Hip Pain

Hip pain or hip joint pain often develops gradually and can be from a number of causes. Labral tears and Osteoarthritis are more common, especially in older athletes who have been highly active in their 20's and 30's. Hip pain in children is often diagnosed as Perthe's disease. Here we list the causes of hip pain.

 

Hip Flexor Strain

A hip flexor strain is a tear in the hip flexors, which are a group of muscles which work to lift the thigh upwards. They also assist in lifting the trunk when in a laying position. The two main muscles in this group are the Iliopsoas and the Rectus Femoris. A strain in these muscles is often brought on by strenuous hip flexing motions like kicking a ball, which can cause hip pain.

Labral Tear - Hip

A labral tear of the hip joint is a tear to the cartilage lining of the hip joint, called the acetabulumm which acts as cushioning for the joint. A tear can cause hip and groin pain and make the joint stiff. This hip injury can be caused by a direct impact or come on gradually through degeneration. Read more on the causes, symptoms and treatment here.

Osteoarthritis - Hip

Osteoarthritis is a degenerative condition resulting from wear and tear in the hip. The cartilage that covers the hip joint facilitates movement, so when this degenerates, mobility reduces while pain and stiffness increases. It is common in older people over the age of 50, especially women. Although there is no cure, there several things you can do to ease the pain and help slow down degeneration.

Synovitis of the Hip

Synovitis offen occurs in sports people alongside another hip joint injury. Treating the original cause or co-existing condition is key to recovering from hip synovitis. Symptoms include difficulty walking and night pain, which sometimes radiates further down the leg. This condition can also affect young children, which may be linked to the presence of a virus.

Hip Bursitis

Hip bursitis, also known as Trochanteric bursitis is inflammation of a bursa or small sack of fluid between the tendon and bone. A bursa prevents friction and helps movement in the joint so when it becomes inflamed, it causes hip pain. Most cases of hip bursitis are caused by overuse and poor biomechanics, although a direct impact like a fall could also cause it. Read more on the causes, symptoms and treatment of this condition.

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 be caused by overuse or explosive loads on the muscle, like sprint starts or kicking a ball. When the tendon ruptures, groin pain or a sharp pain at the front of the hip may be felt. The severity of the symptoms depends on whether the rupture is partial or complete.

Perthes' Disease

Perthes' disease affects children, most commonly aged between four and eight, but can also occasionally occur in younger children and teenagers. Tiredness and groin pain are two common smyptoms, and they may have a noticeable limp. Medical help is needed to diagnose this condition as early as possible to try to prevent and limit any future problems.

Ilium Apophysitis

Ilium apopysitis is an overuse injury which occurs in children and adolescents at the front of the pelvis. An apophysis is a area of growth of a bone which also acts as a point for muscles to attach to. This injury can particularly affect those who participate in sport and those with tight hip muscles. The hip pain usually intensifies with activity.

Rectus Femoris Avulsion

A rectus femoris avulsion fracture occurs when a strong contraction of the rectus femoris muscle pulls the tendon and a small piece of bone away from the attachment point. The rectus femoris is the quad muscle that crosses the hip and knee joints which can make it more at risk of injury, especially after explosive movements.

Rectus Femoris Tendon Inflammation

The rectus femoris is the large quadricep muscle running down the middle of the front of the thigh. Its function is to lift up the knee and straighten the leg. Pain will come on gradually and normally be located at the front of the hip. Read more on the symptoms and treatment of this hip injury.

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. Hip pain will normally develop over time and may be particularly bad in the mornings or after long rest periods. Ice, massage and stretching are some of the ways to help ease this condition, and strengthening exercises can help rehabilitation.

Hip Pointer

A hip pointer occurs following an impact to the iliac crest at the top of the hip bone, or the greater trochanter (bony protrusion on the outside of the thigh bone). It is usually caused by a forceful impact, which is common in contact sports like American football. There will often be bruising and pain at the point of impact which can be eased by ice and compression.

Slipped Capital Femoral Epiphysis

This injury occurs when there is a fracture at the neck or top of the thigh bone. The injury happens to the epiphysis which is where the bone grows as children grow older. It is more common in boys aged 11 to 16 years old and occurs gradually over a period of time. Hip pain and groin pain are major symptoms which can cause the injured person to walk with a limp.

Hip Sprain

A hip sprain is an injury to one of the ligaments surrounding the hip joint. This is a rare injury which may occur after a violent force on the leg over-stretches one or more ligaments. Pain will occur on a sudden movement which will normally be at the front of the hip. Pain should ease within a week, when a rehabilitation and stretching programme can be started.

Pelvic Stress Fracture

A pelvic stress fracture is a hairline type fracture in the large pelvis bone. This is due to repetitive impacts or forces, rather than one sudden impact or accident. They are more common in women and normally occur in the pubic rami, where the hamstring and groin muscles attach. Read more on the causes, symptoms and treatment of this injury.

Snapping Hip

Snapping hip is a condition often seen in dancers which results in a snapping noise and feeling around the hip joint. External snapping is on the outside of the hip and isn't normally as painful as internal snapping. A sports injury therapist can recommend the best treatments and exercises to do to help you recover from the injury.

Hip Dislocation

A hip dislocation occurs when the ball shaped head of the femur (thigh bone) moves out of its socket on the pelvis. In most cases, this requires a traumatic force to the thigh bone. It causes severe pain and inability to move the hip joint, so a dislocation is usually fairly obvious. Medical help is needed immediately to put the bone back into place.