Hip and groin pain

This needs to be assessed properly to diagnose and the origin of the pain which can include the lumbar spine (lower back), sacroiliac joint, piriformis or sciatic nerve.

GILMORE'S GROIN

A tear in one of your stomach muscles causes pain in the lower stomach area. This often requires surgical treatment, but it can respond well to physiotherapy.

GROIN STRAIN

Pain is found on the inside of your thigh due to a tear in the adductor muscles or tendons.

Often a result of a sporting injury Also known as adductor strain.

ILIOTIBIAL BAND (ITB) SYNDROME

Usually the result of overuse through activities such as running. The connective tissue that runs from the outside of the hip to the outside of the knee becomes aggravated resulting in pain and tenderness in those areas. Responds well to hands on physiotherapy and specific exercises.

OSTEOARTHRITIS (OA)

This occurs when the protective cartilage at the end of the bone starts to break down and causes pain, stiffness and swelling of the joint and leads to difficulty moving. It can effect most of your joints, most commonly being knees, hips, back, neck, shoulders and fingers. Physiotherapy can be very helpful with OA using treatments such as mobilisation, exercises, acupuncture etc.

PIRIFORMIS SYNDROME

Piriformis is a deep muscle in your buttock which runs very close to your sciatic nerve and has an important role in stabilising your lower back and pelvis. Due to this it can cause localised buttock pain or sciatic symptoms. Responds very well to massage, stretches and acupuncture.

SACROILIAC DYSFUNCTION

This is a very big joint that connects your spine to your pelvis. It is a very common cause of lower back pain and sciatic type symptoms. Must be treated well as they generally do not get better by themselves.

SCIATICA

Symptoms are often pain, numbness or pins and needles down the back of your leg due to the sciatic nerve being aggravated by such things as a disc bulge, a joint or muscle pinching the nerve. Physiotherapy treatment can be very beneficial in all cases.

TROCHANTERIC BURSITIS

Bursa are fluid filled sacks that reduce the amount of friction between two structures and can be found in various joints in the body. If the bursa gets inflamed then it is called bursitis. Trochanteric bursitis usually presents with pain on the outside of your hip when climbing stairs, getting out of a car or running. Very important to treat tight muscles and assess and treat biomechanical alignment.

WEAR AND TEAR

See osteoarthritis.

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