Phone: 045 874682

Hip Pain

Hip Pain

Treatment for piriformis syndrome & hip pain at Naas Physio Clinic

Below is a list of potential causes of hip pain:

  • Arthritis
  • Fractures
  • Muscle injury or bursitis
  • Rheumatoid arthritis
  • Gout
  • Referral from the lumbar spine or pelvis
  • Legg-Calve-Perthes disease: This occurs due to an impaired blood flow to the hip and occurs most commonly in children between 2-15 years of age
  • Slipped femoral epiphysis: this is a slippage of the top part of the head of the hip bone. It is common in adolescence and can cause groin or knee pain.

Understanding Hip Pain

The hip is a ball and socket joint similar to the shoulder joint. It is formed between the acetabulum (socket) of the pelvis and the head of femur (thigh bone). But unlike the shoulder, the acetabular cup (socket) that lodges the head of the femur (ball) is deeper allowing greater stability and lesser chances of dislocation. In addition the muscles and ligaments that cross the joint from all sides also add to the stability and strength of the joint. Overuse injury usually occurs due to repetitive micro-trauma to the joint and surrounding soft tissues.

Pain in the hip region can arise from the soft tissue structures surrounding the joint or from the joint itself.

Joint related Hip pain: Occurs due to degenerative or inflammatory conditions that affect the joint directly like Osteoarthritis or Rheumatoid Arthritis. Other bony injuries that can cause hip pain include fractures of the femur, posterior dislocation of the hip, femoro-acetabular impingement (FAI), fractures and avascular necrosis. Most conditions are treated with physiotherapy; however, severe joint conditions may require surgical interventions such as partial or total hip replacement followed by physiotherapy.

 

9 Causes of hip pain

  1. Greater trochanteric bursitis is the most common cause of hip pain in runners. Bursae are fluid filled pouches located between the tendon and the bony surface or between two tendons. Patient complains of pain and tenderness over the outer side of the hip that radiates down the thigh. Pain may also appear while running and climbing stairs. Rest and activity modification play an important role in recovery.

 

  1. Ischial bursitis is another common condition that causes pain in the buttocks. This bursa is located between the ischial tuberosity and the hamstring tendon. Prolonged sitting or sprinting can cause injury to the bursa. The patient presents with pain and tenderness over the buttock fold. Stretching the hamstrings may also be painful. Rest, activity modification and gentle stretching exercises help in recovery.

 

  1. Iliopsoas tendinitisThe Iliopsoas is a major flexor of the hip. Repetitive flexion movement as seen in dancers, gymnasts and runners can cause irritation and inflammation of the tendon. The patient presents with pain in the hip and thigh along with audible snapping of the hip as the inflamed tendon moves during hip flexion and extension. Rest, ice and eccentric strengthening of the muscle help to overcome the condition.

 

  1. Hamstring tendinitisCommonly seen in runners and bikers, the condition is characterised by deep buttock pain, pain while sitting. It is also known as chronic high hamstring tendinopathy and is caused due to repetitive hip extension. The injury is slow to heal and is managed by hamstring flexibility and an eccentric strengthening program.
  2. Iliotibial band SyndromeTypically seen in runners & cyclists, the condition occurs due to friction of the iliotibial band against the lower end of thigh bone during repetitive hip movements. The pain is present in the hip and outer side of thigh. Knee flexion greater than 30° also tends to bring on symptoms. Deep tissue massage & biomechanical (movement pattern) analysis is a key component in addressing this condition.

 

  1. Groin Strainalso known as adductor muscle strain. This is commonly seen in sports with sudden start and stop movements like soccer and basketball. The player complains of intense pain in the groin and difficulty in bringing the legs closer. Rest and isometric stretching/strengthening help to heal the injured tissue.

 

  1. Hamstring StrainThis debilitating condition is commonly seen in athletes and has a strong tendency to recur if not rehabbed appropriately. The player may complain of severe sharp pain in the buttocks or upper thigh, inability to stand, and pain on sitting. RICE (Rest, Ice, Compression, Elevation) protocol followed by graded stretching and strengthening of the hamstring helps in complete recovery. Rehab should be graduated to reduce the risk of recurrence of injury.
  2. Piriformis SyndromePiriformis is an important muscle in the buttock and in nearly 30% of the population, the sciatic nerve goes through it. Certain activities can cause the muscle to go into spasm which in turn compresses the nerve. This results in pain in the buttock accompanied by numbness and tingling in the back of the thigh. Walking and stair climbing is difficult. Stretching of the piriformis along with hamstring and hip extensors helps to resolve this pain.

 

  1. Stress fractureThe condition is commonly seen in runners and dancers and can result from a sudden increase in training volume or cumulative load over several years. The athlete usually complains of an aching or nagging pain in the groin that does not subside with rest. The athlete may experience a drop in performance, night pains and difficulty weight bearing thorugh the leg. Rest and guided rehabilitation helps the athlete to return to preinjury status.

 

Can the cause of hip pain be somewhere else?

Many of the structures surrounding the hip joint can refer to the region and masquerade as hip pain. Low back conditions such as lumbar radiculopathy, disc prolapse and sacroiliac joint dysfunction can refer to the hip. Knee injuries can also alter movement patterns and give rise to hip pain. This is known as referred pain. Careful diagnosis based on detailed patient history, accurate physical examination and administration of specific tests help to differentiate between true hip pain and referred pain.

What we do at Naas Physiotherapy Clinic

We are a patient focused clinic with highly qualified and skilled physiotherapists dedicated to helping those who are suffering from hip pain. Many patients who come to us with hip pain are athletes & we understand the importance a proper rehab protocol and early return to sport. Our focus is on developing individualised treatment plans. Prevention of injury and minimising recurrence is our sole objective.

The following treatment options are available at our clinic

  • Activity modification guidance
  • Complete Biomechanical Analysis
  • Running Analysis
  • Correction of muscle strength imbalance
  • Technique assessment and correction
  • Supportive taping/bracing
  • Footwear assessment and correction
  • Close kinetic chain exercises
  • Cross training
  • Sports specific stretching
  • Sports specific strengthening
  • Eccentric loading exercises
  • Plyometric training
  • Agility and Flexibility training
  • Balance and Proprioceptive exercises
  • Analysis of training and Correction of overtraining
  • Sports specific drills
  • Sports massage and Myofascial release
  • Correct Warm up and Cool down techniques
  • Post-operative rehabilitation after partial or total hip replacement

To find out more contact us at Naas Physio Clinic on:
(045) 874 682

or email us at info@physioclinic.ie

For further information on conditions treated go to:
www.physioclinic.ie/conditions

About

We are delighted to welcome you to Naas Physio Clinic website (Chartered Physiotherapy & Chiropractor). We take pride in offering the best available Physiotherapy & Chiropractor expertise in Naas & Newbridge.
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