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Hip Pain

How can a Physiotherapist Treat Hip Pain?

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Lateral Hip Pain (Glut med tendinopathy, trochanteric bursitis) 

 

Signs and Symptoms

  • Painful to lie on one side, waking at night due to pain
  •  Tender to touch just behind the greater trochanter (bumpy bone on the side of the hip)
  • Painful walking upstairs, with a squat or getting up from a chair

 

What is happening with the body?

Lateral hip pain is often caused by changes in the gluteal tendon (tendinopathy) which may secondarily inflame the bursa (bursitis). The muscles in the gluteus medius and gluteus minimus attach via the tendon to the top of the thigh bone (femur). Added stress to these muscles result in overload of the tendon and pain.

Factors that can contribute to lateral hip pain are:

  • Weakness of gluteal muscles
  • Hormonal factors
  • Poor posture
  • Biomechanics

 

What can you try at home?

  • Reduce pain using ice, panadol, anti-inflammatories (ibuprofen).
  • Sleep with a pillow between your knees

 

How can physiotherapy help?

  • Thorough assessment to confirm the cause of pain and stage of tendinopathy
  • Release of the tight muscles using massage, acupuncture and/or dry needling
  • Targeted, graded exercise programme designed for your specific symptoms
  • Advice regarding activity modification