The causes of pain around the hip joint are many and varied and you need a surgeon that can differentiate these from each other and treat them effectively.  Mr Shepard has 25 years of experience of dealing with patients with hip pain and is available to help alleviate yours!


Groin Pain


Pain from the hip joint itself is classically felt in the groins however as patients grow older the causes of the pain can change.  There are also many causes of groin pain that are unrelated to the bones joints and muscles. Potential causes of groin pain can include:


- Avascular necrosis (death of the bone in the hip due to limitation of the blood supply)

- Avulsion fractures (bone pulled off by the quadriceps muscle action)

- Bursitis

- Hernia

- Hip impingement

- Kidney stones

- Labral tears

- Muscle strain

- Osteoarthritis

- Pinched nerve

- Rheumatoid diseases

- Tendinitis

- Testicular problems

hip arthritis

Buttock pain


Pain around the back of the hip can be arising from the hip itself, the lower back or the sacroiliac joints where the spine joins the pelvis bones.  Potential causes of buttock pain include:

- Back pain and sciatica

- Bursitis
- Coccyx pain

- Hip osteoarthritis

- Hip impingement

- Hamstring insertional tendinitis

- Labral tears

- Piriformis Syndrome

- Rheumatoid disease

- Sacroiliac dysfunction / arthritis

Trochanteric pain


Trochanteric pain is pain felt where most people describe as their hips, the widest parts of the pelvis and hip area.  This is most commonly either due to wear and tear of the gluteal (buttock) muscles where they attach to the top of the femur (thigh bone) or by irritation of the bursa (sack of fluid) that overlies this bony prominence.  It can be treated by physiotherapy, injections, shockwave treatment or surgery.

Hip Impingement


Hip impingement is caused by either the ball of the hip joint not being completely round and having a bump on it (cam impingement) or by the outer edge of the socket of the hip joint overhanging (pincer impingement).  These conditions cause pain on certain movements and eventually will lead to damage of the lining cartilage and osteoarthritis.  The condition can be treated with arthroscopic surgery. 



Osteoarthritis is wear and tear of the lining cartilage that can occur after injury but is most commonly due to ageing.  Eventually the lining cartilage wears away entirely leaving just bone grinding on bone.  This can be very painful, even at rest and at night.

Arthritis can be treated as follows:

- Simple pain killers and anti-inflammatory drugs

- Exercise and physiotherapy

- Injections - Mr Shepard does not favour steroid injections to put off a joint replacement as there is significant evidence that the risk of infection is increased at a subsequent joint replacement.  Newer therapies such as PRP injection and the use of fat cell injections are showing promise in the treatment of arthritis but at present are not available through the NHS or most insurance companies.

- Joint Replacement  -  Hip replacement is an extremely effective way of relieving pain and restoring function.  However the benefits need to be weighed against the risk in each case.

Hip replacement
Hip pain