Hip Instability
What is it?
The hip is a ball and socket joint which is responsible for the transfer in load from the lower limb to the pelvis. Many structures within the hip must efficiently work together to enable successful load transfer in functional activities such as walking, running, squatting etc.
Hip instability can occur when one or more of the structures in the hip are not working functionally, or if there has been significant injury to the joint.
Symptoms commonly associated with Hip Instability
Symptoms associated with hip instability may include (but are not limited to):
- Pain located in either the hip, groin or glutes
- Dull, achey pain
- A sense of instability or giving way in the hip
Contributing Factors associated with Hip Instability
There are many factors that can contribute to the development of hip pain and instability, these include (but are not limited to):
MODIFIABLE RISK FACTORS
– Poor motor patterning and/or motor control
– Repetitive functional tasks
– Prolonged postures
– Loading – sport, work etc.
NON-MODIFIABLE RISK FACTORS
– Hip dysplasia
– Femoroacetabular impingement (FAI)
– Labral and/or ligament tears
– Bony anatomy
Considerations in the management of Hip Instability
SHORT TERM
DIAGNOSIS
Diagnosis is a vital part of managing any injury. Not only is it important to determine which structures are responsible for our symptoms, but why they have become symptomatic. Addressing the ‘why’ will ensure adequate recovery and prevention of future injury.
EDUCATION
It is important that you have an understanding of your diagnosis, and what strategies are important for acute management, and reduction of future injury risk
MOTOR CONTROL & RETRAINING
Exercises may be given to help and improve the strength or activation of your hip muscles.
MANUAL THERAPIES
Manual therapies such as soft tissue techniques and dry needling may be used to help improve the health of the tissues around your hip.
ACTIVITY MODIFICATION
You may be advised to reduce activities that aggravate your hip pain to allow tissues an opportunity to rest and recover.
LONG TERM
STRENGTHENING
It may be advised that your strengthening progress to a gym environment to allow your tissues to be appropriately challenged and best outcomes achieved.
REFERRAL
If conservative management fails, it may be suggested that you consult with another specialist such as a sports physician or an orthopaedic surgeon.
SUMMARY
If you have any questions about your hip pain or possible hip instability, please do not hesitate to contact us on (03) 5229 3911, email us at info@theinjuryclinic.com.au or book an appointment to see one of our Physiotherapists in Geelong.
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