Hip Pain Treatment
Hip Impingement
Hip impingement, also known as femoroacetabular impingement (FAI), is a condition of abnormal and wearing contact between the ball and socket of the hip joint. This is due to either extra bone growth of the femoral head (CAM) or of the acetabulum (pincer), resulting in increased friction during hip movements and joint damage. Patients often complain of pain in the groin after prolonged sitting or walking.
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Hip Pain
Hip pain can come from many causes such as arthritis, bursitis, groin injuries, illiotibial band syndrome, impingement syndrome, labral tears, piriformis syndrome, surgical procedures (such as hip resurfacing, hip replacement, or labral repair), and tendonitis. In addition, patients often seek consultation for frustrating hip pain that is undiagnosed and unrelieved after months of failed physical therapy, anti-inflammatory use, and rest.
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Hip Bursitis
Bursae are small fluid-filled sacs that act as cushions between the muscles, tendons, and bones. Hip bursitis is caused when the bursea located around the outside of the hip bone called the trochanter becomes inflammed. The trochanter is a large knob that is part of the femur allowing for attachment of many of the hip muscles. Inflammation of the hip bursae can cause hip pain in the outside, top, or inside of the thigh and hip, as well as loss of range of motion.
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Post-Surgery Hip Rehabilitation
Post-surgery hip pain and stiffness is normal and should decrease slowly over a reasonable period of time. However, in some cases pain and stiffness do not decrease, or the condition does not improve or worsens with physical therapy.
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IT Band Syndrome
Iliotibial (IT) Band Syndrome is named for its anatomical location. The IT band is a band of thick fibrous tissue extending from the outside of the hip to the outside (lateral) of the knee. When this band is irritated, pain can occur anywhere from the hip to the side of the thigh, but it most commonly appears on the side of the knee. It is not unusual to hear a clicking sound, with or without pain, when the knee bends and straightens. This area can also become swollen or a bump may appear.
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Piriformis Syndrome
The piriformis muscle is a hip rotator that can often cause entrapment of the sciatic nerve due to anatomical variation or muscle spasm. Piriformis syndrome symptoms can mimic a herniated disc or nerve root compression with buttock pain, thigh pain, and leg pain (sciatica). An MRI may not reveal the origin of the pain and misdiagnosis can occur without thorough exploration by a spinal expert.
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Labral Tears
The labrum is a crescent shaped piece of cartilage attached to the rim of the hip joint providing stability. Labral Tears can occur when the labrum can become detached, frayed, torn, or degenerated due to acute injury or repetitive activity. Patients with labral tears usually have pain deep in the groin or the front of the hip. Sometimes you may feel the hip "gives out," gets worse while sitting or walking, and may even "click."
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Groin Injuries/Groin Pain
Groin pain is localized to the lower abdomen and top or inner thigh where it meets the pelvis. Groin injury can also cause pain in the genitalia. Groin injuries are common in runners, hockey players, soccer players, and fencers. There can be many causes of groin pain besides muscle injury. Other groin conditions include femoroacetabular impingement syndrome, labral tears, sports hernia, and hip flexor tendon injuries.
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Hip Arthritis
The most common types of hip arthritis are osteoarthritis or degenerative joint disease (DJD). A previous hip injury may be to blame or the cartilage may simple wear down over time as part of the normal aging process. Slowly the cartilage becomes degenerated and uneven, and extra calcium starts to invade the joint space. Complaints ususally include stiffness and pain.
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