Do you have pain over the side of your hip? What a pain in the butt!
There are a number of possible causes of hip pain. The main ones are gluteal tendinopathy or trochanteric bursitis (Weird names, I know…. but I’ll do my best to explain them!)
Gluteal tendinopathy is a common cause of hip pain and refers to aggravation of one of the gluteal tendons where they insert onto the greater trochanter, the bony part on the outside of your hip that sticks out. A tendinopathy usually develops as a response to changes in mechanical loading and is a repetitive / overuse type injury.
A rapid increase in intensity or frequency of loading with insufficient recovery time predisposes the tendon to injury at a relatively low load. In other words, a case of too much, too soon!
A gluteal tendinopathy can result in increasing pain with activity e.g. running, and pain or stiffness first thing in the morning or overnight. They don’t respond to rest either, making them annoying to get rid of!
Trochanteric bursitis is an inflammation of the trochanteric bursa. A bursa is a fluid filled sac that forms a cushion between soft tissue (muscles) and bony structures. We have many of these bursae throughout our body located in and around each joint.
The trochanteric bursa acts as a shock absorber during movements of the hip muscles and joint. Inflammation of the bursa usually results from friction, overuse, direct trauma or too much pressure.
Trochanteric bursitis can result in pain or swelling over the outside of the hip, with or without radiation down towards the thigh. Often there is pain sleeping on the affected side, crossing your legs, climbing stairs or with prolonged sitting.
How can Physio help?
Good news! A physiotherapist can help detect the source of your symptoms and help to manage both of these conditions effectively. Physiotherapy can assist in settling down the pain and inflammation and in restoring mobility, strength and function. We will take a detailed history of the onset and progression of the pain, assess your range of motion, strength, and observe your movements to determine the underlying cause of your pain. Together we will develop an individualised management plan to get you back to doing what you love!
What will my journey look like?
Initially, physiotherapy may include some advice and manual therapy to help loosen tight muscles, relieve inflammation and make you feel a bit more comfortable. We will then develop an individualised exercise program based around your specific needs to help strengthen weak muscles and correct any muscular imbalances that might be contributing to your pain.
We will also discuss exercise load and training advice which is often an important factor in recovery. Finding the right balance for you and your body will get you from being in pain, to pain free to doing what you love sooner without that pesky pain in the butt!