Hip and Groin pain and how we can help

 

Hip pains are common as a presentation and many age groups will be affected. We have years of experience solving hip pain for multiple conditions and successfully returning patients to full function and exercise. 

Mature Hips

As we age hip complaints are common. 

Osteoarthritis 

A significant number of people will suffer with osteoarthritic changes in the hip joint. The ball and socket joint can become mis-shapen and grow osteophytes (extra bone) or weaken, this can lead to an alteration in the muscles causing an imbalance or inhibition of the muscles. 

We can effectively treat Osteoarthritis with hip mobilisations – hands physiotherapy is incredibly effective. When Phillip was Physio at Southampton Football Club Gordon Strachan sought his advice. He had been advised he needed a new hip aged 53, after an assessment Phillip advised against this and after only a few sessions of mobilisations and advice on maintenance exercises he was back to playing in the training games again with no pain. 

I have treated many patients with my unique skills and developed techniques improving their daily lives immensely. 

Greater Trochanteric Bursitis

Another very common ailment affecting women more than men but can be seen in both. There is a bursa – a small sack of fluid on the outside of the hip bone which protects the overlying structures from rubbing causing friction and pain, however this sometimes fails and the bursa swells. This can be the source of the pain but I always check to see if it actually is the source. The pain can be referred from the back (uncommon), there are often imbalances or tears in the Gluteal Cuff – the buttock muscles which attach to the Femur. There are also many bursa around the hip and I will identify if it one of those. I fully assess the biomechanics to see why this is occurring and help you address this so you have a full recovery. 

Labral tears

The Labrum is the cartilage around the acetabulum (socket) which increases the size of the socket and adds to the stability of the joint, This can become torn or irritated if it impinged, With a thorough assessment I can ascertain  the restriction and if there is a tear and address it with specialised mobilisations and rehabilitation exercises. 

Muscular imbalance

There are many muscles around the hip and pelvis, the legs alignment and lumbar region are also involved and important in hip and groin pain. My extensive experience working at Southampton Football Club gave me massive experience in the muscular imbalances and biomechanics of this region. When I worked as a consultant for the NHS I was the go to person for all hip and groin problems affecting people of all ages.

Groin pain

This can be caused by the hip referring into the groin but there are many issues which also affect the groin which are not the cause of the hip – Sporting hernias (Gilmores groin), Adductor tendonitis, Pubic symphysis dysfunction, Perthes’ disease in youngsters, Growing issues which can lead to pain at muscular attachments and serious pathologies. Hip dysplasia, Anteversion, retroversion, leg length discrepancies. 

I will fully assess for all of these issues and provide you with a clear diagnosis and treat the cause of your issue to clear your pain.