Psoas groin pain: possible causes and next steps

The psoas is a deep muscle that helps flex the hip and connects the lower spine with the upper thigh. Irritation or overload may cause aching deep in the groin, discomfort at the front of the hip, or pain when climbing stairs, running, kicking, or getting up from sitting. A snapping sensation can occur in some people.

Pain in this area is not specific to the psoas. Hip impingement, a hip labral tear, hip osteoarthritis, adductor strain, or a problem outside the joint may produce overlapping symptoms. Examination of hip movement, strength, walking, and symptom triggers helps narrow the cause.

Temporarily reduce movements that reproduce sharp pain, such as repeated high-knee drills or forceful sprinting. Keep gentle, comfortable movement rather than prolonged bed rest, and note whether pain changes with sitting, walking, stairs, or sport. Avoid aggressive stretching into pain because a deep hip problem may be present.

A physiotherapist can assess hip and trunk movement, then build a gradual plan for strength, mobility, and return to activity. Sports physiotherapy may be useful when symptoms began with training or competition.

Arrange medical assessment for groin pain after a fall, pain that prevents weight-bearing, marked weakness, fever, a visible bulge, or symptoms that are worsening or persistent. Seek urgent care for severe sudden pain, inability to move the hip, or significant swelling or bruising after injury.

Does the pain seem to come from the psoas, the hip joint, or another structure? Which movements should I pause? Do I need imaging or physiotherapy assessment? How should I progress back to running, lifting, or sport?