Why Does My Groin Still Hurt After Hip Replacement Surgery?
Still experiencing groin pain after hip replacement? Learn what might be causing it, when to worry, and how to manage it effectively for a smoother recovery.
Written by Dr.Sonia Bhatt
Last updated on 17th Jul, 2025
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Introduction
Hip replacement surgery is a common procedure that helps relieve pain and improve mobility for people with severe hip arthritis or injury. While most patients experience significant relief after recovery, some may still feel pain in the groin area even months after surgery. If you're wondering why this happens and what you can do about it, this article will guide you through the possible causes and solutions.
Consult Top Specialists for Personalised Care
Understanding Groin Pain After Hip Replacement
Groin pain after hip replacement surgery can be concerning, especially when you expected full relief. While some discomfort is normal during recovery, persistent pain may indicate an underlying issue. Here are some possible reasons:
1. Normal Healing Process
After surgery, your body needs time to heal. Swelling, muscle stiffness, and nerve irritation can cause temporary groin pain. This usually improves within a few weeks to months as your hip adjusts to the new joint.
2. Muscle or Tendon Strain
The surgery involves repositioning muscles and tendons, which can remain sore during recovery. Overexertion or improper movement can also strain the groin muscles.
3. Implant-Related Issues
In some cases, groin pain after hip replacement may be linked to problems with the implant itself
Implant Loosening: If the artificial hip joint becomes loose, it may cause groin pain.
Implant Misalignment: Improper positioning of the implant can lead to uneven pressure and discomfort.
Allergic Reaction: Rarely, some people may react to the materials used in the implant.
4. Nerve Irritation or Damage
During surgery, nearby nerves may get irritated or stretched, leading to lingering pain.
5. Infection
Though rare, an infection in the new joint can cause persistent pain, swelling, and fever.
6. Hip Flexor Tendinitis
The hip flexor muscles—responsible for lifting your leg—may become inflamed due to overuse or weakness after surgery.
When Should You Be Concerned?
While some discomfort is expected, consult your doctor if:
The pain worsens over time.
You notice swelling, redness, or warmth around the hip.
You develop a fever or chills.
The pain interferes with daily activities even after 3-6 months.
How to Manage Groin Pain After Hip Replacement
Here are some helpful ways to relieve groin discomfort and support healing:
1. Follow Your Physical Therapy Plan
Strengthening exercises help restore muscle balance and reduce strain.
Avoid sudden movements that may aggravate the groin area.
2. Apply Ice and Heat
Ice packs can reduce swelling and numb the pain.
Heat therapy helps relax tight muscles.
3. Take Pain Relief Medications As Prescribed
Over-the-counter pain relievers like acetaminophen or ibuprofen may help, but always consult your doctor before use.
4. Avoid Overexertion
Gradually increase activity levels—don’t rush into high-impact exercises. Avoid running, heavy lifting, or twisting movements until cleared by your doctor.
5. Check Your Walking Pattern
Limping or favouring one leg can strain the groin. A physical therapist can help correct your gait.
6. Consider Further Evaluation
If pain persists, your doctor may recommend:
X-rays or scans to check implant positioning.
Blood tests to rule out infection.
When to Seek Medical Help
If home remedies and time don’t improve your pain, it’s important to get professional advice. Persistent groin pain could indicate a problem that needs medical attention.
If you're experiencing ongoing discomfort after hip replacement surgery, Apollo 24|7 offers expert orthopaedic consultations and diagnostic tests. You can:
Schedule an online doctor consultation for personalised advice.
Book lab tests or imaging to check for implant issues or infections.
Early intervention can help you get back to a pain-free life faster.
Final Thoughts
Groin pain after hip replacement surgery can be frustrating, but understanding the possible causes and taking the right steps can help. While some discomfort is normal, persistent pain should not be ignored. Follow your recovery plan, stay patient, and consult your doctor if needed.
Remember, healing takes time—be kind to your body, and don’t hesitate to seek help if something doesn’t feel right.
Need expert advice? Visit Apollo 24|7 to book an appointment with an orthopaedic specialist today!
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Dr. Doctor Neelabh
Orthopaedician
20 Years • MBBS, D.ORTH, DNB ( ORTHO)
Delhi
Intermed, Delhi
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Dr. Deepak Inamdar
Orthopaedician
18 Years • MBBS, D.Ortho (Manipal), DNB Ortho, MNAMS Ortho (New Delhi), Fellow Joint Replacement Surgery (Ahmedabad), Fellow Revision Joint Replacement Surgery (Endoklinik, Germany)AO Fellow (UHCW, U. K)
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