MUSCULOSKELETAL CARE
HIP AND GROIN PAIN
Pain or dysfunction in the hip or groin are common in women, particularly in the child bearing or menopausal years. Female hips generally have more range of motion than male hips, and the hormonal changes occurring in this life stages are thought o contribute to the loss of support and altered biomechanics leading to pain.
The hip joint is a ball and socket joint, with muscles and ligaments crossing from both inside and outside of the pelvis, so the biomechanics can be a little complex. Many people don’t realise that in fact the pelvic floor connects directly with the hip and as such is a common source of unidentified hip pain.
SPECIFIC CONDITIONS OF THE HIP
Adductor related groin pain
Adductor tendinopathy
Acute muscle strain
Pubic related groin pain
Osteitis pubis
Hip related groin pain
Femoroacetabular impingement
Hip osteoarthritis
Hip labral tear
Stress fracture
Avascular necrosis of the femoral head
Treatment
Iliopsoas related groin pain
Hip flexor strain
Inguinal related groin pain
Inguinal hernia
Referred sources
Pelvis
Lumbar spine
Our physiotherapists will use an entire body assessment approach to identify what is actually driving your hip or groin pain. This will include a full body biomechanics screen, hip, pelvic, low back and groin testing, pelvic floor screen and assessment, and in some cases medical imaging such as MRI may be recommended.
Once we have a good understanding of your body and your injury, we will provide a detailed treatment plan, as every individual with hip and groin, so the treatment and rehabilitation program will vary.
Our treatment approach will usually entail, one or all of the following: We employ a variety of treatment techniques at Women in Focus such as:
Muscle energy techniques
Connect therapy/ Integrated Systems approach
Soft tissue massage, Dry Needling and Joint mobilisation techniques
Internal release work if required to overactive deep pelvic floor muscles that cross the hip
Exercise rehabilitation including;
Addressing deep abdominal, core and pelvic floor muscle control
Specific strength and endurance for local hip musculature
Lumbopelvic stability
Proprioception and balance training
Functional integration
Analysis and correction of contributing lower limb biomechanics
Supportive taping and strapping
SYMPTOMS
Pain on the inside of the leg or groin area
Pain on the outside of the hip wrapping around to the buttock
Sharp pain or dull ache
Stiffness or tightness when moving the hip
Difficulty weight bearing – standing, walking, running
Discomfort when sitting – particularly cross legged
Difficulty sleeping, or pain when lying on your affected side
Clicking or catching sensations in the hip
Tightness and pain within the pelvic floor