Hip Tendonitis

Hip tendonitis is inflammation of any one of a number of tendons in the hip although degeneration of the tendon is probably a more accurate description.

Symptoms of a hip tendonitis

Symptoms typically include pain which develops gradually over time. There will be tenderness at a specific point on the hip where the tendon originates from. Stretching the muscle involved may be uncomfortable and the hip may feel stiff in the mornings or after long rest periods. Often pain will ease off with activity as the tendon warms up only to return worse later.

Causes

Tendonitis occurs when the tendon is put under a lot of strain, either doing something that it is not used to, doing the activity more than normal or due to biomechanical problems

Tendonitis may also be known as Tendinitis or Tendinopathy, which is actually the most accurate name as the term 'itis' is misleading.

'Itis' at the end of a word refers to inflammation and in most cases of overuse tendon injuries, it has been shown that there are no inflammatory cells present. The condition is more of a degenerative injury, causing disorientation of the collagen fibres and an increase in tendon cells. The notoriously poor blood supply of tendons mean they are often slow to heal.

Hip tendonitis treatment

  • Rest from aggravating activities.
  • Apply the RICE principle - rest, ice, compression, elevation.
  • Gentle stretching of the affected muscle - provided this is not painful.
  • Sports massage and ultrasound therapy from a qualified professional may be effective.
  • Your Doctor may prescribe anti-inflammatory medication such as ibuprofen.
  • Gentle strengthening exercises for the associated muscle once pain-free.
  • Eccentric strengthening is particularly important for tendon rehabilitation.
  • Determine what may have caused the injury and correct any problems (i.e. over-training, muscle imbalances etc)

Watch our interview with Dr Maria Madge (chiropractor) about hip pain.

Related Articles

Rectus Femoris Tendon Rupture

The rectus femoris is one of the powerful quadriceps muscles. A rupture of the tendon at the top of the muscle near the hip can result from overuse or explosive loads on the muscle.

Rectus Femoris Avulsion

A rectus femoris avulsion fracture occurs where a strong contraction of the rectus femoris muscle pulls the tendon and a small piece of bone away from the attachment point.

Slipped Capital Femoral Epiphysis

This injury occurs when there is a fracture at the neck or top of the thigh bone. It is more common in boys aged 11 to 16 years old and occurs gradually over a period of time.

Hip Pointer

A hip pointer occurs following an impact to the iliac crest at the top of the hip bone or the greater trochanter or bony protrusion on the outside of the thigh bone.