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Hip Problems

From femoroacetabular impingement (FAI) to hip osteoarthritis and athlete’s groin: we combine manual therapy with targeted strengthening of the pelvic and hip muscles — for full mobility and sport without that pinching hip.

Key facts

Typical complaints we treat

When to see a physio about hip problems

Hip problems often show up in the groin, sometimes in the buttock or thigh. Come and see us if you feel a pinching sensation in deep flexion (sitting, tying your shoes, squatting), if prolonged loading in sport or everyday life triggers pain, or if movement restrictions persist after a sports injury. In the assessment we differentiate hip joint problems from lumbar spine and adductor-related causes.

With a sudden acute block in flexion without trauma, or pain accompanied by fever, the first port of call is a doctor — that could be an inflammatory cause.

Conservative or surgical — and where we come in

Most hip complaints can be treated conservatively. For FAI and labral tears the evidence is clear: structured physiotherapy for at least three months is the first choice before surgical options are considered. In hip osteoarthritis, targeted strength training can often delay the point at which a joint replacement might be needed. If surgery does go ahead — arthroscopic or as a joint replacement — we support prehab and aftercare in coordination with the treating clinic.

What makes MTT different with us

With us, MTT doesn’t happen in a back room — it takes place in the main area of our Sport Performance Center, with the same equipment the pros train on. For the hip, that means targeted gluteal activation against resistance, adductor/abductor strength training compared side to side, and isokinetic testing. We measure strength ratios objectively and progress the load step by step — based on data, not gut feeling.

Frequently asked questions

Do I need hip surgery if I have FAI?

Not necessarily. For symptomatic femoroacetabular impingement, the research shows that structured conservative therapy over 3–6 months significantly improves symptoms in many patients. If there is no improvement, a clearly identifiable labral tear or mechanical blocking, surgery is considered. We support both paths.

What helps with hip osteoarthritis apart from a joint replacement?

For hip osteoarthritis without a clear indication for surgery we work conservatively: targeted strengthening of the joint-stabilising muscles (gluteus medius, hip adductors), mobility work and gait training. The research shows that structured strength training reduces pain and can delay the point at which a joint replacement might be needed. If a replacement is clearly indicated, we support prehab and rehab.

Athlete’s groin — is it the hip or the adductors?

It can be either, and it needs a differentiated assessment. We test adductor strength, hip joint mobility (FADIR test) and lumbar spine mobility to identify the main cause. Often it’s a combination — adductor tendinopathy with an additional hip joint component.

Does health insurance cover hip therapy?

With a doctor’s prescription, basic health insurance covers 9 sessions of 30 minutes each. For a sports accident involving the hip, Swiss accident insurance (UVG) covers 100 percent of the costs — without a doctor’s prescription. We sort out the registration with the insurer directly.

Do I need a doctor’s prescription?

For billing through basic health insurance (KVG), yes — with a diagnosis. Not for a documented sports accident registered with UVG accident insurance. Self-payers can book at any time without a prescription.

What is different about MTT compared with conventional physio?

Medical training therapy (MTT) is active, dosed loading on equipment. For the hip, that means targeted strengthening of the gluteal and pelvic floor muscles with progressive load, and isokinetic strength testing compared side to side. It complements manual therapy and is evidence-based for FAI and hip osteoarthritis.

Booking: book online (German interface) or call us in English — Kloten 044 803 91 19, Zurich West 044 814 23 20.