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Seacoast Spine & Sports Injuries Clinic

Hip Impingement

Hip, groin & thigh · Before your visit

Femoroacetabular impingement describes contact between the hip ball and socket during certain ranges.

When to seek urgent medical care

Seek prompt medical evaluation after a fall or impact if you cannot bear weight, the leg looks shortened or rotated, swelling develops rapidly, or new numbness, weakness, redness, or fever appears.

This is not an exhaustive emergency list. If something feels severe, rapidly worsening, or unsafe, call 911 or seek urgent medical evaluation.

Start here

What is hip impingement?

Femoroacetabular impingement describes contact between the hip ball and socket during certain ranges. Bone shape is only part of the picture; symptoms depend on motion, workload, strength, sport, and associated labral or cartilage change.

The same label can behave differently from one person to the next. The timing, location, type of symptoms, injury mechanism, and response to movement help distinguish a local tissue problem from referred pain, nerve involvement, or a pattern that should be evaluated elsewhere first.

How hip impingement may show up

People do not need every sign below to fit this pattern. They are useful clues to discuss during an evaluation, especially when paired with what changes the symptom and what activity has become difficult.

  • front-of-hip or groin pain
  • pinching in deep flexion
  • pain squatting or sitting low
  • limited hip rotation

Why it can start or persist

A contributor is not always a single cause. Tissue capacity, recovery, the size of a recent load change, and the mechanics of the task can overlap. For hip impingement, the history commonly examines:

  1. 1hip shape plus repeated end-range load
  2. 2sport-specific flexion and rotation
  3. 3strength or movement compensation

How the pattern is examined

An assessment begins with the story, then tests the findings that can change a decision. For this presentation, that usually means looking at the items below and comparing them with the demands of work, daily life, or sport.

Clinical focuship range and impingement response
Clinical focussquat and sport mechanics
Clinical focuslumbar and labral screen

Imaging can be useful when the history or examination indicates it, but a scan is not a substitute for matching the finding to symptoms, function, and the clinical screen.

Clinically reviewed

Reviewed by Dr. Tamara Lovelace, DC, DACBSP, ICCSP, Chiropractic Sports Doctor and clinic director, on August 25, 2026.

This page explains what we look at and what care can involve. It is not a diagnosis, and it cannot replace an examination. Bring the problem in and a provider will tell you what is going on.

What to expect from care, and in what order

Care for hip impingement is built around the findings, not a preset protocol. The early goal may be symptom control or protection; the later goal is enough motion, strength, and tolerance for the exact activity you need.

01

modify provocative depth temporarily

Progress is checked against symptom response and function so the plan can change when capacity changes.

02

build hip and trunk capacity

Progress is checked against symptom response and function so the plan can change when capacity changes.

03

restore sport-specific range when tolerated

Progress is checked against symptom response and function so the plan can change when capacity changes.

Common questions about hip impingement

Short answers to the decisions people usually face before an evaluation.

What is hip impingement?

Femoroacetabular impingement describes contact between the hip ball and socket during certain ranges. Bone shape is only part of the picture; symptoms depend on motion, workload, strength, sport, and associated labral or cartilage change.

How is hip impingement assessed?

The examination is shaped by your history and the task that brings symptoms on. For this pattern, useful checkpoints include hip range and impingement response, squat and sport mechanics, lumbar and labral screen. The provider also screens for findings that should be evaluated medically before musculoskeletal care continues.

What can care for hip impingement include?

A plan may draw from Physical Therapy, Chiropractic, and ART, but the service is not the diagnosis. Care is selected around the examination and may focus on modify provocative depth temporarily, build hip and trunk capacity, restore sport-specific range when tolerated. The dose and sequence change with irritability, healing stage, and the activity you need to regain.

Can I stay active with hip impingement?

Often, some activity can continue after the provoking dose is adjusted, but that decision depends on the tissue, severity, and warning signs. The goal is to protect what needs healing while preserving safe strength and conditioning, then rebuild the specific work, daily-life, or sport demand.

When does hip impingement need urgent medical care?

Seek prompt medical evaluation after a fall or impact if you cannot bear weight, the leg looks shortened or rotated, swelling develops rapidly, or new numbness, weakness, redness, or fever appears.

Related hip & thigh guides

Symptoms often overlap. These pages can help you compare nearby tissues, referred pain, and different loading patterns.

Browse hip, groin & thigh

Get clarity on hip impingement.

Book at the Portsmouth or Alton clinic. The first step is a focused assessment that separates what hurts from what is driving it.

Portsmouth Clinic

Portsmouth, NH · Seacoast

Mon to Thu: 9:00 AM to 6:00 PMFriday: 9:00 AM to 5:00 PM
(603) 431-4200
Lakes Region Clinic

Alton, NH · Lakes Region

Mon, Wed, Fri: 9:00 AM to 7:00 PMTue & Thu: 9:00 AM to 6:30 PMSaturday: 8:00 AM to 12:00 PM
(603) 875-4000
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