Originally Posted by
Nick D'Agostino
Hey Swyou22,
The link on your youtube is not working. For people who have persistent problems with this issue to the point where it becomes debilitating, I decrease squatting frequency to 2x/week for three sets of 5 reps on a linear progression and start with front squats. Once that starts to get hard, I back off 10-20 lbs and start another LP with a high bar. Once that starts to get hard I backoff 10-20 lbs and start another LP with low bar. Over the years, I've used this successfully with many people who suffered from very persistent anterior hip pain that was not responsive to stance and technique alterations. It has not worked for everyone, but there have been many successes.
I've found that one of the contributors to his problem is a sensitivity to end-range hip flexion. That squat progression does an excellent job of grading your exposure back in this context. Still, you need to take in a bigger picture to get rid of this. When I am managing these cases, I also control for any other activity that spends time in that area. Typical examples here include rowing, situps, biking (especially spin classes clipped in), and grade those exposures back using the same kind of principles.
More specific advice than this is in consult/rehab coaching territory, but hopefully, this gets you started.