Meadows J, et al. - Via a case series, the experts intended to represent the management of 3 patients with primary hip and groin pain who were treated with interventions targeting the thoracolumbar junction (TLJ), since it is less acknowledged as a source of pain referral in hip and groin region. Three subjects in the case series manifested with subacute or chronic complaints of hip and groin pain that had failed to resolve with topical treatments were evaluated. They underwent several inconclusive clinical testing procedures. Each subject underwent a detailed physical therapy assessment and was observed to have pain and mobility deficiencies at the TLJ. Treatment was started when the therapist had discovered that the patients’ symptoms were likely of musculoskeletal origin. Joint mobilization and exercise directed at the TLJ were practiced in each subject. Within 3 to 4 weeks, marked improvements in pain, thoracic range of motion, and functional deficiencies were seen following an average of 6 treatment sessions. All subjects recovered to prior activity levels. Improvements in hip mobility and strength without primary treatment to the hip were observed in patients in cases 1 and 3. Hence, this case series illustrated the management of 3 subjects with hip and groin symptoms who were successfully treated with interventions targeting the TLJ. Moreover, in subjects who come with primary hip or groin pain, physical therapists should recognize the TLJ as a potential source of symptoms and involve treatment strategies directed at the TLJ, as guaranteed, following a careful examination and clinical-reasoning process.