OVERVIEW OF HIP & GROIN PAIN ?
The hip is a very important joint as it is the largest and most active joint in your body. It is highly flexible, providing you with stability, weight-bearing, and strength you need when walking, running, or jumping. Also, the hips are the lower body’s most shock-absorbing joints when brisk walking.
Hip pain is a common condition caused by problems in the hip’s cartilage, hip muscles, hip ligaments, and hip bursae. Pain can also result from nearby structures such as the groin, buttocks, spine, and even the knees.
Groin pain is usually due to injury to the adductor muscles and adductor tendon inflammation insertion to the pubic bone.
If you’re experiencing hip and/or groin pain, it’s crucial to act on it rather than ignoring it. By employing the appropriate treatment, you can solve your hip and groin pain and be active again.
WHAT CAUSED HIP & GROIN PAIN:
Osteoarthritis is one of the most frequent causes of hip pain. Due to age, trauma or other factors, the cartilage in the hip that cushions your joints start to break down causing the bones to rub together during any movement. Symptoms include pain, stiffness, and loss of movement. Severe conditions could require a hip replacement surgery.
- Trochanteric Bursitis
Trochanteric bursitis is an extremely common problem that causes inflammation of the trochanteric bursa at the outer hip. Symptoms include pain, swelling and tenderness of the outer hip.
Tendinosis can be caused either by injury or overuse of the tendons. It also happens with age as the tendon loses their elasticity. The most common symptom of hip tendinosis is hip pain that happens gradually. It can also cause tenderness at the point in the hip where the tendon is. If hip tendinosis goes untreated, the pain can get worse over time.
- Hip Labral Tear
Hip labral tear can be caused by trauma, repetitive motions, or is hereditary. Symptoms may include deep groin / buttocks pain, clicking or locking sound or hip stiffness. If left untreated, labral tears may become a mechanical irritant to the hip joint, which can increase friction in the joint and speed the progress of osteoarthritis in your hip.
- Stress fracture
Stress fractures of the hip are most common in athletes who participate in high-impact sports, such as long-distance runners. Treatment usually is successful by avoiding the impact activities. Symptoms include low back pain, inability to stand, bruising or swelling. If left untreated, hip fractures cause pain and immobility resulting in serious health problems.
- Muscle tears and tendon strains
Strains of the muscles around the hip and groin can cause pain and spasm when walking or running. You may also experience swelling, tenderness or pain when lifting the leg to the chest. If left untreated, hip muscle tears or strains can cause the onset or progression of hip osteoarthritis leading to reduced or loss of mobility.
What are the symptoms of Hip and Groin Pain?
- Joint pain, groin pain, buttocks pain, thigh pain
- Pain inside or outside of the hip joint
- Loss of motion of the hip
- Swelling and tenderness of the hip
- Difficulty sleeping on the hip
What are the treatment options for Hip Pain?
- Musculoskeletal Ultrasound Imaging
This is our first line of treatment to verify your exact condition. Musculoskeletal Ultrasound is used to diagnose Tendinitis and Tendon tears around the hip joint especially of the psoas, gluteus, adductor and rectus femoris tendon. It can also diagnose Bursitis such as trochanteric bursitis and Muscle tears especially psoas muscle and adductor muscles.
- Conservative therapy such as physiotherapy and rehabilitation
Physical therapy can help to reduce the pain, swelling, and stiffness. There are two main types of physical therapy—passive and active treatments. Physical therapy, though effective, has a long road to recovery and may not be suitable for those who are seeking quick and effective solutions to help you get back on your feet in no time.
- Regenerative injection
Regenerative treatments include PRP for adductor muscle tears and tendinosis of the common adductor insertions to the pubic bone. Other tendons such as gluteus insertion tendons, psoas tendons and capsular ligaments of the hip joint can also be injected for tears and tendinosis. Trochanteric bursitis and other bursitis can be injected with steroid and anaesthetic.
Read More About Regenerative Injections