Hip Pain Treatment Perth

Common Injuries

• Greater Trochanteric Bursitis / Hip Bursitis – The greater trochanteric bursa or hip bursa is located over the bony part (greater trochanter) on the outside of the hip. The role of the bursa is to reduce friction between the important gluteal tendons and the greater trochanter lump of bone. Hip bursitis results from increased stress on the hip bursa as a result of overuse, gluteal muscle weakness, muscle tightness, poor biomechanics, etc. Hip bursitis is painful to lay on in bed at night. Read more about bursitis in my bursitis blog here.
• Hip Osteoarthritis / Hip Arthritis – Hip arthritis is extremely common in the elderly population. Hip arthritis is the result of wear and tear of the ball and socket joint over a number of years. As the cartilage wears away, the bone becomes inflamed and results in significant pain. Hip arthritis is commonly felt in the groin, buttock and outside of the thigh. Total hip replacement surgery is very common however you should always trial physiotherapy treatment for hip arthritis before having surgery. Physio treatment for hip arthritis can increase hip strength and mobility and in some cases prolong the life of the hip and delay or prevent surgery. Read more about arthritis here.
• Gluteus Medius Tendinopathy / Hip tendonitis – The gluteal muscles are very important in stabilizing the pelvis when walking and running. Overuse of the gluteal muscles or weakness of these muscles can result in gluteal tendonitis or gluteal tendinopathy. This is a painful condition on the outside of the hip an often presents in combination with hip bursitis. Read more about tendinopathy here.
• Femoro Acetabular Impingement (FAI) / Hip Impingement – Hip impingement occurs when the femur comes into excessive contact with the front of the hip socket known as the acetabulum. Excessive force or repetitive movement can cause the structures at the front of the hip joint to become inflamed. This leads to pain every time the hip is brought into flexion, like squatting, kicking, sitting in a low chair or cycling. Some people are more prone to hip impingement due to the shape of their bones. Others have poor biomechanics, poor technique, muscle weakness or muscle tightness. Physiotherapy for hip impingement can be very effective.