Hip pain can be caused by many conditions including lumbar disc lesions, lumbar joint problems, sacro-iliac joint problems, trochanteric bursa irritation, muscle strains, sports injuries and osteoarthritis. A hip injury may be less common than other joint injuries in sports and general activities but can often be under-diagnosed. The hip is a strong, deep and stable joint and disruption of the hip itself and its ligaments is uncommon.
However, labral tears (tears of the cartilaginous rim around the joint), tendon and muscle strains are common and can become chronic. Understanding the structure of the hip is a usfeful basis for understanding the various kinds of hip injuries.
It is important to get an accurate diagnosis of your hip injury from a physiotherapist or specialist hip surgeon as the source of hip pain can be referred from the lumbar spine, the sacro-iliac joint, buttock problems and true hip joint problems. Groin strains in sportsmen may often be mis-diagnosed and may actually be labral tears of the hip joint.
Lateral Hip Pain (Trochanteric Bursitis)
What is trochanteric bursitis?
Refers to pain that is experienced on the outside part of the hip. There are many structures in the lateral part of the hip that maybe responsible for pain, such as the bursa, tendons, muscles, ligaments, labrum and even the hip joint itself.
What causes trochanteric bursitis?
Hip pain in this area commonly results from overuse. This can occur when you have tight muscles surrounding the hip area, weak buttock, core muscles and/or poor biomechanics around the pelvis. This overuse overloads the structures around the hip and cause damage leading to pain.
How does trochanteric bursitis feel?
Pain over the outside of the hip. This pain may radiate down the outside of the thigh as far down as the knee or into the groin. It is usually aggravated by activities involving movement of the hip such as walking, running, stair climbing, crossing your legs and getting in and out of the car.
Management of trochanteric bursitis and how to fix It?
The physiotherapist will confirm your diagnosis and devise a detailed and specific treatment plan for you. A number of treatment techniques maybe used to help reduce your pain, such as soft tissue techniques, posture reeducation, strengthening (buttock/core muscles) and a flexibility program. It is essential that the contributing factors to your pain area addressed to help prevent the re-occurrence of your symptoms when you return to activity.
What is snapping hip?
Snapping hip refers to a condition which produces a snapping noise in the hip.
What causes snapping hip?
It is caused by a tight muscle around the hip, snapping over a bone. When the hip is moved, the muscles around the hip glide over the bones and any bumps on the bones. If the muscle is tight the muscle can snap over the bone and cause a noise.
How does snapping hip feel?
It produces a snapping noise within the hip when the joint is moved. A sensation of something snagged and then releasing when it snaps over the bone. Often this snapping is painless.
Management of snapping hip and how to fix it
Initially physiotherapy can assist in determining the cause of the snapping. From a thorough assessment a detailed and specific treatment plan can be devised. This may involve activity modification, soft tissue treatment techniques, and the progression through a series of specific stretching and strengthening exercises.
The diagnosis of hip pain is difficult as many structures can refer pain around to the hip area. The lumbar spine, sacroiliac joint, various structures in the buttock and the hip itself can refer pain into the typical hip areas.
Total Hip Replacement
Total hip replacement is now the treatment of choice for severe osteoarthritic conditions of the hip. It is an established, well accepted medical intervention with excellent and predictable results. The benefits of total hip replacement are pain relief, improvement in range of motion of the joint and painless weight bearing, all contributing to an improved quality of life. Hips were the first of the major joints to be replaced regularly and reliably and many people have had more than twenty years good service from their new hip. For further information or referral to a hip surgeon, please contact our physiotherapists.