Hip Pain & Injury

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Article by John Miller

Hip Pain

Hip pain and joint injury are common for all age groups. The hip joint and its integration with your pelvis, SIJ and lumbar spine (lower back) make it a complex region to correctly analyse and assess any dysfunction.

hip pain

Hip pain is a special interest of the physiotherapists at PhysioWorks. Your physiotherapist will spend the time with you to fully assess the origin of your hip pain and investigate what physical deficits you have that are affecting your function.

The Older Hip

The older population is rendered more vulnerable to age-related hip issues such as hip arthritis, trochanteric bursitis and GTPS (Greater Trochanteric Pain Syndrome). Functional limitations could include simply walking, sit to stand, single leg standing, stairs or even sleeping in severe cases.

Hip pain can also be associated with reduced balance. A thorough balance assessment may be required to predict a falls risk. Falls prevention exercises may be prescribed by your physiotherapist to address any individual deficits. They may even advise you to utilise a walking assistance device such as a walking stick, crutches or a walking frame.

The Sporting Hip

Younger sports-related hip issues may come on after prolonged running, jumping or landing activities. Specific sporting hip conditions should be discussed and thoroughly assessed by your hip physiotherapist. Biomechanical deficits and subtle hip weakness that may only show on a slow-motion video are just two of the potential causes of sporting hip injuries.

Groin Pain

You may not realise it, but groin pain is the most common symptom associated with hip joint pathologies such as hip osteoarthritis and hip labral injuries. There are also many other causes of groin pain that need to be excluded by a health professional.  More info: Groin Pain.

Only after a thorough hip assessment will your hip pain be effectively rehabilitated to relieve your current hip pain and joint dysfunction, plus prevent the return of any future hip pain.

Hip Pain Assessment

To successfully treat your hip pain and joint dysfunction it relies upon a thorough examination of your:

  • entire lower limb (foot, ankle, knee, hip, groin)
  • lumbar spine
  • pelvis and SIJ function and alignment
  • deep hip muscle control and activation patterns
  • middle and superficial hip muscle control, strength and function
  • deep abdominal, core and pelvic floor muscle control
  • upper thigh muscle length and strength (e.g. quadriceps, adductors, hamstrings, and ITB)
  • neural tissue extensibility e.g. sciatic and femoral nerve
  • hip joint biomechanics as a whole and in isolation

Your hip function can also be affected by your lower limb biomechanics involving your knee, foot and ankle, plus your thigh and calf muscles.

For specific advice regarding your hip pain, please book a consultation with a physiotherapist with a special interest in hip pain.

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Common Sources of Hip Pain

General Information

Hip Joint Pain

Lateral Hip Pain

Adductor-related Groin Pain

Pubic-related Groin Pain

Inguinal-related Groin Pain

  • Inguinal hernia
  • Sportsman's hernia

Iliopsoas-related Groin Pain

  • Hip Flexor Strain

Other Muscle-related Pain

Systemic Diseases

Referred Sources

Hip Surgery

Hip Pain Treatment

At PhysioWorks, we have several highly skilled physiotherapists with a special interest in hip pain and joint injuryIn the past, most hip joint conditions have often been treated with only short-term aims in mind. e.g. cortisone injections or painkillers. This is inadequate. Your health care practitioner should be providing you with patient education regarding your condition and combining with exercise and /or manual therapy as per the Clinical Practice Guidelines. (Cibulka et al., 2017) 

One of the differences that you'll notice with PhysioWorks treatment is the thorough analysis of WHY you actually have your hip pain, rather than only treating your symptomatic pain. We strongly believe that if you don't correct why you are vulnerable to hip injury then it is only a matter of time before your hip pain returns.

Hip pain education should also include teaching you specific activity modification, individualised exercises, weight-loss advice (if required), and methods to unload any arthritic joints.

Recent research findings have modified modern physiotherapy treatment approaches to hip pain. Together with a thorough hip assessment, your hip treatment can progress quickly to get you pain-free and perform your normal sport or daily activities in the shortest time possible. A quality physiotherapist will individually prescribe therapeutic activities based on your specific needs for daily living, values, and functional activities.

Buy Helpful Products for Hip Pain

Hip Injuries

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Hip Pain Treatment Options

Your hip physiotherapist may consider using manual therapy to improve your joint mobility, flexibility or pain. As you range of motion improves your physiotherapist is likely to add strengthening and stretching exercises as they deem appropriate for your needs.

Please click the links below for more information about some of the common hip treatments that your physiotherapist may recommend or utilise for your hip pain.

  • Early Injury Treatment
  • Avoid the HARM Factors
  • What to do after a Muscle Strain or Ligament Sprain?
  • Acupuncture and Dry Needling
  • Sub-Acute Soft Tissue Injury Treatment
  • Core Exercises
  • Closed Kinetic Chain Exercises
  • Active Foot Posture Correction Exercises
  • Gait Analysis
  • Biomechanical Analysis
  • Balance Enhancement Exercises
  • Proprioception & Balance Exercises
  • Agility & Sport-Specific Exercises
  • Medications?
  • Orthotics
  • Real Time Ultrasound Physiotherapy
  • Soft Tissue Massage
  • Brace or Support
  • Electrotherapy & Local Modalities
  • Heat Packs
  • Joint Mobilisation Techniques
  • Kinesiology Tape
  • Neurodynamics
  • Prehabilitation
  • Running Analysis
  • Strength Exercises
  • Stretching Exercises
  • Supportive Taping & Strapping
  • TENS Machine
  • Video Analysis
  • Yoga
  • Call PhysioWorks

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    Hip Pain FAQs

  • Common Physiotherapy Treatment Techniques
  • What is Pain?
  • Physiotherapy & Exercise
  • Massage Styles and their Benefits
  • How Does Kinesiology Tape Reduce Swelling?
  • What Causes Post-Exercise Muscular Pain?
  • Heat Packs. Why does heat feel so good?
  • How Do You Improve Your Balance?
  • Post-Run Soreness: Should You Be Concerned?
  • Running Recovery: 6 Helpful Tips
  • Sports Injury? What to do? When?
  • What are Growing Pains?
  • What are the Common Massage Therapy Techniques?
  • What are the Early Warning Signs of an Injury?
  • What Can You Do To Help Arthritis?
  • What is a TENS Machine?
  • What is Chronic Pain?
  • What is Musculoskeletal Physiotherapy?
  • What is Nerve Pain?
  • What is Sports Physiotherapy?
  • What is the Correct Way to Sit?
  • What to expect when you visit PhysioWorks?
  • What's the Benefit of Stretching Exercises?
  • What's Your Core Stability Score?
  • Why do your Joints Click?
  • Why Kinesiology Tape Helps Reduce Swelling and Bruising Quicker
  • References

    Cibulka, M., Bloom, N., Enseki, K., Macdonald, C., Woehrle, J. and McDonough, C. (2017). Hip Pain and Mobility Deficits—Hip Osteoarthritis: Revision 2017. Journal of Orthopaedic & Sports Physical Therapy, 47(6), pp.A1-A37.

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    Last updated 06-Sep-2017 05:02 PM

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