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Physiotherapy for hip complaints.

Hip pain can occur at any age. The cause of pain from the hip can be very different. Consider groin pain after sports such as soccer or running or wear and tear on the hip joint. To ultimately relieve the pain, it is important to know where the source of the pain is located. Sometimes it is not clear if the pain is coming from the hip joint or if it is caused by another structure somewhere else in the body, such as the back, pelvis or knee.

The hip forms the connection between the femur and the pelvis. The upper leg (femur) together with the socket of the pelvis (acetabulum) form the hip joint. Between these bone parts is cartilage that allows the hip to move smoothly. The hip joint is a ball and socket joint. This means the hip naturally has a lot of range of motion. The hip is passively stabilized by ligaments. The labrum provides additional stability in the hip. The labrum is a large, cartilaginous ring that seals the hip tightly. The labrum of the hip passes into the cartilage portion of the socket of the hip. The hip contains many different muscles and tendons. The function of these muscles is to move and stabilize the hip during various daily movements. There are smaller muscles that are closer to the joint as well as larger muscles that have a more powerful function. Anatomically, a distinction is made between a local muscle system and a global muscle system. 

Physiotherapy Tilburg hip pain

Causes of hip pain

We often see hip complaints as a result of too much stress during sports. Groin pain in athletes is a good example. Often it is a muscle-tendon injury of one of the muscles that attach to the groin. Less often it is a small tear in the muscle which often occurs during an explosive movement and is immediately noticeable. Read here further on groin pain.

Hip osteoarthritis is age-related in most cases and is most common in people over the age of 50. The symptoms often consist of stiffness and usually characterized with a deep pain in the groin. Sometimes there is also buttock pain. The diagnosis of hip osteoarthritis is made by a doctor. This involves an X-ray to see the condition of the cartilage in the hip. Read here further on hip osteoarthritis.

Bursitis of the hip is also a common cause of hip pain. With bursitis in the hip, you notice pain on the outside of the hip. Lying on it is difficult and often causes immediate symptoms. The pain can sometimes radiate to the buttock or even to the low back. A typical feature of bursitis in the hip is nocturnal pain.

The labrum, like the meniscus in the knee, can be injured or damaged. This also often causes groin pain and is described as a deep pain in the hip.

Common hip complaints

In addition to groin pain, hip arthrosis or bursa inflammation, there are other common complaints. These include, among others:

Piriformis Syndrome

Piriformis Syndrome is more common in women than men, especially in the 30-40 age group, and causes dull pain in the upper, deep part of the gluteal muscle. This syndrome can cause loss of strength and stiffness, with pain that can radiate to the back and leg. Treatment includes exercise therapy and partial rest, aimed at reducing pain and increasing muscle length.

For more information, see Piriformis Syndrome.

FAI (Femoroacetabular Impingement).

FAI (Femoroacetabular Impingement). is characterized by pain and movement restrictions in the hip caused by abnormal contact between the hip head and socket. This can lead to damage to the cartilage or labrum. The condition is classified into Cam, Pincer, or a combination of both, depending on the specific bone abnormalities. Treatment ranges from physical therapy to possibly surgery, based on the severity of symptoms.

For more information, visit FAI Impingement.

Iliotibial Band Syndrome

Iliotibial Band Syndrome is a condition characterized by pain on the side of the knee, often caused by overuse during activities such as running or cycling. Treatment includes exercise therapy aimed at restoring the balance between strain and load on the tendon, with additional homework exercises to support the recovery process.

For more details, see Iliotibial Band Syndrome.

Trochanter Major Pain Syndrome

This condition causes pain and stiffness around the hip joint, specifically at the bony protrusion on the outside of the femur. It is often the result of irritation of the bursa and/or surrounding muscles due to overuse, weakening, or stiffness. Treatment includes a combination of education, exercise therapy, and if necessary, hands-on treatments aimed at repair and prevention of further symptoms.

For more details, visit Trochanter Major Pain Syndrome.

 Physical therapy and hip pain

With hip pain, it is important to also examine the low back along with the pelvis and knee. The cause of pain in the hip could possibly come from somewhere else. During the examination, we will look for the cause of your hip pain. Based on the examination, a clear treatment plan will be developed. We find it very important that you understand how possible complaints arise and what you can take into account to recover as quickly as possible from your symptoms!

In addition to specific advice, treatment may include increasing hip mobility through manual therapy, dry needling, various muscle techniques and exercising the muscles of the hip and low back through exercise therapy.

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