
Hip pain treatment in Indian Trail starts with finding the actual cause of your discomfort, whether that’s stiffness in the hip joint, muscle imbalances, a labral problem, or pain referred from the lower back. At Indian Trail Chiropractic & Rehab, Dr. Gentile uses extremity chiropractic adjustments, soft tissue therapy, movement analysis, and corrective exercise to help restore hip function and get you back to the activities you enjoy, and he refers out when imaging or a specialist is needed.
Why Hip Pain Keeps Coming Back
If you’ve tried rest, ice, and stretching but your hip pain keeps returning, there’s usually a reason. Hip pain rarely happens in isolation, because your hip doesn’t work independently from the rest of your body.
The hip is part of a connected chain that includes your lower back, pelvis, knee, and ankle. When one link in that chain isn’t moving well, the hip compensates, and over time those compensations can lead to irritation, muscle tension, and joint problems.
Many people assume hip pain means they’ll eventually need a new hip, or that arthritis is the inevitable cause. In my years of treating patients, I’ve found that much of the hip pain I see comes from movement and mechanical problems that often improve without surgery or injections.
Common Causes of Hip Pain We Treat
Hip pain shows up differently depending on the cause. Some people feel a deep ache in the groin, others have sharp pain on the outside of the hip, and some have pain spreading down the leg.
Hip Joint Stiffness and Restricted Motion
When the hip joint isn’t moving well, it can put uneven stress on the cartilage and surrounding tissues. That can happen after injuries, from long-term posture habits, or from muscle imbalances.
Extremity chiropractic adjustments help restore better joint motion and ease stress on irritated tissues. As a Certified Chiropractic Extremity Practitioner, I’m trained to assess and adjust joints beyond the spine, including the hip.
Muscle Imbalances and Weakness
Your hip is surrounded by powerful muscles that need to work together. When some become weak while others tighten, the hip joint pays the price.
This is especially common in people who sit for long hours. The hip flexors shorten, the glutes weaken, and simple movements like standing up or climbing stairs become painful. Corrective exercise programs retrain these muscles and rebuild the stability the hip needs.
Labral Tears and Impingement
The labrum is a ring of cartilage that cushions the hip socket. Tears can develop from a sudden injury or gradually from repetitive motion and poor mechanics.
Hip impingement happens when the ball and socket don’t fit together smoothly, causing pinching and irritation. For many people, a conservative plan built around strengthening, movement retraining, and soft tissue work for the surrounding muscles is a good first approach. Adjustments are chosen carefully around a suspected labral tear, and some cases need an orthopedic evaluation.
Bursitis and Tendon Problems
Pain on the outside of the hip, especially when lying on that side, often comes from irritated tendons or the bursa near the bony point of the hip. Our post on bursitis treatment covers this in more detail.
Referred Pain From the Spine
Sometimes what feels like hip pain is actually coming from your lower back. Nerve irritation in the lower spine can send pain into the hip, buttock, and leg.
That’s why a thorough evaluation matters. At Indian Trail Chiropractic, we don’t just treat where it hurts. We work to find the source.
How We Diagnose Hip Pain
Effective hip pain treatment starts with understanding what’s actually wrong. Your first visit includes a comprehensive evaluation that goes well beyond asking where it hurts.
Movement Assessment
I watch how you walk, stand, and perform basic movements. Gait problems and compensation patterns say a lot about what’s happening at the hip and throughout the chain.
We also use Kinetisense 3D movement screening to find subtle imbalances that aren’t visible to the naked eye. It gives us objective data about your movement and helps track your progress.
Orthopedic and Functional Testing
Specific tests help pinpoint whether your pain is coming from the hip joint, surrounding soft tissues, or the spine. They also help rule out conditions that need imaging or a different kind of specialist.
If we suspect a significant labral tear, severe arthritis, or a fracture, we’ll refer you for appropriate imaging before starting treatment.

Our Approach to Hip Pain Treatment
Once we’ve identified what’s causing your hip pain, we build a treatment plan aimed at the cause, not just the symptoms.
Extremity Adjustments
Adjusting the hip joint can improve range of motion and ease stiffness. These adjustments differ from spinal adjustments, since they’re precise, controlled, and focused on the mechanics specific to the hip.
Many patients notice they move more easily soon after treatment. Lasting results come from addressing the underlying movement problems, which is why treatment goes beyond the adjustment itself.
Soft Tissue Therapy
Tight muscles and fascial restrictions around the hip need to release for the joint to move well. We use Active Release Technique and Graston Technique to release adhesions and restore tissue mobility.
These techniques are especially helpful for chronic tension in the hip flexors, IT band, glutes, and piriformis, the muscles that most directly affect how the hip moves and handles load.
Corrective Exercise and Movement Retraining
Adjustments and soft tissue work help you feel better, and exercise helps you stay better. Our Functional Movement Program teaches your body to move well so hip pain is less likely to return.
We focus on strengthening weak muscles, improving mobility in tight areas, and reinforcing good movement patterns. Every program is specific to your condition, goals, and lifestyle, not a generic handout.
Gait Analysis and Orthotics
Sometimes hip pain is driven by what’s happening at your feet. Poor foot mechanics can create a chain reaction through the ankle, knee, and hip.
Gait analysis shows whether custom orthotics could help by improving your foundation and easing ongoing stress on the hip.
What to Expect During Recovery
Recovery depends on the severity of your condition and how long you’ve had it. Recent injuries tend to respond faster than long-standing problems, and both can improve with the right approach.
Many patients notice meaningful improvement early in care, with less pain, better range of motion, and easier daily activities. The evaluation gives a clearer picture of your timeline and what full recovery looks like for you.
The goal isn’t just less pain. It’s restoring hip function so you can return to work, sports, and the activities you enjoy.
When to Consider Hip Pain Treatment
You don’t need to wait until your hip pain becomes unbearable. Addressing it early usually leads to a faster, more complete recovery. Consider getting evaluated if you have:
- Pain in the hip, groin, or outer thigh that lasts more than a few days
- Difficulty walking, climbing stairs, or getting in and out of a car
- Stiffness or reduced range of motion in the hip
- Pain that worsens with activity
- Clicking, popping, or grinding sensations in the hip joint
- Previous hip injuries that never fully healed
The longer hip pain lasts, the more your body compensates, which can create problems in the lower back, knee, or opposite hip.
When Hip Pain Needs Medical Care First
Get medical care right away if you can’t bear weight after a fall, especially if you’re older or have osteoporosis, if your hip is hot and swollen or you have a fever, or if you have sudden, severe groin pain. A child or teen with a new limp or hip or knee pain should see a pediatrician. See a doctor promptly for hip pain with night pain and unexplained weight loss, or with numbness or weakness in the leg.
Why Choose Indian Trail Chiropractic for Hip Pain
Not all chiropractors treat extremities, and many focus mainly on the spine. As a Certified Chiropractic Extremity Practitioner, I have specialized training in hip, shoulder, knee, ankle, elbow, and wrist conditions.
My background in sports performance and biomechanics shapes how I look at movement problems that contribute to pain. I’ve worked with athletes from middle school through professional levels and delivered over 100,000 adjustments across more than 20 years of practice, and that experience shows up in how we find what’s driving your hip pain and build a plan around it.
Every patient gets a customized treatment approach based on their condition, goals, and lifestyle.
Get Hip Pain Relief in Indian Trail
If hip pain is limiting your ability to stay active, work comfortably, or enjoy time with your family, it’s time to address the cause. At Indian Trail Chiropractic & Rehab, we help patients throughout Union County move better and get back to doing what they love.
Ready to find out what’s causing your hip pain? Call us at (704) 821-3222 or schedule your appointment online.
