Hip Pain: Episode 15

Hip pain has many causes that change throughout the life span. Hip pain in a teenager often has a totally different cause then hip pain in middle age or as a senior citizen.

• In honor of Halloween we are reviewing: Zapp’s Voodoo potato Chips
• Trivia question of the week: What is the northern most point of the British Empire?
• Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to get additional information related to hip pain throughout the week.

Today we are discussing hip pain, fairly broadly. Talking about some of the common diagnosis we see there. And we are going to do a nice review of Zapp’s Voodoo potato chips. Sounds Yummy. I’m pretty excited. Who brought these in? You did? Yeah I did. Yeah Yeah, I got these. I’ve had them before they are delicious and tasty.

 

Most hip pain that we see is going to fall under two categories. Does it cause groin pain? Or does it cause outside of the hip pain? So those two areas have pretty different causes. Yes. Outside of the hip is going to be much more common with bursitis, muscle strain, perhaps physical trauma some kind of bruising. We tend to see it a lot when people have a limp and they start counter balancing or changing the way they walk. It’s called Trendelenburg (https://www.physio-pedia.com/Trendelenburg_Gait). Nice, you get this overuse irritation on the outside of the hip and that could be tendonitis or bursitis or a variety of tendons.

 

A lot of that is treated similarly in terms of physical, manual therapy to the outside of the hip. Modalities to the outside of the hip. Working on, above all things again, glut med strength and external rotator group strength and that is going to cover most of your hip pain that you feel on the outside of your hip. IT band is another big one.

 

We also have groin pain. Groin pain is much more indicative of joint wear and tear. So that is going to be osteoarthritis changes in there. Or we are going to see something of the soft tissue pathology in there. So FAI, which is femoral acetabular impingement. That is a topic that is going to need it’s own show to fully cover. But to kind of briefly cover.

 

It’s one of those diagnoses that has kind of become very popular lately since they have been able to treat it with a scope now. So it is actually a surgical problem. 20 years ago if somebody had a hip impingement problem, you just kind of rode it out until you could get a hip replacement. Now it is something that is treatable. FAI femoral acetabular impingement syndrome is something we see a lot in single limb athletes. Athletes who tend to land or jump off of one leg; dancers, cheerleaders, volleyball players. Like Christiaan said it’s a topic that will require a session of its own because there are so many different ways to diagnose and treat conservatively.