What Our Patients Experience

↓ Pain

Less groin and pinching pain over the first weeks to a couple of months of care

↑ Mobility

More comfortable deep bending, sitting, and squatting

↓ Surgery

Many people improve enough with PT to avoid or put off hip surgery

↑ Function

Getting back to lifting, hiking, and daily activities without the pinch

Deep Hip Pain Has a Treatable Cause

Pinching with squats or sitting isn't a permanent verdict — and it's rarely a fast track to surgery. Most hip impingement responds to skilled hands-on care, movement retraining, and strengthening. The path forward starts with a hands-on exam, not just a scan.

Deep groin pain or pinching with squats, sitting, or bending the hip Pain that's worse with long sitting or driving Stiffness, clicking, or a catching feeling in the hip Trouble with stairs, getting in and out of cars, or putting on shoes Pain with twisting or turning the leg inward Outer-hip or low-back pain from compensating

Why Hip Impingement Persists

Hip impingement is part bone shape and part movement — and the movement piece is what we can change the most.

Extra Bone on the Ball

A little extra bone on the ball of the hip creates pinching when you bend and turn the leg in — common in people who loaded their hips hard as teens.

A Deep Socket

A socket that covers more of the ball than usual can pinch during deep bending — a bit more common in women.

Movements That Provoke It

Deep squatting, long sitting, and positions that combine bending with turning the leg in are what usually bring on symptoms.

Weak Hip Muscles

Weak glutes and deep hip muscles let the ball drift forward in the socket, which increases the pinch.

Labral Irritation

Repeated pinching can irritate the ring of cartilage in the socket (the labrum), causing clicking, catching, and lingering groin pain.

Hip impingement (also called FAI) is when the ball and socket of the hip pinch together during certain movements — especially deep bending and turning the leg inward — causing groin pain and a pinching feeling. The shape of the bone plays a part, but the pain is mostly driven by strength and movement patterns, which respond well to physical therapy.

Relieve Hip Pain Faster in Bozeman

Is a deep pinch in your hip or groin turning up with squats, long drives, or getting in and out of the car? Hip pain doesn’t just slow you down — left alone, it can wear on the joint over time.

At Root Therapy and Wellness in Bozeman, we do more than chase the ache. We find what’s actually driving the pinch — usually a mix of strength and movement habits — and treat it directly, so you can move more freely and protect the hip for the long run.

Why Your Hip Pinches

Hip impingement is part bone shape and part movement. The shape of the ball and socket is fixed, but what actually produces the pain is the contact during certain positions — deep squats, long sitting, and turning the leg inward. The muscles around the hip matter just as much: when the glutes and deep hip muscles are weak, the ball drifts forward in the socket and the pinch gets worse.

The good news is that the biggest drivers — strength and movement habits — are the ones we can change. Adjust the positions and build the strength behind them, and most symptoms settle down.

What to Expect at Your First Visit

  1. Comprehensive evaluation (60 minutes) — your history, how the hip moves, strength testing, and a look at how you squat and move, plus the back, knee, and ankle factors that can play in.
  2. Diagnosis and plan — a clear read on what’s driving your pinch and a realistic timeline.
  3. Hands-on treatment that same visit — joint mobilization and soft-tissue work.
  4. Movement lesson — your first tips on which positions to adjust and how.
  5. Re-assessment every few visits, tracking your strength and the activities you came in for.

Act Now to Protect Your Hip

The sooner you start, the sooner the pinch settles — and the better you protect the joint down the road. Call to schedule your evaluation, and let’s get your hip moving freely again.

Effective Treatment for Hip Pain in Bozeman

We use a hands-on, step-by-step approach to calm the pinch, restore movement, and keep the hip healthy:

  1. Hands-On Manual Therapy

    Gentle joint and soft-tissue work to ease the pinch and improve how the hip moves.

  2. Targeted Strengthening

    Building hip and core strength so the joint stays centered and stable through the movements that used to hurt.

  3. Movement Retraining & Prevention

    Adjusting how you squat, sit, and move so you can stay active without provoking symptoms.

This approach eases pain at the source and helps you keep doing what you love.

Our Treatment Approach

  • Hip Joint Mobilization — Gentle hands-on work to improve how the hip moves and take pressure off the pinch during bending.
  • Soft-Tissue Work — Easing the tight hip and groin muscles that add to the load on the front of the hip.
  • Movement Retraining — Learning to squat, sit, and move in ways that keep you out of the positions that provoke symptoms.
  • Hip & Core Strengthening — Building glute, deep-hip, and core strength so the hip stays centered and stable.
  • Activity Adjustments — Adjusting squat depth, bike fit, and your sitting setup so you can keep doing what you love.

How Root Is Different

Not all therapy is created equal. Here's why our patients get better results with Hip Impingement.

Conventional PTRoot's Approach Root Therapy
Session ModelShared between an aide and the therapist; 15–20 min of direct PT timeA full 1-on-1 session with your therapist
ApproachGeneric stretching and "stop squatting"Address the real drivers — hip strength and movement patterns
TechniquesStandard exercise protocolsJoint mobilization, movement retraining, and progressive strengthening
AssessmentWait-and-see; refer for imaging earlyA hands-on hip exam plus strength and movement testing
FocusSymptom suppression or a surgical pathLasting relief, and avoiding or delaying surgery

Hands-On Every Visit

Hip joint mobilization and soft-tissue work every session — not just exercise sheets.

Find the Specific Driver

Bone shape, weakness, movement pattern, or labrum — the answer comes from a hands-on exam, not just a scan.

Move Differently to Hurt Less

Most hip-impingement pain comes from specific positions. Adjusting how you move often changes the pain right away.

5.0 out of 5
I have had an incredible experience at Roots. The woman at the front desk is so helpful and kind. My PT Kristi had helped me rehab my knee and hip so that I can take my dog on hikes again and climb my stairs without pain. I feel heard and seen at my appointments. My time in the office is incredibly helpful. My home exercises are simple but very effective so I actually do them. I also work with Lindsey who is a PT assistant and she has helped my knee with cupping and other manual work. Lindsey has helped me build my strength, balance, and I’m stating to work on endurance/ cardio. I feel like I’m in safe and thoughtful hands at Roots- highly recommend!!!
— A.W. Google review · June 2026
5.0 out of 5
I have been to many physical therapists for various injuries over my lifetime and this clinic is the absolute best. I feel like for the first time we are creating a plan to rehabilitate my injury but also figuring out how to avoid injuries in the future and create a strong body for my future. Tracey and Kristi both have shown me exercises I will do for life. I am so happy I chose Root.
— H.W. Google review · August 2025
5.0 out of 5
The staff are friendly, easy to talk to and helpful. Kezia explained to me how scar tissue from surgery can keep the muscles in a tight position. Even with physical therapy the muscles will revert back to the tight position even while keeping up with physical therapy exercises. This is new to me and I can feel everything loosening up. I'm excited to see how much this can help.
— S.G. Google review · March 2024

Frequently Asked Questions

Does hip impingement always require surgery?
No — and most people shouldn’t go to surgery first. Research shows the majority of hip-impingement patients improve a lot with structured physical therapy. Surgery is usually considered only when good PT hasn’t helped after a few months and you still can’t do what you need to.
What does hip impingement actually feel like?
Most people describe a deep groin ache or pinch that’s worst when bending the hip and turning the leg in — squatting, sitting in low chairs, getting in and out of cars, or crossing your legs. It often comes on gradually and worsens with activity or long sitting. Clicking or catching can point to the labrum being involved.
What's the difference between hip impingement and hip arthritis?
Hip impingement is mechanical — the ball and socket pinch during certain movements, mostly in younger, active people. Hip arthritis is wear of the joint’s cartilage, usually in older people. Impingement can lead to earlier arthritis if it’s left alone, which is one reason it’s worth addressing even when you can live with it now.
What activities should I avoid with hip impingement?
The positions that provoke it — deep squatting (especially with the knees caving in), long sitting in low chairs, deep bending-and-twisting yoga poses, and the sport moves that combine those. We adjust rather than cut things out where we can — a squat with an adjusted depth is usually fine even when a very deep one isn’t.
How long does hip impingement treatment take?
Hip impingement (FAI) typically responds over weeks to months. Recovery is quicker when weakness and movement habits are the main drivers, and slower when the labrum is more involved. Your therapist tracks hip strength and the specific activities you came in for, so progress is measured against your goals.
Can I still exercise and stay active with hip impingement?
For most people, yes — with adjustments. We build hip strength without provoking the pinch and adjust how you move so you can keep doing what you love. Many people get back to full activity once strength and movement improve.
Do I need an MRI before starting PT?
Usually not. A good hands-on exam identifies most cases. A scan helps when you’re not improving with the right PT, when the labrum is a concern, or when surgery is being weighed. Bone shapes like these show up on scans in plenty of people with no symptoms at all, so the exam matters.
Do I need a referral for hip impingement PT in Montana?
No — Montana is a direct-access state. Some insurance plans require a referral for coverage; we verify at your benefits check.

Last updated

Hip pain limiting your activity?

Hands-on hip impingement care in Bozeman — manual therapy, movement retraining, and a path to keep you active. Many people avoid surgery. No referral needed for most plans.

Most insurance accepted, Medicare welcome · Serving Bozeman, Belgrade, Manhattan, Four Corners & the Gallatin Valley · Mon–Fri 8am–5pm

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