Opinion on diagnosis

Diagnosis Question

43yo male, fairly in shape and active. No previous issues. Please bear with me, I'll try and lay out my series of events to paint a clear picture for advice.

Starting around 18 months ago I randomly started to get pain in my right Iliadic crest down into my groin, especially while sitting. I thought I was just tight and started to do stretches and PT stuff for my core.

Around 12 months ago while running I started to get an ache\tightness feeling in my right hip. I assumed it was TFL\hip flexor related stuff so I continued to stretch and try and strengthen. When I do dead bugs, my right hip does clunk or pop sometimes, no pain in the actual joint though.

Since then my achy hip comes and goes. It seems to get worse if I sit a lot or the day after I do lots of walking\hiking. Stretching and rolling on foam rollers etc either does nothing or makes it more sore. Exercise actually usually makes it feel better that day, then the ache in my hip, right iliacus region and down into my right groin\testicle comes back. ( out of due diligence I did see a doc about the testicle pain and had a ultrasound, everything down there came back ok)

The pain in manageable, mostly a dull ache from my hip, lower abs\iliacus, down to groin, but with things not improving really at all doing my own PT and stretching, I went and saw a ortho doc. After describing my symptoms, he said it sure sounded a lot like labrum issues and wanted to get me in for a MRI with contrast to see what things looked like.

I had my MRI and the results are as follows:

-Labrum: Tear of the anterosuperior acetabular labrum at the chondrolabral junction. There is full-thickness contrast imbibing tear. Incomplete tear extends posteriorly to the superior labrum.

-Cam lesion which can predispose to femoroacetabular impingement.

On my initial phone follow up call they said I could try PT to see if it would help my symptoms or have surgery to repair the labrum and FAI. I wanted to discuss more with my doc so I have a face to face follow up in a few weeks.

I wanted to turn to you to see if my symptoms\pain track with my diagnosis and what your thoughts are on surgery. I certainly don't want to make things worse, I've never had surgery so this all makes me a little nervous.

Should I be looking at anything else\asking any other questions? Is pain deep in the iliac crest and down into the groin normal with labrum\FAI issues? Is it normal not not feel pain directly in the joint but more in the hip flexor\TFL area?

Thanks in advance!

Posted Jun 3, 2026, 1:27 PM UTC

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