Physiotherapy for Hip Pain: A Comprehensive Guide

Hip pain is a common ailment that can be caused by a variety of factors including arthritis, injuries, pinched nerves, and more. 

It can affect individuals of all ages and can drastically limit mobility and quality of life. 

Fortunately, physiotherapy offers an excellent non-invasive solution to alleviate hip pain and restore function.

Common Causes of Hip Pain

The hip joint is a complex structure designed to withstand repeated motion and a fair amount of wear and tear. However, with age and use, the cartilage can wear down or become damaged. Muscles and tendons in the hip can get overused and the hip bone itself can be fractured during a fall or other injury. 

Let's delve deeper into the most common types and causes of hip pain:

  1. Arthritis: This includes several types of conditions that cause inflammation in the joints, leading to pain and stiffness. The most common types affecting the hip are osteoarthritis and rheumatoid arthritis.

  2. Hip Fractures: These are particularly common in older individuals, often as a result of osteoporosis. Hip fractures can cause immediate severe pain and require medical attention.

  3. Bursitis: Bursae are small fluid-filled sacs that cushion the joints. Inflammation of the bursae is known as bursitis, which can cause intense pain in the affected area.

  4. Tendinitis: This condition occurs when the tendons, which are thick bands of tissue connecting the bones to the muscles, become inflamed or irritated. This is commonly caused by repetitive stress or overuse.

  5. Labral Tears: The labrum is a type of cartilage that surrounds the socket of the hip joint. A tear in this cartilage can cause pain and instability in the hip.

  6. Hip Impingement: This occurs when there is abnormal contact between the ball and socket of the hip joint, causing increased friction during movement. Over time, this can lead to damage to the joint, resulting in pain and limited range of motion.

  7. Muscle or Tendon Strain: Overuse or sudden movements can strain the muscles and tendons surrounding the hip, leading to pain and inflammation.

Role of Physiotherapy in Hip Pain Management

Physiotherapy plays a crucial role in managing hip pain. It focuses on improving mobility, strengthening the muscles around the hip, and promoting overall hip health. Physiotherapists employ a variety of techniques including manual therapy, exercises, and education about lifestyle changes and prevention strategies.

  • Pain Management: Physiotherapists use a variety of techniques to help manage pain, including manual therapy, heat or cold therapy, and electrical stimulation. They can also teach you exercises and stretches that can help alleviate pain.

  • Improved Mobility: Hip pain can limit your mobility, making it difficult to perform daily activities. Physiotherapy can help improve the range of motion in your hip joint through targeted exercises, manual therapy, and acupuncture.

  • Strengthening Muscles: By strengthening the muscles around your hip you can provide better support for the joint and reduce strain on it. A physiotherapist can show you exercises to help strengthen these muscles. They will also be able to assess other areas of weakness at sites away from the hip (ie your core or ankle) that may be contributing to your pain. They'll be able to incorporate these areas into your strength plan to ensure a more complete recovery.

  • Education: Physiotherapists can provide education about your condition and how to manage it. This can include advice on lifestyle changes, exercise, and how to prevent further injury.

By addressing the root cause of the pain rather than just the symptoms, physiotherapy provides a comprehensive approach to treating hip pain. 

RELATED READING: A Guide To When You Should See A Physiotherapist

8 Effective Exercises for Hip Pain

There are several exercises you can do at home to help alleviate hip pain. Some of these include:

  1. Piriformis Stretch: Sit on a chair with your feet flat on the ground. Place the ankle of your affected leg over your other knee and gently press down on the raised knee. Hold for 30 seconds, then release. Repeat 3-5 times.

  2. Hip Extension Exercise: Stand behind a chair, holding onto the back for support. Slowly lift your affected leg straight back without bending your knee, then return to the starting position. Do this 10-15 times.

  3. Standing Iliotibial (IT) Band Stretch: Cross your affected leg behind your unaffected leg. Extend your unaffected arm overhead, leaning to the side of your affected leg. You should feel a stretch along the side of your hip. Hold for 30 seconds, then repeat on the other side.

  4. Seated Butterfly Stretch: Sit on the floor with your knees bent and the soles of your feet touching. Gently press your knees towards the floor using your elbows. You should feel a stretch in your inner thighs and hips. Hold for 30 seconds, then release.

  5. Hip Abduction Exercise: Lie on your unaffected side with your legs stacked. Keep your affected leg straight as you lift it as high as possible, then lower it back down. Do 3 sets of 10 repetitions.

  6. Lunges: Stand with one foot forward and the other foot back. Lower your body until the knee of your back leg is close to the ground, then push back up. Do 3 sets of 10 repetitions, then switch legs.

  7. Clamshells: Lie on your side with your hips and knees bent at a 45-degree angle. Keeping your feet together, raise your top knee as high as you can without moving your pelvis. Repeat for 3 sets of 10 repetitions. on each side.

  8. Pelvic Tilts: Lie on your back with your knees bent and feet flat on the floor. Tighten your abdominal muscles and push your lower back into the floor. Hold for 10 seconds, then release. Repeat 10-15 times.

It's important to remember to warm up before starting these exercises and cool down afterwards. Also, if you experience any discomfort or pain while performing these exercises, stop immediately and consult your physiotherapist.

When to Seek Professional Help

If your hip pain is severe or lasts for more than a few days, it may be time to seek professional help. A physiotherapist can assess your condition and develop a personalized treatment plan to help relieve your pain and improve your mobility.

Visit The Rehab Grid in Stouffville and North York

If you're experiencing hip pain and need professional assistance, visit us at The Rehab Grid, with locations in Stouffville and North York. Our team of experienced physiotherapists will work with you to create a customized treatment plan to address your specific needs and goals. Contact us today to schedule an appointment and take the first step towards a pain-free life!

Remember, with the right care and approach, hip pain doesn't have to be a chronic issue. With the help of physiotherapy, you can manage your symptoms, improve your mobility, and return to your regular activities.

Joseph Di Fonzo, PT

Hi, My name is Joseph. Over the last ten years I've developed a treatment skill-set that allows me to get to the root of my patient's problems. I use a combination of manual therapy, electroacupuncture and exercise to get my patients better.

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