Hip Pain

Common causes of hip pain are hip impingement, bursitis, tendinosis, arthritis, and sciatica. Our office gets you a correct diagnosis then begins the appropriate therapies.

Hip Pain

Chiropractor that treats hip pain

Tendinitis, tendinosis, bursitis, arthritis, hip impingements, and sciatica are some of the most common causes of hip pain. There are usually overlapping treatments for hip pain. For example, combining myofascial release, stretching, and rehabilitation are great ways to relieve pain and promote healing. However, it is helpful to identify the source of hip pain before beginning treatment for the best results.

How to diagnose hip pain

The first step in getting a correct diagnosis is to have a chiropractor or other musculoskeletal specialist perform an exam and orthopedic tests. During the exam, a chiropractor will discuss how the pain started, and movements or activities make it feel better or worse. Next, they will perform orthopedic tests, moving your hip and having you resist movements to decide what is causing the pain. If pain is persistent, not improving, or becomes complicated, imaging such as an X-ray or MRI may be necessary.

Tendinitis and tendinosis

Tendinitis is when the tendon (which connects muscles to bones) becomes inflamed, leading to pain. Tendinitis can usually last from days to weeks and sometimes becomes tendinosis. Tendinosis is when the tendon degenerates and frays leading to more chronic pain. Tendinosis can last months or even longer and often returns if not treated correctly. The process of tendinosis is similar to golfers' elbow and plantar fasciitis. When this process happens in the hip, it is called greater trochanteric pain syndrome.

Treatment for hip tendonitis and tendinosis

The treatment for greater trochanteric pain syndrome is to rejuvenate the gluteus tendon in the hip. For example, myofascial release can be used to initiate and speed up a healing response. Strengthening the gluteal muscles and tendon is the best long-term strategy. The crucial element is to strengthen the hip progressively. If too much exercise is performed without proper recovery, the tendon will not heal properly. However, if the exercises are not strenuous enough, adaptation will not occur, and the pain will persist. In addition, stretching tight muscles in the hip and pelvis is also helpful for optimal success.

What is hip impingement?

Hip impingement is when the ball and socket joint bones rub together and is more common in very active people who participate in sports and exercise. Sometimes the rubbing of the bones causes more bone growth resulting in a more significant impingement. The bone growth can occur on the ball (head of the femur), socket (acetabulum of the pelvis), or both. In some instances, there is a snapping of ligaments over the front of the hip called snapping hip.

Treatment for hip impingement

The treatment for hip impingement consists of a combination of stretching and performing corrective exercises to address muscular imbalances. In addition, chiropractic hip mobilizations can help align the hip and reduce impingement symptoms. Snapping hip is often improved after individualized stretches and exercises are performed consistently.

What is sciatica?

Sciatica is a general term that describes pain in the back of the hip or leg along the sciatic nerve path. The most common cause of sciatica is a disc bulge in the low back (lumbar spine). When there is pressure or irritation against the nerve in the low back, it will shoot pain along the sciatic nerve.

Piriformis syndrome is another cause of sciatica. The piriformis muscle is in the back of the hip and can put pressure on the sciatic nerve when it gets too tight in some people.

Treatment for sciatica

Addressing the disc bulge in the low back (lumbar spine) is crucial if this is the cause of hip pain. Common treatments for disc bulges are decompression therapy, spinal manipulations, stretching, and rehabilitation. Once the disc bulge pain subsides, the sciatica symptoms will also start to improve.

If the sciatica is coming from the piriformis muscle, the hip should be the source of treatment. For example, stretching and massaging the hip itself will be necessary.

Chiropractor that treats hip pain

Chiropractors specializing in rehabilitation are a great option to help with hip pain. The advantage of using a chiropractor is their holistic approach to combining therapies. For example, myofascial release and chiropractic adjustments combined with rehabilitation can help get optimal results.

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