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Modern Movement Clinic
11100 W 8th Ave
Lakewood, CO 80215
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7562 S University Blvd
Centennial, CO 80122
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Mon/Wed: 10am–6pm
Tue/Thu: 7am–3pm
(later by appointment)
Lakewood Fri: 9am–12pm
Centennial Fri: 10am–2pm

(by appointment only)

Injury Care

Hip Pain

Hip pain rarely stays in the hip. It shows up in your stride, your stability, and eventually your patience.

Clinician performs knee range-of-motion assessment on a patient lying on a treatment table

What's Causing Your Hip Pain?

The hip sits at the center of everything your lower body does, which makes it an easy scapegoat for problems that started somewhere else entirely — impingement, tendinopathy, muscle strain, or mechanical issues involving the low back and core.

For runners and cyclists, hip pain often develops from repetitive motion combined with limited hip mobility or weakness in the surrounding stabilizing muscles. For active adults, it may show up as stiffness or discomfort during daily movements like walking, squatting, or getting up from a seated position.

Because the hip sits at the center of the kinetic chain — connecting the low back, pelvis, and legs — problems there are often influenced by what’s happening above or below the joint. At Modern Movement Clinic, we assess the hip as part of that larger system, not in isolation, so treatment addresses the actual cause of your pain.

Common Symptoms

Hip pain can show up in different ways depending on the underlying cause. These are some of the most common patterns we see.

Symptoms List

  • Pain or tightness in the front of the hip or groin
  • Pain along the outer hip, especially with side-lying or stairs
  • Stiffness getting up after sitting for a while
  • Pain that worsens with running, especially on hills
  • A pinching sensation with deep hip flexion
  • Clicking or catching sensation in the hip joint
  • Discomfort that radiates into the low back or thigh

Common Causes

Hip pain typically develops from a combination of repetitive movement, mobility restrictions, and strength imbalances in the muscles surrounding the joint. Identifying which of these factors is contributing to your pain is what shapes an effective plan.

  • Repetitive impact from running or cycling
  • Weakness in the glutes or hip stabilizing muscles
  • Limited hip mobility affecting movement mechanics
  • Muscle imbalances between the hip flexors and glutes
  • Prolonged sitting affecting hip mobility and strength
  • Compensation patterns from a low back or knee issue
Strength coach cueing a woman performing a Romanian deadlift in a gym rack, holding a PVC dowel for form check

How We Evaluate It

Evaluation starts with understanding your training history, symptoms, and daily activity patterns, along with a movement and strength assessment of the hip, low back, and core. We look at how you move during activities relevant to you — running, cycling, or daily movement — rather than assessing the hip in isolation.

For runners and cyclists, this may include gait or movement pattern analysis to understand how mechanics are contributing to the issue. The goal is a clear picture of what’s actually driving your hip pain, not just where it hurts.

Evaluation Components

  • Movement and strength assessment
  • Hip mobility screening
  • Core and low back assessment
  • Activity-specific movement testing (running, cycling, etc.)
Clinician performs knee range-of-motion assessment on a patient lying on a treatment table

Common Questions

Can I keep running with hip pain?

In many cases, yes, with some modification to training. We’ll help you understand what’s safe to continue and what might need adjusting while we address the underlying issue.

What's the difference between hip impingement and a hip flexor strain?

Hip impingement typically involves a pinching sensation deep in the hip joint with certain movements, while a hip flexor strain usually causes pain in the front of the hip that worsens with specific activities like lifting the knee. An evaluation helps determine which pattern applies to you.

Do I need imaging before starting treatment?

Not necessarily. A thorough movement and strength assessment usually gets us further than a scan — imaging comes in when something doesn’t add up.

How long does hip pain typically take to improve?

This depends on the cause, how long you’ve had symptoms, and how consistently you follow the plan. We’ll give you a realistic picture after your evaluation.

Is cycling or running causing my hip pain?

It’s possible, especially with rapid increases in training volume or existing mobility and strength limitations. We’ll look at your training history and movement patterns to understand what’s contributing.

Clinician walking beside a young athlete doing high-knee marching in a rehab lounge

Make Your Hip Hold Up Under Load

An accurate evaluation beats another lap favoring one side.