Causes
- Pelvic Asymmetry – At times the pelvis can become out of alignment which can cause significant pain and discomfort. This can happen during a fall, or even just from stepping off a step wrong. If not corrected, this can lead to low back or even knee or foot pain and pathology.
- Weak and Tight Hip Musculature – The hip is analogous anatomically to the shoulder, although it has much more inherent stability. However, because of the constant stress it is under with walking, running, or other daily activity, the hip can begin to develop significant muscle imbalances which lead to significant pain. If not corrected, this can lead to further musculoskeletal pathology.
- Low Back Pathology – Hip pain can also be referred from the lumbar spine, especially with facet joint involvement. The extensors and external rotators of the hip can also become weak and atrophied in the presence of discogenic and degenerative conditions of the spine.
Treatment
- Limit Walking – especially on uneven ground and hills. This can cause increase in pelvic asymmetry, as well as increased activity and spasticity of the hip musculature.
- Ice – Ice should always be used on injuries to limit inflammation and aggravation from daily activities. It is okay to alternate heat and ice as long as you always end with ice. Ice should be left on no longer than 20-30 minutes or a reverse effect can occur.
Seek help from a professional if your signs and symptoms persist even with basic icing and rest. Usually, a basic therapeutic exercise program can alleviate your signs and symptoms and prevent further complication of the condition.
Be wary...
Medication can cover up the existing mechanical cause of your condition, and rehabilitation that doesn’t include specific and extensive exercising, plus instruction on how to manage pain when not in the clinic won’t solve problems of pain.