so at the start.
Keep training through it where we can
Complete rest is rarely the right answer here. We agree what you can keep doing, what to leave out, and how to progress back in, then reassess at every visit rather than setting it once and hoping.
Rehabilitate a replaced or scoped hip
Where you have had a replacement or an arthroscopy, we work to your surgeon's protocol with our own staged progression on top. Most people reach solid function around 8 to 12 weeks after a hip replacement, and strength keeps improving past that.
Why it happens
What causes hip & groin pain?
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Kicking, sprinting and change-of-direction sport, especially football and rugby
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A rapid increase in speed work, hill running or gym loading
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Hip impingement or labral irritation, often in younger and more active hips
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Osteoarthritis of the hip, including hips awaiting or recovering from replacement
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Gluteal tendinopathy, more common in women and around the menopausal transition
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Return to sport after a lay-off without rebuilding adductor and hip strength first
What happens at your first physio appointment?
Initial appointments are typically 45 to 60 minutes. You leave with a clear explanation of your condition, treatment recommendations, a report explaining it in simple language, and a personalised rehabilitation plan.
Follow-ups run 30 to 45 minutes, and we reassess at every visit rather than selling you a block of sessions up front.
A thorough, honest, and understandable explanation. Then the best treatment to get you back to a level of activity beyond your pre-injury status. If we can't get you better, we will recommend the world's leading healthcare professionals in London that can.
- Founded in 2015 by Tom Astley: 7 clinicians working across 3 clinics in Crouch End, Marylebone and Henley-on-Thames.
- Our team has successfully worked with local, national and international athletes at 6 major multi-sport events, from London 2012 to Gold Coast 2018, and we bring that expertise to everyone who enters our service.
- Rated 4.9 from 88 Google reviews; recognised by 5 major UK insurers, and self-funded patients book online with no GP referral.
Fees and insurance
Book directly online through Splose. Self-funded patients need no GP referral; if you are claiming through insurance, obtain prior authorisation before booking.
- Physiotherapy with Tom Astley: £85 initial consultation, £77 follow-up
- Sports and dance therapy with Laura Fornoni: £75 initial consultation, £70 follow-up
- Shockwave therapy: £230 for the initial consultation plus 3 sessions, then £80 per further treatment
- Running gait and performance reviews: £80 Base, £135 Intermediate, £185 Expert
- Recognised by Bupa, Cigna, Vitality, WPA and Simply Health
How physiotherapy works
from assessment to return to sport
Book today to get an assessment, advice, a report and a rehabilitation plan. We combine hands-on treatment with gym-based rehab to get you well, today, and we reassess at every visit.
Advice and report
A clear explanation of your condition and a report explaining it in simple language, alongside hands-on treatment: manual therapy, soft tissue techniques and joint mobilisation where they help.
Rehabilitation plan
Exercise rehabilitation tailored to your goals and condition, delivered through Track Rehab. Our clinics sit inside gym facilities, so the plan has the equipment and technology it actually needs.
Return
Structured programmes and return-to-sport testing before you go back, so you return safely and confidently. The goal is a level of activity beyond your pre-injury status, not just less pain.
What our physiotherapists treat
- Manual therapy and joint mobilisation
- Exercise rehabilitation through Track Rehab
- Dry needling for stubborn trigger points
- Shockwave therapy for chronic tendinopathy
- Sensor-based running gait analysis
- Sports massage, scar work and soft tissue therapy
- Women's health, Mummy MOT and postnatal rehabilitation
- Post-operative and ACL rehabilitation
- Return-to-sport testing
Treatment approach
How do we treat hip & groin pain?
Physiotherapy & Sports Therapy
From £75Systematic assessment to identify which of the overlapping structures is driving your pain, then progressive strengthening, which is the treatment with the best evidence for groin pain.
See treatment detail →Soft Tissue Therapy
Price on enquiryHands-on work through the adductors, hip flexors and glutes to reduce guarding and tolerate the loading programme, and scar work after hip surgery.
See treatment detail →Running Gait & Performance Reviews
From £80Where hip or groin pain is running-related, gait analysis shows the loading pattern behind it, which changes what we strengthen and how you train through it.
See treatment detail →FAQ
Frequently asked
questions
Why is groin pain so hard to diagnose?
Because the hip joint, adductors, hip flexors, pubic bone and abdominal wall all refer pain to a similar area, and more than one is often involved. That is exactly why the assessment is systematic rather than quick, and why guessing at it tends to waste months.
I have pain on the outside of my hip lying in bed. What is that?
That pattern is typically gluteal tendinopathy rather than the hip joint itself. It responds well to progressive loading and to changing what compresses the tendon, including how you lie at night. It is common and very treatable, though it takes months rather than weeks.
Can I keep playing while we treat it?
Often yes, with modification. Groin pain rarely needs complete rest, and staying in some training usually gives a better outcome than stopping entirely. We agree what you can do, what to avoid, and reassess it each visit rather than fixing it at the start.
How long is rehabilitation after a hip replacement?
Most people reach solid independence and function around 8 to 12 weeks, with continued strength gains well beyond that. We work to your surgeon's protocol and layer our own progression and testing on top, and you get a projection for your case at the first appointment.
Related What We Treat
Get Started
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in Crouch End, Marylebone or Henley.
Tom Astley Physiotherapy • Park Road Pools & Fitness, Crouch End, London N8 8JN
BookAppointments typically available within 1–2 weeks