Hip Injuries

You’re invited to browse our catalogue of articles describing common hip injuries and how we treat them – from femur fractures to thigh muscle tears. Injuries can be caused by damage to muscles, ligaments, nerves, bones or joints. Below are links to articles explaining the different types of structures in your hips and the injuries related to them. We’ve also included tips on how to tend to your injury at home!

Most injuries don’t happen in isolation. In most cases, we find 2 to 3 structures at the root of a problem. It’s also common to find more than one injury. To illustrate an example: With a femur fracture we typically find 3 sprained ligaments, 2 injured muscle groups, as well as 6 tendon injuries.

When diagnosing patient problems, we determine the main area which has been damaged and focus our treatment on that. The general progression of problems stems from these underlying structures (generally in this order): 1) Nerves  2) Bones  3) Joints  4) Discs  5) Ligaments  6) Tendons  7) Muscles

Hip Pain

Pain arises from structures that are within the hip joint or from structures surrounding your hip. The precise location of your hip pain can provide valuable clues about the underlying cause. The hip is a complex region. It can make it difficult to distinguish if the pain is indeed coming from your hip or lower back. Read this article to discover more about the causes and treatment of hip pain.

Hip Bursitis

Hip Bursitis is inflammation of a fluid filled (or gel like) cushion on the head of the femur, on the outside of the hip. It mainly causes pain when lying on your side. This condition occurs when the bursa becomes irritated, compressed or infected. Hip Bursitis treatment should start as soon as possible to avoid long recovery periods.

A Gluteul muscle strain involves a group of 3 muscles that form your buttocks. Each of the gluteus muscles plays its part in stabilising and moving the hip and pelvis. Any one of these muscles’ fibers can be torn if the load placed on the muscle exceeds its normal boundaries. This will cause a gluteus muscle strain. “Jumpers” are more likely to tear one of these muscles, due to the high intensity of the muscle contraction that is needed to push off out of a stretched position.

Hip Muscle Strain

A Hip muscle strain affects any of the muscles surrounding the hip joint. Injury to the hip muscles can cause many other problems. The muscles tend to tear at the joining point between muscle, tendon and bone. Athletes who require a large range of moment in their hips are more prone to develop a hip muscle strain.We treat hip muscle strains. We are able to diagnose a hip muscle injury and/or determine what else may be causing your hip muscle pain.

Piriformis syndrome describes pain in the back of your hip and may be one of the culprits causing the extreme pain radiating down your buttock and the back of your leg. The path that the pain follows is known as Sciatica. Read this article to understand how the Piriformis muscle leads to Sciatic nerve compression and irritation.

Hip Labrum Tear

The hip joint is comprised of a ball (the head of the femur) and the socket (the acetabulum). The hard cartilage (that stabilizes the hip joint) is vulnerable to tearing during sport. Femoral acetabular impingement (FAI) is a hip condition in which the head of the femur rubs against the rim of the socket causing friction. This may ‘impinge’ or ‘pinch’, and eventually damage the labum.

Osteoarthritis of the hip refers to the damage of cartilage covering the joint surfaces. This causes the two bones (that make up the joint) to rub against each other which may lead to pain and clicking or grating sounds. Extra bony structures (called osteophytes) may also develop around the joints. Physiotherapy is an important treatment for osteoarthritis of the hip.

A hip fracture is a break of the thigh bone (femur) close to the hip joint. The hip connects the femur to the pelvis (or your leg to your body). This joint allows for movement and load transfer between the legs and the body. A fracture to the neck of the femur are the most common. The area of the pelvis around the hip joint is also susceptible to stress fractures, this is when the tendon or ligament tears away from the pelvis, taking a bone fragment with it.

Iliopsoas Muscle Strain  

The iliacus originates in the iliac fossa on the inside of the pelvic bone. The iliacus combines with the psoas major to enter the anterior compartment of the thigh and insert via a common tendon on the lesser trochanter of the femur. The iliacus and psoas are thus collectively referred to as the iliopsoas muscle – they act synergistically to flex the thigh at the hip joint, as well as acting to cause lateral rotation of the thigh.

Sciatica Hip Pain  

Sciatica hip pain is due to injury, damage, irritation or compression on the Sciatic nerve. Nerve pain is a very distinctive pain, unlike anything you have ever experienced – unbearable and excruciating. The Sciatic nerve is the longest nerve in your body, originating from the lower back and bundling together as it runs down your legs to your toes. The nerve branches off at points to connect to structures (e.g. muscles) as it travels downward.

Nerves act like connection between your brain and the rest of your body.  They control your body’s movement and communication e.g. feeling texture or changes in temperature. Nerve pain experienced along the Sciatic nerve is referred to as Sciatica. The Sciatic nerve is the largest single nerve in your body. It runs from each side of your lower spine, deep into your buttock, into the back of your thigh and all the way down to your toes.