How do hip problems arise?
Hip pain can occur at any age. The cause of hip pain can be very different. Think of groin problems after sports like football or running or wear and tear of the hip joint. In order to eventually relieve the pain it is important to know where the source of the pain is located. Sometimes it is not clear whether the pain comes from the hip joint or whether it is caused by another structure elsewhere in the body, such as the back, pelvis or knee.
Anatomy of the hip
The hip forms the connection between the femur and the pelvis. The thighbone (femur) together with the socket of the pelvis (acetabulum) form the hip joint. Between these bone parts is cartilage that ensures that the hip can move smoothly. The hip joint is a ball and socket joint. This means that the hip naturally has a lot of freedom of movement. The hip is passively stabilized by means of ligaments. The labrum provides additional stability in the hip. The labrum is a large, cartilage-like ring that seals the hip securely. The labrum of the hip transitions into the cartilage portion of the bowl 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 but also larger muscles that have a more powerful function. Anatomically, a distinction is made between a local muscle system and a global muscle system.
Causes of hip complaints
We often see complaints of the hip as a result of too much strain during sports. Groin pain in athletes is a good example of this. It is often a muscle tendon injury of one of the muscles attached to the groin. Less often, it's a tear in the muscle, which often happens during an explosive movement and is immediately noticeable. Read more about groin problems here.
Hip osteoarthritis is age-related in most cases and is most common in people over the age of fifty. The symptoms often consist of stiffness and are usually characterized by a deep pain in the groin. Sometimes there is also buttock pain. The diagnosis of hip arthritis is made by a doctor. An X-ray photograph is taken to see the condition of the cartilage in the hip. Read more about hip osteoarthritis here.
A bursa inflammation of the hip is also a common cause of hip pain. In a bursa inflammation in the hip you will notice that there is pain on the outside of the hip. Lying on it is difficult and often gives immediate complaints. The pain can sometimes radiate to the buttocks or even the lower back. A typical feature of a bursa inflammation 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.
Physiotherapy and hip complaints
With hip pain it is important to also examine the lower back together with the pelvis and knee. The cause of pain in the hip can 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 made. 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!
Besides specific advice, the treatment can consist of increasing the mobility of the hip by manual therapy, dry needling, various muscle techniques and training the muscles of the hip and lower back by means of exercise therapy.