Painful hip impingement can result in groin or buttock pain sometimes referring into the front of the thigh. Hip movements and certain activities usually bring on the pain   The most common conditions that cause this are CAM deformities where the size of the head is too big for the joint socket, labral tears affecting a rubber like seal around the socket, and joint osteoarthritis. Most of these conditions can be managed without surgery.

Trochanteric bursitis is a common condition where the outer hip/buttock area is painful due to inflammation of the bursa that protects the buttock common tendons at their attachment to the outer thigh bone called the greater trochanter. Most patient recover well with physiotherapy and shockwave therapy but some require a guided steroid injection.

Hamstring and adductor tendonitis often occurs due to a sporting injury where the thigh muscles are overloaded with repetitive activities or an acute burst of activity or acceleration. It can results in localised pain at their attachment site due to local inflammation or small tears. For treatments refer to shockwaves therapy, steroid and PRP injections.