Physiotherapy For Hip Pain
Have you noticed?
- Pain around your hip when walking or running?
- You are not able to walk/run as far?
- Any difficulty bending to put your socks on?
- Pain and discomfort in your groin area?
- Pain in the front of your thigh?
- Pain on the outer pelvic area when walking, going upstairs or running?
All of these symptoms can be caused by problems affecting your hip. If any of these symptoms are affecting your daily activities, the time has come to seek specialist physiotherapy treatment.
Our team of physiotherapists are experienced at getting to the root cause of your hip pain.
All it takes to get started is an initial consultation with our physiotherapy team, who will thoroughly assess and examine your hip and decide on the best way to get you back to pain-free full working order.
Call now or complete the enquiry form and we’ll call you back.
Call Gatley on 0161 491 1999 or the Heatons on 0161 432 3232
Our Experienced Physiotherapists Regularly Treat Patients with Hip Pain at our Clinics in Gatley, Cheadle, Heaton Moor, Stockport and Didsbury
In the majority of cases physiotherapy treatment is the most effective way of treating pain in the hip area. It will include a combination of soft tissue massage, joint mobilisations, postural advice and lifestyle alterations reducing pain and stiffness and getting you back to normal function as soon as possible.
What are the common causes of hip pain?
Many hip problems are related to wear and tear (osteoarthritis) due to the ageing process.
Muscle strains are usually due to an injury to the groin muscles.
Tendinopathy (see below) which is age and activity related pain.
How do I know if I need treatment?
- If your pain is severe and is affecting your ability to walk, a physiotherapy assessment will diagnose the reason for the pain.
- If you are a teenager with groin pain, it is important to get the hip checked out. If it is a SUFE (see below), a referral to an Orthopaedic Consultant may be required.
- If your pain is mild but not easing and is starting to affect your ability to participate in your normal activities or sports, a physiotherapy consultation will diagnose your problem and give you exercises to do as well as strategies for the management of your pain.
- Many problems begin as mild discomfort but gradually worsen over time. With early intervention, physiotherapy treatment can rehabilitate your joints and muscles faster.
What will happen if I don’t get it treated?
Following an injury to the muscle, they will weaken, and your recovery time will be longer.
Untreated hip pain and injuries can get worse with time, especially if you continue to put the joints under strain or perform repetitive aggravating movements.
Hip arthritis is a long-term condition. It is important to ensure you are doing as much as possible with strengthening exercises and self-help strategies to control your pain. This will allow you to continue your normal daily activities as much as possible. We can’t get rid of arthritis, but we can help you to keep going.
How long does treatment typically take?
Treatment sessions are for 30 minutes.
The number of treatment sessions required depends on how quickly your hip pain responds to the combination of therapies we use, and any lifestyle changes you make. On average 4 treatments are usually required for a hip problem.
What are the most common hip problems?
In hip arthritis, the cartilage around the bone ends wears down and as it thins, the joint space reduces, and joint becomes inflamed and painful.
The symptoms are usually pain and stiffness. The pain is normally felt in the groin and front of the hip but can be in the buttock, inside the hip, or spread down the front of the thigh towards the knee.
Pain is usually worse when walking and a limp may develop. Sleep can be disturbed.
Not being able to walk as far can will reduce your general fitness and leg muscle strength.
Following hip surgery – total hip replacement (THR)
Following a hip replacement, many patients do not have physio treatment and tell us they have never regained their strength and normal walking pattern following surgery.
Patients are often anxious and worried about exercising following their THR. Therefore, the muscles around the pelvis, the Gluteal muscles and abdominals are often very weak. This will contribute to your limp when walking and will put strain on the hip joint.
Impingement /labral tear
Hip impingement relates to the soft tissues, cartilage and the bony parts of the ball and socket joint. Certain changes of the hip can cause the ball of the hip to rub excessively against the socket. This can cause the soft cartilage (hip labrum) to tear.
Groin pain is the usual symptom of a hip impingement. You will feel an ache with sharp stabbing pains with twisting movements and after running.
Trochanteric Bursitis/Gluteal Tendinopathy
Pain in the outer area of the pelvis/hip can be due to:
- Gluteal tendinopathy
- Trochanteric bursitis
This is the most common cause of pain on the outside of the hip. The pain can radiate into the groin and the outer thigh but rarely below the knee. It usually comes on gradually and gets worse with activity and can be very painful during the night when lying on the hip. Stiffness is felt on the outside of the hip, particularly in the morning.
It is commonly confused with Trochanteric Bursitis which is inflammation (swelling) of the bursa (fluid-filled sac) at the outside point of the hip. When this bursa becomes irritated or inflamed, it causes pain in the outer hip, similar to the tendinopathy pain.
A sudden onset of pain on the inner side of the groin, often occurring during sporting activities when the leg is outstretched, such as a football tackle.
Bruising can develop over the inner thigh, with pain in the groin, which can extend along the inner thigh to the knee.
Some hernias present with groin pain as the only symptom and can be misdiagnosed as a groin strain. The history of the onset of the groin pain may indicate whether the groin muscle has been injured or it is likely to be a hernia. If your physio suspects a hernia rather than a groin strain, you will be referred back to your GP for ongoing investigations.
Slipped Upper Femoral Epiphysis (SUFE)
Groin pain which usually comes on suddenly, in teenagers, can be a sign of SUFE. As the bones are not yet fully developed, there is a section just below the ‘ball’ part of the hip joint, which can dislodge. The pain can cause a limp and there may cause sleep disturbance. SUFE can be often misdiagnosed as a groin strain.
Referred from the lumbar spine
Pain around the hip area, (the groin, buttock and outer pelvis), can be referred from the low back area. You do not need to be suffering from back pain at the same time.
Call Gatley on 0161 491 1999 or the Heatons on 0161 432 3232
How is hip pain usually treated by a physiotherapist?
Physiotherapists have a wide range of different treatments for hip pain.
The main aim of treatment is restoring movement and increasing strength of the leg muscles. Sessions are very likely to include ‘hands on’ treatment in the form of soft tissue massage and joint mobilisations.
Treatment approaches can vary depending on the cause of your hip pain, but some examples of treatments we might recommend include:
- Strengthening exercises for all the leg muscles
- Soft tissue massage, including trigger point massage
- Joint mobilisations
- Mobility exercises to regain hip movements
- Core stability exercises
- Advice for the self-management of your pain
- Gait re-education
- Lifestyle Changes
- Steroid Injections
Will surgery to help my hip be likely?
Depending on the degree of osteoarthritis (OA) of the hip and how the symptoms affect your daily activities surgery may be required. Your physiotherapist can advise on the best way to gain medical advice.
The decision for surgery would be made following discussion with an Orthopaedic Consultant and yourself. If surgery is required, whilst waiting we would encourage you to keep the movement of your hip as much as possible, maintain good general fitness, lower limb strength and good core stability. Your physio will show you a suitable exercise programme.
If hip impingement does not settle following an intensive rehabilitation programme, surgery or an injection may be required.
Is there anything I can do at home to help reduce hip pain?
• Keeping as fit and healthy as possible can help your hip problem.
• Reducing your weight may reduce your pain.
• Low impact exercise such as using an exercise bike can give great benefits.
• Using walking poles when the pain is severe can allow you to continue walking to help your general health and well-being but reducing the ‘strain’ on your hip.
Get in touch
If your body is telling you something is wrong, we’re here to listen. Whether you’ve noticed hip pain or a lack of mobility in your hip joints, we can arrange a physiotherapy consultation to determine the cause of your problem and decide on suitable physiotherapy to relieve the symptoms.
Why Choose Gatley & Heatons Physio?
We provide expert physiotherapy treatments from our clinics in Heaton Moor, Gatley and Didsbury and we regularly help patients from across Stockport and Manchester reduce their pain and return to normal activities.
We frequently work with clients in Cheadle, Bramhall, Poynton, Wilmslow, Northenden, Altrincham, Sale, West Didsbury, Withington, Burnage, Heaton Moor, Heaton Chapel, Heaton Norris, Heaton Mersey and Reddish, and we are regularly able to provide home visits for those who are not able to attend one of our clinics.
We have been established in these areas for many years and have a fantastic relationship with most of the Doctors in these areas. If needed, we will liaise with your Doctor about your condition, for example if medication is needed or a referral to another speciality.
We have an excellent reputation of providing high standards of clinical physiotherapy and a professional service through a trusted, personal and friendly approach.
We offer flexible appointment times to all patients including extended working hours and home visits.
Professional and caring treatment received with sound follow up advice. Would recommend to others without hesitation!