Hip and Pelvis Pain

Hip and pelvis pain may be less common than other joint injuries but because the area is centrally located in our body any problems can be quite debilitating.

pelvic pain treated by physio

The hip and pelvis region has a close relationship with the lumbar spine. Sometimes pain may be referred to the hip and pelvis area from the lower back such as with lumbar disc lesions and facet joint impingement. Likewise hip dysfunction and sacroiliac joint mal-alignments can predispose to lower back pain.

Hip and pelvis injuries can result from a fall, direct blow, twist, or excessive muscle contraction. Your hip and pelvis are designed to withstand constant and demanding workloads when you are playing sports during everyday tasks. Any dysfunction to the area can cause stress to other body parts resulting in pain. An early diagnosis from one of our physios can help direct the most effective care for your hip or pelvis pain.

Sport & Spinal Physiotherapy has helped many clients from Gungahlin and the wider Canberra community with all types of hip and pelvis pain syndromes.

Snapping Hip Syndrome is caused by a tight Tensor Fascia Latae (TFL) muscle, located at the side of the hip, snapping over the femur bone when the hip moves.

physiotherapy rehabilitation after hip replacement

Trochanteric Bursitis is inflammation of the bursa (sac of fluid) located at the side of the femur bone near the hip joint. This overuse injury is often related to poor lower limb biomechanics such as poor muscle flexibility, weak gluteal muscles and excessive foot pronation.

Psoas Bursitis is inflammation of the bursa (sac of fluid) located at the front of the hip joint. This overuse injury is often related to poor muscle flexibility at the front of the hip, weak gluteal muscles and poor dynamic core stability.

Gluteal Tendinopathy is an overuse of the gluteus medius muscle at its insertion to the femur bone near the greater trochanter. This results in a breakdown in the structure of the tendon and pain is produced when the muscle is used such as with walking. The injury is most common in middle-aged women.

Adductor pain is usually related to the musculoskeletal structures around the groin. The injury can be in the muscle belly associated with a strain or at the tendon junction usually caused by overuse.

Osteitis Pubis is an inflammation of the cartilaginous joint at the front of the pelvis (pubic symphysis). Chronic osteitis pubis can lead to degeneration and bony changes in the joint, often causing groin pain. The injury is common in sports with repeated running, jumping and kicking, and amongst women after childbirth.

Osteoarthritis of the hip is a common complaint amongst our ageing population and even more so recently with the increasing incidence of obesity. Mild osteoarthritis symptoms can be eased with physiotherapy. For more severe osteoarthritis, a total hip replacement may be warranted. We can work with your surgeon to make sure you make a complete recovery from any hip replacement.

Abdominal Hernias are a protrusion of fat tissue or an abdominal organ through the abdominal wall. Most of the time, abdominal hernias develop when pressure in the abdomen is increased, and the abdominal wall is weak.

 

How can Sport & Spinal Physiotherapy help your hip and pelvis pain?

In most cases, physiotherapy alone offers an effective solution for most hip and pelvis injuries. During your, we will examine your hip and pelvis to determine what structures have been damaged and the origin of your pain. In most cases we will also examine you lower back as a large percentage of hip and pelvis pain is referred from the lumbar spine. Establishing the correct diagnosis early is imperative as several injuries mimic symptoms yet have different treatment protocols. We use our unique ‘phase-based rehab system’ to ensure all aspects of a full and lasting recovery are delivered. We will tailor a treatment plan to suit your needs, with you involved in the decision making to make certain that we address your biggest concerns. Our physios will use hands on therapy techniques to improve joint mobility and muscle flexibility. We will nearly always at each session provide home exercises of stretches and strength work so that you keep improving between sessions. Early treatment will be focused on reducing pain and swelling and regaining range of motion. The physiotherapist will then prescribe an exercise program to improve the strength and stability of your gluteals and core stability, which are important for preventing re-injury. We use real time ultrasound to ensure you correctly recruit your core muscles. Hydrotherapy, massage, dry needling and our gym may also be used for best outcome. Towards the end of the treatment program you will be given prevention strategies to keep the pain away. The sooner we begin your hip and pelvis rehabilitation, the faster your recovery and back to the things you love doing.

 

Why choose us for your hip and pelvis pain?

  • We listen, we care and we get results
  • We provide physiotherapy to fix the cause of your hip and pelvis injury and not just the symptoms
  • We can provide a running assessment if your hip and pelvis pain is related to running
  • We provide bike fitting if your hip and pelvis pain is cycling-related
  • We have therapists who have special training in hip and pelvis pain having completed further studies
  • We have extensive experience in dealing with all types of hip and pelvis injuries
  • We can refer you for further investigations such as x-ray or MRI if required
  • Our therapists are passionate about sport and engage in an active lifestlye
  • We understand the demands and technique involved in all sport types
  • Our therapists have been recognised for their expertise having been national sporting team consultants
  • We provide braces or taping to protect your hip on return to activity
  • Our podiatrists and physios can recommend the ideal footwear to suit your foot type for your hip or pelivis injury
  • We can provide quality custom made orthotics if your hip and pelvis pain is related to poor foot function
  • We use real time ultrasound to ensure you correctly engage your muscles with dynamic core stability work
  • We have advanced gym equipment to improve hip and core strength and stability
  • Our massage therapists can sort out any tight muscles
  • Our hydrotherapy sessions can be very effective for hip and pelvis injuries and hip replacement surgery
  • We can provide dry needling for pain management and accelerated healing
  • We can supply practitioner only natural anti-inflammatory supplements to help healing
  • Many of our physios work with local, state, national and international teams and athletes
  • We give you cross training activities so you can maintain your fitness whilst injured
  • We provide you with the tools to look after your health long after you leave our care
  • We provide you with a guided return to sport with any technique modifications or training restrictions
  • We can recommend referral to a medical specialist if need be to see if your hip or pelvis injury requires surgery