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Hip Pain / Pelvic Injuries


Hip Pain / Pelvic Injuries

All ages are affected by hip pain pelvic injuries. People who participate in sports or recreational activities are the people at risk of hip pain pelvic injuries. The following conditions or injuries are the common cases doctors and physical therapist see on an everyday basis:

TROCHANTERIC BURSITIS– swelling on the bursa at the greater trochanter.

  • A common cause of hip pain
  • It can result in weakness of the gluteal muscles (Trendelenburg gait)
  • Possible clicking with AROM and pain with resisted hip abduction
  • Causes: hip joint injury, overuse or injury to the joint due to work activities, incorrect posture, other diseases or conditions (RA, gout, psoriasis, thyroid disease, and others), previous surgery or hip bone spurs, overweight
  • Symptoms: pain outside of the hip and thigh or buttock (outside thigh and may continue down the knee), gets worst during activities and walking upstairs, the pressure outside the hip
  • Diagnosis: x-rays, bone density scans, MRI
  • Treatment: NSAIDs, steroid injections, assistive device, and physical therapy


  • Irritation and inflammation secondary to overuse or unaccustomed activity
  • Pain in medial groin /thigh with hip flexion and extension
  • Audible snapping when moving from hip flexion to extension
  • (-) x-ray; need to rule out an avulsion fracture
  • Confirmed by MRI or US


  • Caused by direct trauma to iliac crest or ASIS resulting in a contusion
  • Common in contact sports such as American football
  • Pain with ambulation and hip abduction


  • Results from violent muscle contraction
  • Signs and symptoms: pop up sound; pain with stretch and contraction
  • Diagnosis: x-ray


  • Most common hip fractures
  • Gradual onset with history of endurance tasks
  • Groin pain with activity
  • Leg length discrepancy, the leg may be externally rotated with foot and knee turned outward
  • Can be caused by osteoporosis, bone cancer, osteopenia


  • Usually occurs >55 years old (F>M)
  • Aching pain during weight-bearing (groin, medial thigh, and knee)
  • Loss of movement and function; Trendelenburg gait
  • X-ray reveals narrow joint space, spurring, and osteophytes


  • Systemic disorder with bilateral weight-bearing symptoms
  • Aching pain during weight-bearing (groin, medial thigh, and distal knee)
  • Loss of movement and function secondary to pain
  • Trendelenburg gait
  • X-ray: bilateral demineralization of the femoral head; joint space narrowing; migration of femoral head into the acetabulum


  • Imbalance of growth and hormones that weakens the epiphyseal plates; may be secondary to increase weight gain
  • Occurs in 10-16 years old (F>M)
  • Gradual onset of unilateral hip, thigh, and knee pain
  • Quadriceps atrophy
  • Antalgic gait and decrease limb length
  • Decrease hip internal rotation; hip positioned in flexion, abduction, external rotation


  • Idiopathic osteonecrosis of capital femoral epiphysis; associated with (+) family history and breech birth
  • There will be a reduction of blood supply on the femoral head that results in weakness and fractures easily
  • 1-3 months to 4-13 years old; commonly unilateral (M>F)
  • Hip or groin pain (antalgic gait)
  • Decrease range of motion (extension, IR, and abduction); >15 degrees hip flexion contracture
  • Leg length inequality; thigh atrophy


  • Benign tumor found in long bones; idiopathic
  • Vague hip pain at night
  • Increase pain with activity and decrease with aspirin
  • Decrease range of motion and quadriceps atrophy
  • Treatment: pain relief from aspirin, ibuprofen, or other anti-inflammatory agents


  • Calcium deposits secondary to a contusion to the thigh
  • Localized pain; limited knee flexion; palpation of calcific mass
  • Increase pain in the affected le within 1-2 weeks after the initial injury
  • Cause: direct trauma to the muscle, fractures, and surgery, especially hip replacement


  • May result from breech birth, trauma, or when the hip is in a weakened state after a total hip replacement
  • Congenital: shortened limb, positioned in flexion and abduction
  • Posterior Traumatic: groin and lateral hip pain, shortened limb, positioned in flexion, adduction, and IR
  • Anterior Traumatic: groin pain and tenderness, positioned in extension and ER if superior/anterior; positioned in flexion, abduction, and ER if inferior/anterior
  • Symptoms: limping, joint and groin pain, warmth and tenderness on the hip, loss of motion on the hip


  • Aka Coxa Sultans
  • Snapping sensation or click when they move the hip joint
  • It is caused by the inflamed muscle tendons as they rub over the hip socket bone
  • It is usually common in women
  • Three main types:
    • Internal- the tendons slide over the bone in front of the hip joint
    • External- tendon slides over the top of the thigh bone
    • Intra-articular- not caused by tendon or muscle, but caused by a hip joint injury
  • Symptoms:
    • Often causes pain but may feel the clicking or popping sensation when the hip is flexed
    • Weakness on the leg muscle during abduction or flexion
    • The feeling of instability in the hip
    • Difficulty in walking and getting up from the chair

Diagnosis: x-rays, MRI

Contact Physioveda Medical Center

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You can book an appointment for a home consultation also by:

  • Call Physioveda Medical Center for inquiries on
  • 800 VEDA (800 8332)
  • 800 HOMECARE (800 466 322 73)
  • Secure an appointment at info@physioveda.ae

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