Hip Pain · Evolutio Sports Physio Richmond
Hip pain that doesn't go away. We find why.
Hip impingement, gluteal tendinopathy, bursitis, labral tears, hip OA and cycling hip injuries. We treat them all. 45-minute assessments and the same physio every visit.
Why hip pain is complex
The hip is one of the most load-bearing joints in the body and one of the most commonly misdiagnosed. Pain in the outer hip is often labelled bursitis when it is actually gluteal tendinopathy. Deep groin pain gets attributed to muscle strain when it may be labral involvement or hip impingement. The wrong diagnosis leads to the wrong treatment, which is why many hip pain patients cycle through interventions for months without improvement.
At Evolutio, our 45-minute initial assessment gives us the time to differentiate between these conditions accurately. We look at how you move, where exactly the pain is reproduced, what aggravates and relieves it, and how your broader movement patterns and training load are contributing. Read about what to expect at your first visit.
We treat hip injuries from the Tan Track, cycling commuters on the Yarra Trail, CrossFit athletes, AFL and football players, golfers, and desk professionals whose hip flexors have been shortened by years of sitting. If your hip has been dismissed elsewhere, this is the right place to start again.
Book an assessment
Prefer to call or WhatsApp? 03 9100 3798 or +61 430 436 531. Open Mon to Thu until 7:30pm, Fri until 6pm, Sat until 1pm.
Hip conditions we treat
The wrong diagnosis leads to the wrong treatment. Accurate assessment is the starting point for everything else. These are the conditions we see most often and know best.
Femoroacetabular impingement occurs when the hip joint has abnormal contact between the ball and socket. It produces deep groin pain, particularly with hip flexion, crossing legs and prolonged sitting. Common in active people aged 20 to 50. Arthritis Australia recognises physiotherapy as a first-line treatment for FAI, often producing outcomes equivalent to surgery when rehabilitation is thorough.
The most common cause of lateral hip pain, affecting runners, cyclists and desk workers. Often misdiagnosed as bursitis. The gluteal tendons degenerate where they attach to the greater trochanter, producing pain when compressing the tendon, such as crossing the legs, lying on the affected side, or climbing stairs. Responds well to progressive loading programmes when managed correctly.
Inflammation of the bursa over the lateral hip. Often presents alongside gluteal tendinopathy. True bursitis in isolation is less common than previously thought. Pain on the outer hip, worse with lying on the side and climbing stairs. Treatment focuses on load management, offloading compressive forces on the bursa, and progressive gluteal strengthening.
The labrum is a ring of fibrocartilage around the hip socket that provides depth and stability. Tears produce groin pain, clicking or catching sensations, and reduced range of motion. Often associated with FAI. Many labral tears are managed effectively with physiotherapy focusing on hip joint centration, strength and movement retraining, without surgical intervention.
Gradual degeneration of hip joint cartilage producing morning stiffness, aching with activity and progressive loss of movement. The evidence for physiotherapy in hip OA is strong, with Cochrane reviews supporting exercise as the most effective conservative treatment for pain reduction and functional improvement. We treat hip OA at every stage, including pre and post hip replacement.
Hip flexor strains, adductor injuries (groin strains), piriformis syndrome, hip stress fractures in runners, saddle-related hip pain in cyclists, and osteitis pubis in footballers. We work with Ciclo Melbourne on cycling-specific hip injuries where bike position is a contributing factor. Sports hip injuries require accurate diagnosis and sport-specific rehabilitation protocols.
How we treat hip pain
Treatment that only addresses where it hurts is not treatment. We address the cause, the contributing factors, and the return to full function.
Forty-five minutes is enough time to actually understand your hip. We take a thorough history, perform movement and provocation testing, assess muscle strength and flexibility, and identify all contributing factors including training load, movement patterns and lifestyle.
Hands-on treatment matched to your specific diagnosis. Not a generic hip protocol. Manual therapy to restore joint mobility and reduce pain. Dry needling for trigger point release where indicated. Exercise prescription that loads the right structures in the right sequence.
Return to running, cycling, sport or simply pain-free daily life. We use VALD objective strength testing to track your progress with data for complex cases. Within 48 hours of your first session you receive a detailed email with your diagnosis, your plan, and video exercises.
The clinic
Walk into 11/3 Bromham Place and you notice immediately that this is not a typical clinical space. Indie playlist. The smell of good coffee. A handmade timber table. Plants everywhere. Original artwork on the walls including the Twisted? mural and Mabo and Grace Tame prints upstairs. None of this is decoration. It is a statement about the kind of care you will receive here.
Hip pain often requires multiple visits over several weeks. Coming somewhere that feels like a good place to be matters. It affects how well you communicate, how relaxed you are during treatment, and how engaged you are with your rehabilitation. Our clinic was built with that in mind.
About EvolutioSelf-management
What you do between appointments matters as much as what happens during them. These are the principles that consistently make the biggest difference.
Who you will see
No passing you between practitioners. The physio who does your hip assessment treats you through to the end. Choose who you would like to work with and book directly.
Nine years experience. Complex hip injuries, hip impingement, chronic hip pain that has not resolved elsewhere, biomechanics and orthotics. The practitioner you want when the diagnosis has been unclear or the previous treatment has not produced results.
Book with Bayden
Dual Masters in Physiotherapy and Clinical Exercise Physiology from USyd. Exceptionally strong with sports hip injuries, CrossFit hip complaints, hip impingement in lifting athletes, and groin injuries in AFL and football players. Saturday mornings only.
Book with Phill
Warm, attentive and particularly thorough. Excellent with gluteal tendinopathy, hip bursitis, hip pain in runners, and patients who have been given conflicting diagnoses elsewhere. Her approach to differential diagnosis is a genuine strength.
Book with Kelsi
Ironman 70.3 triathlete and Ciclo Melbourne bike fitter. Exceptionally strong with cycling hip injuries, saddle-related groin and hip pain, and hip conditions where bike position is a factor. Also brings expertise in adjacent issues including lower back and TMJ pain.
Book with ShirouzNot sure which physio is right for your hip?
Every practitioner has a different area of strength. Browse the full team first.
Meet the whole teamGetting here
We are at 11/3 Bromham Place, Richmond VIC 3121. Five minutes from South Yarra and Toorak by car, two train stops from Flinders Street, and accessible via the Capital City Trail and Yarra Trail cycling paths. Secure bike storage at the clinic for cycling patients.
Clinic Hours
Pricing 2026
Common questions
Call 03 9100 3798 or WhatsApp +61 430 436 531 if you would like to talk first.
Recovery depends on the specific diagnosis. Acute hip flexor strains and bursitis flares typically improve within 4 to 8 weeks. Hip impingement and labral tears require 8 to 16 weeks of targeted rehabilitation. Gluteal tendinopathy responds to progressive loading over 8 to 12 weeks but can recur without maintaining the programme. Hip OA requires ongoing management. We will give you a realistic, specific timeline at your first assessment.
In many cases, yes. Research supports physiotherapy as an effective first-line treatment for hip impingement (FAI), often producing comparable outcomes to surgical intervention when rehabilitation is thorough. For hip OA, Cochrane systematic reviews consistently show exercise-based physiotherapy reduces pain and improves function. We work with orthopaedic surgeons when surgery is genuinely the best option, but exhaust conservative management first.
They produce very similar symptoms, particularly outer hip pain that worsens with lying on the side and crossing the legs. The key difference is the structure involved: bursitis is inflammation of the bursa fluid sac, while gluteal tendinopathy is degeneration of the gluteal tendons. They often occur together. The distinction matters because treatment differs slightly. Gluteal tendinopathy requires progressive loading while avoiding compressive positions. True isolated bursitis is less common than once thought. Accurate assessment at first appointment will differentiate them.
Not necessarily. The goal with FAI is identifying which movements provoke symptoms and modifying your training appropriately, not stopping exercise entirely. High hip flexion movements, deep squats and activities that recreate the catching or pinching sensation may need temporary modification. Walking, swimming and cycling with a higher saddle are usually well-tolerated. We will give you specific guidance for your sport or activity at your first appointment.
No. Imaging is useful for ruling out serious pathology and for surgical planning, but most hip conditions can be accurately diagnosed through clinical assessment. An MRI finding of labral tear or FAI does not automatically mean surgery or that those findings are causing your pain. If you have existing imaging, bring it and we will review it as part of your assessment. If we believe imaging would change your management, we will discuss referring you for it.
No referral needed for standard appointments. Book directly online in under 60 seconds, call 03 9100 3798, or WhatsApp us. A GP referral is only required for Medicare EPC rebates or WorkCover claims.
Senior Physiotherapists (Bayden and Phill): Initial $235 for 45 minutes, Follow-Up $140 for 30 minutes. Standard Physiotherapists (Kelsi and Shirouz): Initial $185 for 45 minutes, Follow-Up $130 for 30 minutes. A $85 deposit is taken at booking. HICAPS processes private health insurance rebates on the spot. See our full pricing and insurance guide.
Yes. Hip dysfunction commonly produces compensatory movement patterns that stress the lower back, SIJ and knee. We treat the full picture, not just the loudest symptom. Often resolving the primary hip issue reduces the secondary back and knee complaints as well. If you have significant back pain, our lower back pain guide is a useful companion read.
Ready to book
A 45-minute assessment gives you a specific diagnosis, a realistic timeline, and a plan. Online booking takes under 60 seconds. No referral needed.
