HIP & GROIN PAIN
Hip & Thigh Pain
Hip and Groin Pain Relief With Physiotherapy
SAY GOODBYE TO PERSISTENT HIP & GROIN PAIN!
Are you having trouble falling asleep or getting out of bed due to hip pain? Do you find you are always unable to work or enjoy your favorite activities due to pain in one or both hips? If you are searching for proven strategies to help with pain relief in your hip and thigh, Cogent Physical Rehabilitation Center can help you now!
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Hip and groin pain is common in adults of all ages and activity levels and has a significant impact on physical activity and quality of life. Pain, physical activity and quality of life are poor in people with hip or groin- related pain.
WHY DOES MY HIP OR THIGH OR GROIN HURT?
There are several reasons that people experience hip and groin pain, and knowing the source of the problem is key to treating your condition properly. Fortunately, our highly trained physiotherapists can help determine all the factors contributing to your hip and groin pain and provide a personalized plan to address all your problems.
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At Cogent Physical Rehabilitation Center in Burlington, our physiotherapists regularly treat all types of hip and groin pain. We only use evidence-based strategies that are proven to provide lasting results.
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Some of the most common low back conditions include the following:
Hip Bursitis
Hip Muscle Injuries
Hip Osteoarthritis
Fractures
Athletic Pubalgia (Sports Hernia)
Femoroacetabular Impingement
Bursae are small, jelly-like sacs that are located throughout the body, including the hip. They contain a small amount of fluid, and are positioned between bones and soft tissues, acting as cushions to help reduce friction. Bursitis is inflammation of the bursa. Hip bursitis most often involves the bursa that covers the greater trochanter of the femur, although the iliopsoas bursa can also become inflamed. The main symptom of trochanteric bursitis is pain at the point of the hip. The pain usually extends to the outside of the thigh area. In the early stages, the pain is usually described as sharp and intense. Later, the pain may become more of an ache and spread across a larger area of the hip. Typically, the pain is worse at night, when lying on the affected hip, and when getting up from a chair after being seated for a while. It also may get worse with prolonged walking, stair climbing, or squatting.
​Hamstring Strain​
Hamstring muscle injuries (pulled hamstring) occur frequently in athletes. They are especially common in athletes who participate in sports that require sprinting, such as track, soccer, and basketball. A pulled hamstring or strain is an injury to one or more of the muscles at the back of the thigh. Most hamstring injuries occur in the thick, central part of the muscle (the muscle belly) or where the muscle fibers join tendon fibers. In the most severe hamstring injuries, the tendon tears completely away from the bone. An avulsion injury may occur when the muscle pulls a piece of bone with it.
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Iliotibial Band Syndrome
Iliotibial (IT) band syndrome is a common cause of pain in the thigh, knee, and outside of the hip in athletes and runners. It is an overuse injury due to repetitive friction of the IT band that runs along the outside portion of the hip and knee. It is usually caused by overtraining and training mistakes, but it can sometimes be due to natural physical conditions that result in skeletal misalignment.​
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Adductor Strain
An adductor strain or injury to the adductor muscle group of the thigh is a common cause of medial leg and groin pain, especially among athletes. Suddenly changing direction causes rapid adduction of the hip against an abduction force, putting exaggerated stress on the tendon. Sudden acceleration in sprinting is the most common cause of adductor strains. Jumping and overstretching the adductor tendon can also result in a stress but are less common. Patients will often describe a sudden onset of pain during a specific activity as opposed to a more unknown onset. They will describe the pain as severe and in the groin region or medial thigh that is worse with activity. Individuals can sustain injury anywhere along the medial compartment of the thigh along the adductor complex. Adductor strain is common among soccer and hockey players. Other common sports related to adductor strain include football, basketball, tennis, figure skating, baseball, horseback riding, karate, and softball. Risk factors include previous hip or groin injury (likely the greatest risk, as well as age), weak adductors, muscle fatigue, decreased range of motion, and inadequate stretching of the adductor muscle complex. Biomechanical abnormalities including excessive pronation or leg-length discrepancy can also contribute to adductor strains.
Osteoarthritis (OA) of the hip causes pain and stiffness. In hip OA, the cartilage in the hip joint gradually wears away over time. As the cartilage wears away, it becomes frayed and rough, and the protective joint space between the bones decreases. This can result in bone rubbing on bone. To make up for the lost cartilage, the damaged bones may start to grow outward and form bone spurs (osteophytes). Osteoarthritis develops slowly and the pain it causes worsens over time. It can make it hard to do everyday activities like bending over to tie a shoe, rising from a chair, or taking a short walk. Because osteoarthritis gradually worsens over time, the sooner you start treatment to manage pain and stay active, the more likely it is that you can lessen its impact on your life. Hip OA has no single specific cause, but there are certain factors that may make you more likely to develop the disease, including increasing age, family history of osteoarthritis, past hip joint injury, overweight and obesity and improper formation of the hip joint at birth called developmental hip dysplasia. However, you can still develop hip OA even if you don't have any of the risk factors listed above.
Pelvic Fracture
The pelvis is the sturdy ring of bones located at the base of the spine. Fractures of the pelvis are uncommon and make up only about 3% of all fractures in adults. Most pelvic fractures are caused by some type of traumatic, high-energy event, such as a motor vehicle collision. Pelvic fractures may cause extensive bleeding and other injuries that require urgent treatment because the pelvic bones are near major blood vessels and organs. In some cases, a lower-impact event such as a minor fall may be enough to cause a pelvic fracture in an older person who has weaker bones and diagnosed with osteoporosis. Treatment for a pelvic fracture varies depending on the severity of the injury. While lower-energy fractures can often be managed with conservative treatment such as physiotherapy, treatment for high-energy pelvic fractures may require surgery to reconstruct the pelvis and restore stability so that affected patients can resume their daily activities.​
Hip Fractures
A hip fracture is a break in the upper portion of the femur (thighbone). Most hip fractures occur in elderly patients whose bones have become weakened by osteoporosis. When a hip fracture occurs in a younger patient, it is often due to a high-energy event, such as a fall from a ladder or vehicle collision. Every year, more than 300,000 people in the U.S. sustain a hip fracture. Most of these fractures occur in patients 65 years of age or older who are injured in household or community falls.
Hip fractures can have catastrophic outcomes for older adults and leads to pain, loss of function, institutionalization, and even death. In fact, 1 in 4 Canadian women and 1 in 5 Canadian men aged 65+ living in the community at the time of experiencing a hip fracture were found to enter a long-term care home within 1 year. Furthermore, 1 in 3 adults aged 50-80 and 2 in 3 aged >80 will require the use of a walking aid within 1 year of their hip fracture surgery. Although compared to Canadian women, men are twice less likely to fracture their hip, they are 1.3x more likely to die following a hip fracture. Hence, early surgical treatment is recommended. Treating the fracture and getting the patient out of bed as soon as possible will help prevent medical complications such as bed sores, blood clots, and pneumonia. In very old patients, prolonged bed rest can also lead to disorientation, which makes rehabilitation and recovery much more difficult.
Often referred to as a "sports hernia" or "core muscle injury," athletic pubalgia is a common but poorly defined athletic injury. It is identified by abdominal and groin pain likely from weakening or tearing of the abdominal wall without evidence of a true hernia. Symptoms can appear acutely or unnoticed, primarily as groin and lower abdominal pain that can radiate toward the perineum and proximal adductors (inner thigh muscles). Pain is made worse by athletic activity such as kicking, cutting, and sprinting. The pubis in front of the pelvic bone acts as a pivot point between the abdominal muscles and lower-extremity adductors. Hence, pain to touch over the symphysis or its surrounding structures is typical in athletic pubalgia. Symptoms can be reproduced during a resisted sit-up or with a forced cough or sneeze.
Femoroacetabular impingement (FAI) is a condition in which extra bone grows along one or both of the bones that form the hip joint giving the bones an irregular shape. The bones rub against each other during movement because they do not fit together perfectly. Over time this friction can damage the joint, causing pain and limiting activity. In FAI, the femoral head and/or the acetabulum have bony prominences (bumps) because either: your hips were formed that way at birth or there is bone overgrowth, or bone spurs in your hip
Bone overgrowth (called bone spurs) develop around the femoral head and/or along the acetabulum. Thereafter, the extra bone causes abnormal contact between the hip bones and prevents the hip joint from moving smoothly during activity. Over time, this can result in tears of the labrum and the breakdown of articular cartilage in the hip joint. There are three types of FAI:
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Pincer. This type of impingement occurs because extra bone extends out over the normal rim of the acetabulum. The labrum can be crushed under the prominent rim of the acetabulum.
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Cam. In cam impingement, the femoral head is not round and cannot rotate smoothly inside the acetabulum. A bump forms on the edge of the femoral head that grinds the cartilage inside the acetabulum.
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Combined. Combined impingement means that both the pincer and cam types are present.
Physiotherapy in Burlington Can Provide Hip & Groin Pain Relief
Injuries to the hip-adductor muscles and tendon complexes are the most common problems in athletes presenting with acute and long-standing groin pain. These injuries can present either in isolation or with associated groin injuries, and the differential diagnosis is important to understand the prognosis and management.
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If you are living with hip or groin pain, our physiotherapists can help you diagnose the problem and provide appropriate treatments. When you come to Cogent Physical Rehabilitation Center, our highly trained physiotherapist will conduct an assessment of your hip, thigh and groin. Physiotherapy treatment involves measuring symptoms, strength, and performance to assist with early detection and monitoring, exercise progression, and return-to-play decisions after hip and groin problems.
After completing the comprehensive assessment, physiotherapy will address hip-adductor, gluteal, and trunk strength weakness, balance, movement coordination and plyometrics, using specific exercises and loading strategies. Our physiotherapists ensures you receive a progressive strength training and sport-specific loading program for optimum management of both acute and long-standing hip and groin pain-related problems.​
SCHEDULE AN APPOINTMENT IN BURLINGTON TO FIND HIP & GROIN PAIN RELIEF TODAY
If hip and groin pain is causing you so much trouble, please contact Cogent Physical Rehabilitation Center as soon as possible. We'd be delighted to schedule an appointment for you at Cogent Rehab facility. The sooner we can see you, the better. Our physiotherapists are eager to help you get back on your feet.
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Request an appointment with a physiotherapist in Burlington to begin your journey towards full hip and groin pain relief!
Visit Our Burlington Physiotherapy Clinic For Relief From Pain In Your Hip And Groin!
Your Next Steps...
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Request An Appointment
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Receive A Personalized Treatment Plan
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Work Hard And Progress In Your Recovery
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Recover & Enjoy Life As You Should