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Hip Pain

Hip pain is the general term for pain felt in or around the hip joint. It isn't always felt in the hip itself but may instead be felt in the groin or thigh.

Impingement and labral tear

When bones of the hip are abnormally shaped and do not fit together perfectly, the hip bones may rub against each other and cause damage to the joint. The resulting condition is femoroacetabular impingement (FAI), which is frequently seen along with a tear of the labrum.

Groin strain

Groin strain is an injury to the muscle-tendon unit that produces pain on palpation of the adductor tendons or its insertion on the pubic bone and pain in the adductor region on resistance testing of the adductors. Groin muscle strains are encountered more frequently in ice hockey and soccer.

These sports require a strong eccentric contraction of the adductor musculature during competition and practice. The underlying injury is most often a muscle or tendon strain at the insertion of the tendon of the adductor muscle to the bone. The adductor longus is most commonly injured.

The difference between groin tendinopathy and strain are:

  • First of all, strains are acute and tendinosis is chronic. Tendinosis is a repetitive strain.
  • The second difference is that acute injuries are more often localized in my tendon junctions and chronic injuries are localized at the tendinous insertions on the pubic bone.

Strain of rectus femoris

A Rectus femoris tendon strain is a tear of the tendon of the powerful quadriceps muscles at the front of the thigh. It often occurs at its origin at the front of the hip. An avulsion strain occurs when the tendon tears, pulling a small piece of bone away with it.

Bursitis

Bursitis is inflammation of a bursa. A bursa is a closed, fluid-filled sac that works as a cushion and gliding surface to reduce friction between tissues of the body. The major bursae (this is the plural of bursa) are located next to the tendons near the large joints, such as in the shoulders, elbows, hips, and knees.

Osteoporosis of the hip

Transient osteoporosis of the hip is a rare condition that causes temporary bone loss in the upper portion of the thighbone (femur). People with transient osteoporosis of the hip will experience a sudden onset of pain that intensifies with walking or other weight-bearing activities.

Osteoarthritis and Rheumatoid Arthritis

The main difference between osteoarthritis and rheumatoid arthritis is the cause behind the joint symptoms. Osteoarthritis is caused by mechanical wear and tear on joints. Rheumatoid arthritis is an autoimmune disease in which the body's own immune system attacks the body's joints. It may begin any time in life.

Chronic Pain

Chronic pain is pain that is ongoing and usually lasts longer than six months. This type of pain can continue even after the injury or illness that caused it has healed or gone away. Pain signals remain active in the nervous system for weeks, months or years.

Snapping hip

Snapping hip is a condition in which you feel a snapping sensation or hear a popping sound in your hip when you walk, get up from a chair, or swing your leg around. The snapping sensation occurs when a muscle or tendon (the strong tissue that connects muscle to bone) moves over a bony protrusion in your hip.

Stress fractures

Stress fractures are tiny cracks in a bone — most commonly, in the weight-bearing bones of the lower leg and foot. Stress fractures are tiny cracks in a bone. They're caused by repetitive force, often from overuse — such as repeatedly jumping up and down or running long distances.

Sacroiliac stiffness or instability

These are the main joints of the pelvis and can be moving too much or be stiff. This can cause stress on surrounding structures leading to buttock or groin pain. The pain tends to be when doing weight bearing activities or turning in bed.

Physiotherapy can help by performing an in depth examination and use specific tests to determine whether the pain is coming from a problem with the sacroiliac joints. Treatments can be used such as manual therapy, taping, acupuncture, stretching any tight surrounding exercises and teaching specific exercises to increase the stability around the pelvis.

Slipped capital femoral epiphysis

Slipped capital femoral epiphysis (SCFE) is a disorder of the hip that can happen in your pre-teen or teen. SCFE happens when the head (“ball” part) of the top of the thigh bone (femur) slips backward and downward at the point of growth plate. Normal hip with femur head and neck fully intact.

Perthes disease

Legg-Calve-Perthes disease, also known as Perthes disease, is a disorder of the hip in young children that usually occurs between the ages of 4 and 10. The hip is made up of the femoral head the “ball,” which is the upper part of the femur and the acetabulum the "cup" that fits around the femoral head.

Nerve entrapments

Nerve entrapment is a medical syndrome that develops when nerves become compressed (or entrapped) and restricted. This occurs due to a variety of causes, from trauma or injury to repeated or overuse activity. Nerve entrapment syndrome is also known as: Nerve compression syndrome.

Referred pain

Pain in the hip and groin can actually be referred from another area in the body ie the lower back . Trigger points in muscles away from the pelvis and groin can also refer to the area.

Other possible causes

These possible causes included as:

  • Cardiovascular symptoms
  • Respiratory (breathing) symptoms
  • Gynaecological
  • Urinary or genital symptoms
  • Digestive symptoms
  • Immune system symptoms
  • Lymph system symptoms
  • Hormonal symptoms
  • Neurological symptoms
  • Dermatological (skin) symptoms
  • Medication side-effects
  • Virus
  • Infection
  • Cancer
  • Disease process
  • Psychological problem ie. depression, anxiety

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