The hip is known as a ball-and-socket joint with the top of the thigh bone shaped like a ball. This sits inside a hollow socket in your pelvis. This joint is designed for stability and weight bearing, These ball and socket types of joints also give the most movement of all the different types of joints in the body.
According to the NHS website, most cases of hip pain in adults that are treated with surgery are caused by osteoarthritis, the most common type of arthritis in the UK.
Osteoarthritis is a group of chronic, degenerative conditions that mainly affect the weight bearing joints (hips and knees) and is known as ‘wear and tear’ arthritis
Common signs and symptoms can include pain, stiffness, swelling, crepitus (creaking, grating or grinding) sensation, muscle atrophy around the joint and loss of range of motion.
It is more common in older people and more so in women.
Other than an impact injury some of the other common causes of hip and pelvic pain are:
SIJ dysfunction – often a “catch- all” diagnosis for pain around the sacrum. In many cases pain is coming from soft tissue issues and trigger points
Trochanteric Bursitis also known as Greater trochanteric pain syndrome (GTPS). A very grand name but it is an umbrella term for lateral hip pain.
Iliolumbar Ligament Sprain an injury/overstretch/tear to this ligament
Piriformis Syndrome with its ‘street’ name of Sciatica. Piriformis syndrome is a neuromuscular condition characterised by pain, tingling and numbness in the bum and along the pathway of the sciatic nerve (down the thigh and lower leg)
Sartorius Tear a strain to the sartorius muscle which runs from the pelvis to the knee. Pain is felt along the muscle and is aggravated by walking and sitting cross legged (muscle put on a stretch).
Adductor Strain with it’s “street” name of groin strain; pulled muscle; groin pull. An injury to, or a small tear in a muscle or tendon.
It is important to note that there is not always a correlation between abnormalities in structure and pain levels. There can be tissue damage without pain and pain without tissue damage.
The brain decides whether something hurts or not – 100% of the time, no exception. Butler D & Moseley
Massage and reflexology can generally be safely used in the treatment of hip and pelvic pain. However, it’s important that we include a full consultation to take into account any physical and emotional factors that may also be involved with the pain. We also need to identify any red flags to treatment which may mean a referral to your GP. However, with treatment, education, pain management techniques and self-care the outcomes are positive.
Please contact us for more specific advice about your hip or pelvic pain.
As always, the information contained in this article is intended as general guidance and information only and should not be relied upon as a basis for planning individual medical care or as a substitute for specialist medical advice in each individual case.
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