Clinic logoDr. Himanshu GaurORTHOPEDIC & JOINT CLINIC • SOUTH DELHI
Orthopedic Service

Treat Hip, Groin & Buttock Pain.

Is it your Back or your Hip? We find the root cause.

Consultation led by Dr. Himanshu Gaur.

  • Hip or groin pain with walking or standing
  • Pain into the thigh, buttock, or lower back
  • Stiffness after rest or a changing gait

Hip and pelvic care focused on separating hip, spine, and pelvic causes, easing pain, and restoring movement with conservative-first rehab, clear imaging decisions, and function-based plans for daily life confidence.

Clinic in CR Park; patients visit us from GK, Kalkaji, Nehru Place, Okhla and across South Delhi.

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Older adult walking comfortably after hip care in South Delhi

Why choose us

Hip vs Spine Clarity

We separate hip, spine, and pelvic sources before choosing treatment.

Function-First Decisions

Plans are built around daily function, not imaging alone.

Conservative Care Priority

Rehab and pacing are emphasized when they can resolve symptoms safely.

Where should I start with hip pain?

Most hip pain is not dangerous, and it does not automatically mean arthritis or surgery. Many causes are treatable with careful diagnosis, a structured plan, and steady follow-through. We start with clarity: where the pain truly comes from, what movements trigger it, and what daily habits keep it going.

Hip and pelvic pain can overlap with spine or sacroiliac joint problems. Pain location does not always tell the full story, so we match your symptoms with the exam before deciding the plan. This is a common hip pain pattern we see in South Delhi.

What hip pain patterns are common?

Hip pain often presents as deep groin discomfort, but it can also show up in the buttock or the outer side of the hip. Some people notice pain while walking, others feel it when getting up from a chair, and many feel stiffness after sitting for long periods. Clicking or catching sensations can occur, especially with low chairs or deep bending.

Daily routines matter. Long sitting, long commutes, and repeated stairs can irritate a sensitive hip. Cross-legged or floor sitting may feel fine for some but flare pain for others. These patterns help us tailor your plan around real life.

Is my pain from the hip or the spine?

Hip pain

  • Groin pain
  • Difficulty putting on socks or shoes
  • Worse with rotation

Spine pain

  • Buttock pain
  • Travels past the knee
  • Worse with bending

Hip joint pain usually feels deep in the groin and is worse with rotation, getting in and out of a car, or crossing the legs. Spine-related pain often starts in the lower back or buttock and can travel down the leg in a line. SI joint pain can feel lower and more one-sided. Nerve pain tends to burn, tingle, or shoot, while joint pain is more of a deep ache or pinch.

Movement-based clues help. Pain that worsens with twisting the hip inward points toward the joint. Pain that flares with bending forward or long sitting is more consistent with a spine source. Side-hip tenderness that hurts when you lie on that side is often muscular or bursal. These are patterns, not rules, and the OPD exam decides the source.

What is hip AVN (bone death)?

Hip AVN alert

Hip pain after steroid use or Covid? Get screened for AVN early.

AVN (avascular necrosis) means a reduced blood supply to a portion of the hip bone, which can weaken that area over time. It sounds alarming, but early identification makes a real difference. In early stages, careful monitoring, activity guidance, and appropriate treatment can often slow or stabilize the process.

AVN does not always progress quickly or lead to major surgery. The key is to confirm the diagnosis accurately and track it over time so we can respond in a measured way.

What is hip arthritis in simple terms?

Hip arthritis is a wear pattern in the joint where the cartilage becomes thinner and the joint surfaces become less smooth. People often feel stiffness first, then pain with longer walks, stairs, or repeated standing. A change in walking style can happen, but it does not always mean severe damage.

Arthritis does not always move at the same pace. Many people manage well with rehab and activity adjustments. Even when an X-ray shows arthritis, we base decisions on function and symptoms.

Surgery is considered when pain and functional limits remain despite a structured rehab plan and imaging matches the symptoms. It is not automatic for most hip conditions.

What are labral tears and hip impingement?

Hip anatomy guide

The labrum (highlighted) is the soft rim that seals the hip socket.

  • Labrum
  • Hip socket
  • Femoral head

The labrum is a soft rim that helps seal the hip joint. Tears can cause sharp groin pain, clicking, or a catching feeling, especially with twisting or deep sitting. Impingement occurs when the bone shape creates extra contact during movement, which can irritate the labrum or cartilage over time.

These issues are common in active adults and people who sit long hours with the hip flexed. Many improve with targeted rehabilitation that restores hip mobility and core control. Surgery is not the default; it is considered only when symptoms persist and clearly match the findings.

How do you diagnose hip pain: exam first or scan?

The conversation and the OPD exam lead the way. We look at how you walk, range of motion, and the exact movements that recreate your pain. This helps us decide whether the hip joint, surrounding muscles, or the spine is the primary driver. A first visit usually takes around 20-30 minutes.

X-rays are typically the first imaging step because they show joint space, alignment, and wear patterns clearly. MRI is reserved for situations where it will change management, such as suspected labral injury or AVN staging. We act on imaging only when it matches symptoms and exam.

Can hip pain improve without surgery?

Physiotherapy focuses on hip mobility, core control, and balanced strength so the joint moves smoothly and the surrounding muscles share the load. We also work on pacing so you stay active without repeated flare-ups. Simple changes in walking pattern, chair height, or stair use can reduce pain.

Medication may be used to calm inflammation so rehab can work. Injections are considered when pain blocks progress or when we need clearer diagnostic information. We explain expected costs clearly and keep care cost-effective without cutting corners. We then tell you the next step clearly.

What does recovery and follow-up look like?

Typical recovery path

Step 1

Walker

Early support and confidence.

Step 2

Cane

Steadier walking with less reliance.

Step 3

Independent

Comfortable daily movement.

Progress is best measured by function. People often aim for steadier walking, easier sitting, and fewer flare-ups rather than a fixed timeline. Stairs become more manageable as hip strength and confidence improve.

We focus on safe, repeatable steps so you can build momentum without fear.

When should I seek urgent care for hip pain?

Severe night pain that does not ease with position change, sudden inability to bear weight, or pain after a major fall should be reviewed promptly. These are uncommon, but they need careful assessment.

If you are unsure, it is reasonable to check in rather than wait and worry.

What is the next step for hip pain?

If you want a clear diagnosis and a conservative-first plan, we can review your symptoms, movement patterns, and any imaging you already have. The aim is to reduce worry, restore function, and keep decisions thoughtful. We tell you the next step clearly. If you are seeking hip care in South Delhi, you can request a visit when you feel ready.

FAQs

Is groin pain always hip-related?

Groin pain often comes from the hip joint, but it can also come from muscles, tendons, or the lower back. The exam helps separate these causes, and we see this often in clinic.

Do I need an MRI for hip pain?

Not always. X-rays and a careful exam are usually the starting point. MRI is used when it will change the plan, such as suspected labral tears or early AVN.

Is surgery inevitable if arthritis is seen on imaging?

No. Many people manage arthritis well with physiotherapy, pacing, and lifestyle adjustments. Surgery is considered only if function remains significantly limited and symptoms match the imaging.

Why does hip pain travel to the buttock or thigh?

The hip shares muscles and nerves with the pelvis and back, so pain can be felt in nearby areas. Location alone is not enough to diagnose the source.

Can I keep walking or exercising?

Usually yes, with guidance. The goal is to stay active without provoking flare-ups or worsening the pain pattern.

When are injections considered?

Injections may help when pain blocks rehab or when we need more clarity about the pain source. They are one tool within a broader plan.

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