Right Groin & hip pain

Posted by arkrzbk55 @arkrzbk55, Nov 15, 2025

Having intermittent pain in right groin, upper anterior thigh & right hip. Pain usually associated with bending at waist & straightening back up. X-ray & MRI report the joint is good. At times pain is severe & I cannot bear weight on right leg. Have Hx of some mild lumbar disease but have had injection which did not help pain in low back or hip. Also have had Physical Therapy without improvement. I am still working full time and this pain in interfering with my job.
No one has been able to tell what’s causing it or what I can do about it.

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Maybe hip flexor is tight or strained or psoas? Pain pain because I have somewhat loose ligaments my hip injury when I was young, so those kind of things that were difficult to treat with anything besides just strengthening the area sometimes water therapy is good. I find. Good luck

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Profile picture for heyjoe415 @heyjoe415

Hi Ligol,

First ion all, please don't be terrified.

I moved in 2018 and had to find new Drs and orthopedic surgeons . I'm sure you have many good ones in your area.

My criteria for finding a good ortho surgeon is as follows: 1) find a surgeon in their mid/late 30s to mid 40s. They are young and ambitious and armed with the latest surgical know-how, 2) select a surgeon with a good med school and residency/fellowship pedigree. The best ortho surgeons will gave completed a residency AND fellowship in a specific area of orthopedics, like hips, knees, shoulder. spine, and on.

I did this and found some great surgeons. Since 2018, I have had both knees replaced (2023) and this year (2025) had my right hip and left shoulder replaced. All were extremely successful and eliminated the pain I was in. I was very active in rehab and did everything that I was told to do as far as rehabbing at home.

Hips are supposed to be the easiest replacement surgery, and mine certainly was. I would advise getting a hip replaced with an "anterior" incision rather than posterior or lateral. The anterior approach spares all the muscles and results in a faster recovery.

Hope that helps, and all the best to you!

Joe

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@heyjoe415
I would slightly alter your guidance to 40s and 50s and add what I consider the most important criteria (and why I am increasing the age range): extensive experience doing the same procedure I am wanting. I would want at least 100 praocedures and preferably hundreds or thousands.

Someone has to be the trainee. I don't want it to be me. I was in the supermarket recently and bumped into a woman who enthusiastically told me she had recently had a hip replacement by a surgeon who had been trained by the inventor of the method. I asked if she meant Jimmy Chow and she said yes. I then told her that Jimmy Chow was my surgeon. My point is that the guy who was trained I am sure is a good surgeon and Dr. Chow runs a fellowship program but I prefer the trainer, not the trainee.

There are newer approaches to hip replacement: Superpath, STAR, etc. instead of anterior or posterior. I had Superpath by the primary inventor of that method (Jimmy Chow) and I had zero post surgery pain. I attribute more to his skill than luck because seven weeks ago he replaced my right knee and I had zero pain after the surgery as well.

I believe the single most important decision one can make is surgeon selection. I have a bunch of criteria for that but once you have selected the surgeon, I believe in following his instructions and advice.

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Profile picture for steveinarizona @steveinarizona

@heyjoe415
I would slightly alter your guidance to 40s and 50s and add what I consider the most important criteria (and why I am increasing the age range): extensive experience doing the same procedure I am wanting. I would want at least 100 praocedures and preferably hundreds or thousands.

Someone has to be the trainee. I don't want it to be me. I was in the supermarket recently and bumped into a woman who enthusiastically told me she had recently had a hip replacement by a surgeon who had been trained by the inventor of the method. I asked if she meant Jimmy Chow and she said yes. I then told her that Jimmy Chow was my surgeon. My point is that the guy who was trained I am sure is a good surgeon and Dr. Chow runs a fellowship program but I prefer the trainer, not the trainee.

There are newer approaches to hip replacement: Superpath, STAR, etc. instead of anterior or posterior. I had Superpath by the primary inventor of that method (Jimmy Chow) and I had zero post surgery pain. I attribute more to his skill than luck because seven weeks ago he replaced my right knee and I had zero pain after the surgery as well.

I believe the single most important decision one can make is surgeon selection. I have a bunch of criteria for that but once you have selected the surgeon, I believe in following his instructions and advice.

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Hi Steve,

Agree that surgeon selection is the first priority. The second priority is on the patient - do all the rehab for as long as instructed. This isn't as important with hips, but essential for knees and shoulders.

And experience and number of procedures performed is also very important. By the time a surgeon has reached age 40, he or she should have completed thousands of surgeries.

Joe

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You're h having the same exact pain, I am and they found that it is cysts on my lower spine L5-S1. As well as impingement. I would ask your doctor for a lower spine M.R I.
Good luck and GOD bless

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Profile picture for bettes @bettes

@ligol
Well, I had to have an unexpected colostomy in March--two weeks in the hospital in Gainesville and almost died. So my hip surgery was far less traumatic, and you will be fine. I would absolutely try Mayo Clinic. I would have if I hadn't been rushed in as an emergency for the colostomy. My husband used Mayo a couple of years ago for carotid surgery, and it was brilliant. Do not be afraid--you will be ever so much better off post surgery than you could have dreamed of being. Bette

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@bettes
Do you know any good hip surgeon at Nayo?

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Profile picture for steveinarizona @steveinarizona

@heyjoe415
I would slightly alter your guidance to 40s and 50s and add what I consider the most important criteria (and why I am increasing the age range): extensive experience doing the same procedure I am wanting. I would want at least 100 praocedures and preferably hundreds or thousands.

Someone has to be the trainee. I don't want it to be me. I was in the supermarket recently and bumped into a woman who enthusiastically told me she had recently had a hip replacement by a surgeon who had been trained by the inventor of the method. I asked if she meant Jimmy Chow and she said yes. I then told her that Jimmy Chow was my surgeon. My point is that the guy who was trained I am sure is a good surgeon and Dr. Chow runs a fellowship program but I prefer the trainer, not the trainee.

There are newer approaches to hip replacement: Superpath, STAR, etc. instead of anterior or posterior. I had Superpath by the primary inventor of that method (Jimmy Chow) and I had zero post surgery pain. I attribute more to his skill than luck because seven weeks ago he replaced my right knee and I had zero pain after the surgery as well.

I believe the single most important decision one can make is surgeon selection. I have a bunch of criteria for that but once you have selected the surgeon, I believe in following his instructions and advice.

Jump to this post

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You wrote J. Chow doesn’t accept Insurance and that has to be cash? So, how much of it?
TY

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Have you seen an orthopedic surgeon?
I had terrible pain like this, and ended up having to get a hip replacement - on both hips actually.
By bones were literally rubbing against each other with nothing left to buffer it.
You may not need this - but I know that an orthopedic surgeon would be helpful for you.

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Tight IT band? That gives me periodic problems as you described. I’ve had hip and lumbar joint replacement infusion. But I can still periodically get a screwed up IT band an MFR therapist will help you diagnose that kind of thing.

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