Lateral hip pain (pain on the side of the hip) can occur at night when lying on either side in bed, going up or down stairs or with increased walking or standing.
Bursitis is possible however for many years lateral hip pain was thought to be caused by bursitis and the focus was with treatments targeting the bursa such as steroid injection. As you can imagine in the long term this approach left patients unsatisfied.
What is likely happening is a process of tendon degeneration and tendon straining. This is called gluteal tendinopathy. Gluteal tendinopathy/tear can lead to disability and quality of life that is equivalent to that of severe hip osteoarthritis so it is crucial to correctly diagnose gluteal tendinopathy and implement effective management strategies.
When the glute muscle fails, it can lead to the IT band becoming tight as it tries to help stabilise the hip. This is called IT band syndrome. On occasion tears need to be surgically repaired however most gluteal tendinopathy will respond well to education and exercise.
Evidence supports that education plus exercise leads to greater pain relief and greater global improvement compared to corticosteroid injection use or no treatment at eight weeks.
Patients with gluteal tendinopathy have weakness and instability of the hip, pelvis and trunk caused by muscular de-conditioning from underuse, biomechanical imbalance and repetitive microtrauma. Often there is also sacroiliac joint dysfunction present.
Anterior hip pain (pain at the front of the hip or inguinal pain) can be felt when sitting, rolling over in bed or getting in and out of the car.
Pain at the front of the hip is more associated with problems of the hip joint:
- Labral tears are a common condition that give pain in the groin region. The labrum is part of the socket of the hip joint. Labral tears can occur with an obvious trauma or gradually over time. The shape of the ball and socket of the hip and any laxity in the hip can cause trauma to the labrum.
- Hip flexor muscle or tendon strain: The iliopsoas muscle can be a source of pain if it has been stretched or overworked and lies at the front of the hip. If this is the culprit it is often painful to touch and replicates the pain.
- Inguinal hernia: Direct hernia can occur via a weak spot in the abdominal muscle, allowing peritoneum or bowel to protrude into the groin area. Direct hernia is the most common type of hernia. This is often associated with a lump in the groin
- sacroiliac joint: In most cases sacroiliac joint pain will cause pain around the back of the hip also.
- lumbar disc: A dull aching quality of pain in the front of the hip could be arising from the lower discs in the spine.
how is hip pain treated?
Treatment options include:
- Spinal and joint manipulation along with dry needling may decrease pain, improve muscle recruitment around the hip and pelvis and create increased trunk stability.
- Hip joint stretching techniques are applied to improve hip mobility.
This, along with focused and intent driven exercise rehabilitation produces favourable outcomes.
A hip replacement surgery is a procedure to remove a damaged hip joint and replace it with a prosthetic implant. Chiropractic care can be beneficial for those who have had a hip replacement by helping to keep the surrounding muscles and joints moving freely without pain. We will be able to assist you in recovery from your hip surgery by providing support and care for the affected area.
If you have had previous surgery on your hip, it is recommended that you get in touch with us for your concerns.
Chiropractic care is considered a safe and effective way to maintain optimal health and well-being without the use of drugs or surgery. We encourage you to contact us immediately if you are experiencing hip pain so that we can help you find relief as soon as possible.
Treatment time for hip pain can vary depending on the severity of your condition. We will run an initial examination to assess your situation and then come up with a treatment plan that is comfortable for you. You may need anywhere from 1-6 sessions in order to manage the pain effectively.
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Our appointments are based on your individual needs. We address your specific problems and our treatment plan is aligned with your goals and preferences. We utilise longer appointments to truly understand and treat your condition.
With over 10 years of clinical experience, we’ve seen people from all walks of life with all types of conditions. If you have a spine, musculo-skeletal or nervous system problem you should talk to us. We want to fix your problem so that you are pain free.
At this clinic you will be treated with the utmost respect and courtesy. We follow up and communicate with your General Practitioner, allied health providers and coaches. We are determined to help get you well and keep you well.