
Optimal Movement
Aug 18, 2026
Chiropractic
Why do soccer athletes get hip and low back pain?
Soccer athletes often get hip and low back pain because the sport combines sprinting, cutting, kicking, deceleration, contact, rotation, and repeated single-leg loading. Pain may come from local muscle strain, hip mobility limits, pelvic control, adductor or hip flexor overload, low back compensation, fatigue, or training volume that increased faster than the body could adapt.
Quick Answer
Soccer athletes often get hip and low back pain because the sport asks the body to sprint, cut, decelerate, kick, rotate, absorb contact, and load one leg repeatedly.
That is a lot for the hips, pelvis, low back, core, adductors, hip flexors, glutes, and nervous system to coordinate.
At Optimal Movement Chiropractic in Rochester, MN, Dr. Kyler Maxfield evaluates soccer hip and low back pain through a movement-based chiropractic lens shaped by his athletic training education, former college athlete experience, running background, and hands-on sports injury care.
The goal is not to tell every athlete to stop playing. The goal is to understand whether the pain is normal training soreness, overload, compensation, or a sign the athlete needs a different plan.
For related reading, see [The Athletic Training Lens I Use With Rochester Athletes](/blog/athletic-training-lens-rochester-athletes), [Why Mobility, Strength, And Recovery Matter During Fall Sports](/blog/mobility-strength-recovery-fall-sports), and [Cross Country Injuries I Watch For In Rochester Runners](/blog/cross-country-injuries-rochester-runners).
Soccer Is A Hip And Pelvis Sport
Soccer is not just running with a ball.
Athletes sprint, stop, cut, plant, pass, shoot, shield, jump, land, and rotate. Much of that happens on one leg while the other leg is moving.
That means the hip and pelvis have to create power and control at the same time.
If the hip is stiff, the low back may try to make up the motion. If the glutes are not controlling the pelvis well, the hip flexors and adductors may start working overtime. If training volume jumps too quickly, tissues may not have enough time to adapt.
Pain is an alarm, not a diagnosis. With soccer athletes, that alarm often tells us the hip, pelvis, and low back are not sharing load well.
Hip Pain Can Have Several Sources
Hip pain in soccer athletes can come from more than one place.
Mayo Clinic describes hip and thigh strains as injuries that can involve muscles or tendons, including the hip flexors, groin/adductors, quadriceps, and hamstrings. These can happen from acute injury or chronic repetitive overuse.
Research on soccer players also points out that hip and groin pain can be complex because the area includes many structures and the sport involves sprinting, cutting, change of direction, and kicking.
That is why I do not love generic advice like "just stretch your hip flexor."
Sometimes that helps. Sometimes it misses the actual reason the hip flexor is irritated.
Patient scenario: A Rochester, MN soccer athlete feels front-of-hip pain during sprinting and kicking. If we only stretch the front of the hip, we may miss pelvic control, stride mechanics, adductor tension, lumbar motion, and practice load.
Low Back Pain May Be Compensation
Low back pain in soccer athletes often shows up when the hips are not doing their job well.
The low back can rotate, extend, brace, and absorb force, but it should not have to do everything.
If a soccer athlete lacks hip rotation, struggles to control the pelvis, or repeatedly kicks and cuts from a stiff position, the low back may become the area that complains.
This is especially common when practice volume increases quickly.
AAOS soccer injury guidance emphasizes avoiding doing too much too soon, warming up, building strength and balance, using proper gear, and not playing through persistent pain.
That lines up with what we see clinically.
What We Typically See In Our Clinic
At Optimal Movement Chiropractic, we see soccer athletes who are tough, busy, and often trying to keep playing through symptoms.
Common patterns include hip flexor pain, groin or adductor tightness, low back soreness after practice, glute tightness, hamstring tension, knee pain that connects back to hip control, and athletes who shorten their stride or avoid kicking fully.
We also see athletes from Rochester, MN, Kasson, MN, and Southeast Minnesota who rested until pain improved, then returned to the same sprinting, cutting, and kicking load and felt the same problem come back.
That does not mean the athlete is broken.
The body wants to heal. I tell patients, "You are a healing machine." But the body still needs the right environment: movement, recovery, strength, soft tissue support, and a plan that matches the sport.
How We Approach This At Optimal Movement
At Optimal Movement Chiropractic, Dr. Kyler Maxfield starts by asking what changed.
Did practices increase? Did the athlete add tournaments, camps, lifting, conditioning, sprinting, hills, or more kicking volume? Did symptoms start after contact, a hard plant, or gradually over time?
Then we look at movement.
For soccer athletes, that may include lumbar motion, pelvis and hip function, hip rotation, glute control, adductor tension, hamstring flexibility, ankle mobility, single-leg balance, squat mechanics, gait, stride, and how the athlete loads each side.
Treatment may include gentle chiropractic adjustments, soft tissue work, cupping, scraping, kinesiotaping, mobility work, corrective exercises, recovery coaching, and practice modification.
The plan should fit the athlete, symptoms, season, and goals.
The Five Things I Look For First
When a soccer player has hip or low back pain, these are the first buckets I care about.
1. Training Load
Did sprinting, cutting, kicking, conditioning, tournament play, or lifting increase faster than the body could adapt?
2. Hip Mobility
Can the hip rotate, extend, and flex well enough for soccer demands without the low back stealing motion?
3. Pelvic Control
Can the athlete control one-leg positions during cutting, kicking, landing, and deceleration?
4. Soft Tissue Guarding
Are the hip flexors, adductors, glutes, hamstrings, or low back muscles guarding because the body is trying to protect itself?
5. Warning Signs
Is there numbness, tingling, weakness, major swelling, inability to bear weight, pain at rest, or symptoms after head or neck contact?
Practical Advice For Soccer Athletes
Do not wait until pain changes your stride or your kick.
Track when symptoms appear: warm-up, sprinting, cutting, shooting, after practice, the next morning, or only after games.
Warm up dynamically before practice. Build strength gradually. Respect recovery. Tell a parent or coach when pain keeps returning.
Patient scenario: A soccer athlete says the low back is tight, but the parent notices the athlete is no longer opening the hip fully when kicking. That is useful information.
The earlier we understand the pattern, the more options we usually have.
If there is any concern for concussion, the athlete should be removed from play and evaluated by an appropriate healthcare professional.
Frequently Asked Questions
Q: Why do soccer players get hip pain?
Soccer players often get hip pain from sprinting, cutting, kicking, adductor or hip flexor overload, hip mobility limits, pelvic control issues, fatigue, contact, or training volume that increased too quickly.
Q: Why does soccer cause low back pain?
Low back pain can show up when the hips, pelvis, core, and legs are not sharing load well. If the hip lacks mobility or control, the low back may compensate during running, kicking, and cutting.
Q: Should a soccer player keep playing with hip or back pain?
It depends. Mild soreness may be manageable, but pain that changes mechanics, worsens, causes limping, creates numbness or tingling, or does not recover should be evaluated.
Q: Can chiropractic care help soccer hip and low back pain?
Chiropractic care may help when it includes a focused exam, movement assessment, adjustments when appropriate, soft tissue work, mobility strategies, corrective exercises, and smart training modification.
Key Takeaways
- Soccer hip and low back pain often involves more than one structure.
- Sprinting, cutting, kicking, and single-leg loading ask a lot from the hips and pelvis.
- The low back may compensate when the hips are stiff or poorly controlled.
- Hip flexor pain is not always fixed by stretching alone.
- Pain that changes stride, kicking, or confidence should be checked.
- A good plan should fit the athlete, sport demands, and season.
Bottom Line
Soccer hip and low back pain often comes from the way sprinting, cutting, kicking, rotation, contact, and single-leg loading interact. At Optimal Movement Chiropractic in Rochester, MN, Dr. Kyler Maxfield helps athletes understand whether pain is soreness, overload, compensation, or a sign that the plan needs to change.
Soft CTA
If you are a soccer athlete, parent, or coach in Rochester, MN, Kasson, MN, or Southeast Minnesota and hip or low back pain is changing stride, kicking, or confidence, Optimal Movement Chiropractic can help with a practical, movement-based assessment.