Specialist Hip Physiotherapy

Let our expertise give you peace of mind

Hip pain can significantly affect walking, sleep, exercise and confidence in movement. Symptoms may develop gradually, follow an injury or surgery, or persist despite previous treatment. 

At Solent Specialist Physiotherapy in Gosport, hip assessment and rehabilitation is a defined area of specialist clinical practice. We manage a wide range of hip presentations, from osteoarthritis and tendon-related pain through to FAIS, acetabular dysplasia, complex lateral hip pain and rehabilitation following hip surgery.

Our focus is on detailed assessment, clear diagnosis and evidence-based rehabilitation, with imaging and onward referral considered where appropriate.

Why hip problems need specialist care

The hip must combine stability with powerful load transfer. Disruption to this balance may produce symptoms in the groin, lateral hip or deep joint region.

Pain may originate from gluteal tendon overload, intra-articular joint pathology, early degenerative change, femoroacetabular impingement syndrome (FAIS), acetabular dysplasia or post-surgical deconditioning. These conditions often overlap and cannot be differentiated accurately without detailed mechanical examination.

Without precise diagnosis, individuals frequently cycle through short-term relief, recurrent flare-ups and frustration.

Specialist assessment examines joint irritability, dynamic pelvic control, strength symmetry, load response and functional demand so that rehabilitation is targeted from the outset.

Specialist assessment considers joint irritability, strength, movement control, load response and functional demands, alongside imaging where relevant. This helps distinguish between different hip presentations and allows rehabilitation to be targeted towards the factors most relevant to the individual.

Common hip problems we manage:

Gluteal tendinopathy and complex lateral hip pain→

Post-gluteal tendon repair/ reconstruction→ 

Hip osteoarthritis→

Femoroacetabular impingement (FAI) and labral instability/tears→ 

Acetabular dysplasia (shallow socket)→ 

Adductor Tendinopathy→ 

Post-hip arthroscopy rehabilitation→ 

Hamstring tendinopathy→

Post-total hip replacement rehabilitation→

Each of these conditions requires different diagnostic reasoning and a different management pathway. Detailed information can be explored through the dedicated pages within our specialist hip rehabilitation hub→ 

If you are unsure what is causing your hip pain, a specialist assessment can bring clarity. 

What Makes Our Hip Service Different

Hip assessment and rehabilitation within our Gosport clinic is delivered at Band 8a specialist level, drawing on extensive NHS and private practice experience in complex diagnosis, post-operative rehabilitation, imaging pathways and collaboration with orthopaedic hip teams. 

This depth of experience is particularly valuable where symptoms have persisted despite previous treatment, imaging findings do not clearly correlate with symptoms, surgery is being considered, or rehabilitation needs to progress following a specialist hip procedure.

This level of practice involves complex diagnostic decision-making, surgical collaboration and management of persistent or post-operative presentations — not routine musculoskeletal care.

Many individuals referred for hip pain have already completed general strengthening programmes without lasting improvement. This is rarely because the hip “cannot recover.” More often, the mechanical driver of symptoms has not been precisely identified.

Hip pain may be tendon-driven, joint-driven, instability-related or influenced by load transfer patterns. These presentations often overlap and require careful differentiation.

Specialist assessment evaluates how the hip behaves under load — including irritability profile, single-leg stability, rotational control and strength symmetry. Imaging findings such as cam morphology, labral changes or tendon degeneration are interpreted within clinical context rather than in isolation.

Rehabilitation is structured around tissue behaviour and objective load tolerance.

For tendon-driven presentations, progression focuses on restoring tensile capacity while reducing compression sensitivity. For intra-articular pathology, management integrates movement refinement and staged return to deeper hip bending and twisting. Post-surgical rehabilitation follows defined protocols aligned with tissue healing timelines and measurable strength milestones.

Programmes are individualised. Progression is guided by response to load and 24-hour symptom behaviour rather than arbitrary timelines.

This is specialist hip rehabilitation, tailored to the diagnosis, tissue behaviour, functional demands and individual goals of each patient. 

Where appropriate, we can:

• Request and interpret X-ray or MRI to clarify structural findings
• Correlate imaging with mechanical behaviour so decisions are based on the full clinical picture
• Use injection therapy selectively when irritability is limiting rehabilitation progression

Meet your hip specialist physiotherapist

Book your specialist hip appointment

Specialist hip appointments are available within our Gosport clinic→.

Assessment focuses on detailed mechanical evaluation, clear explanation and individually tailored rehabilitation planning. 

Book online with Victoria Smith→

Online booking is currently available for self-funding Hip & Knee appointments with Victoria Smith at our Gosport clinic. If you have WPA insurance please contact us before booking.

Please note: Victoria’s specialist clinic runs on Wednesdays and appointments may book several weeks in advance. If no appointments are showing online, please contact us as additional availability may sometimes be possible.

Prefer to speak to us first?
You can contact the clinic by phone or email and we’ll be happy to help

📧 [email protected]

📞 0330 133 9090

 Or fill in the form and we will get back to you

Not sure this is the right area? Explore all body regions here→

Hip assessment also available in Emsworth 

For patients in the Emsworth area, Mike Saegert also provides assessment and rehabilitation for hip osteoarthritis and particularly where symptoms may overlap between the hip, knee and spine or the source of pain is unclear.

Emsworth – Spine, Hip & Knee Clinic→