Myofascial Hip Pain

MYOFASCIAL HIP PAIN

What is it?

Myofascial pain is extremely common and can be defined as a regional pain with a soft tissue origin (ie. muscle or fascia/connective tissue).

Myofascial trigger points are a common source of hip pain and gluteal pain. A myofascial trigger point is a hyperirritable spot (that often feels like a knot) which can be the cause of your hip pain; they can also result in muscle weakness and an increase in muscle fatiguability.

Symptoms commonly associated with Myofascial Hip Pain

SYMPTOMS ASSOCIATED WITH MYOFASCIAL HIP PAIN MAY INCLUDE:

  • Pain located in either the hip or glutes, or in a referral pattern from a myofascial trigger point
  • Hip pain that is often described as a dull ache
  • Hip stiffness and limited range of movement
  • Tenderness with palpation of the hip or glutes
  • Weakness, or an increase in fatiguability of your hip muscles

 

Contributing Factors associated with Myofascial Hip Pain

Possible contributing factors that lead to myofascial hip pain include (but are not limited to):

MODIFIABLE

  • Muscle imbalances and strength deficits
  • Poor motor patterning
  • Poor lower limb biomechanics
  • Poor lumbopelvic stability
  • Repetitive functional tasks 
  • Prolonged posture – sitting or standing
  • Loading – sport, work etc.

Considerations in the management of Hip Pain

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. Our Geelong Physiotherapists will work with you to ensure an accurate diagnosis of your 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

It may be required to strengthen or retrain the muscles around your hip; this will include specific exercises to improve the strength, endurance and activation of your hip muscles.

MANUAL THERAPIES

Manual therapies including soft tissue techniques and dry needling may be used to help improve local tissue health and address trigger points.

ACTIVITY MODIFICATION

You may be advised to avoid provocative activities. These may include sport related activities, or more sedentary based activities.

LONG TERM

STRENGTHENING

You may be advised to progress your strengthening to a gym environment. This is often needed to achieve best outcomes.

 

SUMMARY

If you have any questions about your hip pain or possible myofascial pain, 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 Geelong physiotherapists.

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