The hip is a ball and socket joint consisting of the thigh (femur) and the pelvis. There are many ligaments that support the bones, which provide considerable stability to the joint. Numerous muscles also attach around the hip to help move the joint.
Hip pain and joint injury is 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 can be caused by many factors. Often, you may start feeling hip pain for no apparent reason. Sometimes recreation or sports puts repetitive strain on the hip causing pain.
Your hip function can also be affected by lower limb biomechanics involving your knee, foot and ankle plus your thigh and calf muscles.
Because the hip is a major weight bearing joint, arthritis of the hip is a common problem. The hip is responsible for such functional activities as walking, running, rising from sitting, and climbing stairs. Pain in the hip can limit these activities.
The successfully treated hip pain and joint dysfunction relies upon a thorough examination of:
- Entire lower limb (foot, ankle, knee and hip)
- 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 Sports & Spinal physiotherapist will spend the time with you to fully assess the origin of your hip pain and investigate whether it is a hip joint, muscular, nerve or biomechanics issue. During this visit, the Physiotherapist will interview you to gather information about the history of your problem, the aggravating and relieving factors, and about any past medical history that may contribute the overall problem.
Only after a thorough hip assessment, can your hip pain be effectively rehabilitated to relieve your current hip pain and joint dysfunction.