About Hip Pain
Hip Pain can cause a lot of suffering to the patient. The cause may come from the Spine, or from the Hip joint itself that consist of several different structures, such as:
- Joints and articular cartilage
- Muscles
- Tendons
- Lingaments
- Bursa
- Articular Capsule
- Bones
Prolonged and instense pain, is usually because of two or more affected structures above.
Characteristics of Hip Pain
Hip Pain can be of small intensity in particular movements or even unbearable at rest. It is important for assessment, to determine whether it is caused by movement, which particular movements, how long does it take for pain to stop, or if it is present at rest. It is also importnt to determine, if there is pain during night. Hip Pain may appers with the charactristics below:
- Acute
- Like stabbing
- Like a hit
- Like burning
- Like electricity
- Superficial
- Deep
- Mild
- Continuous
- Interrupted
How can Hip Pain be relieved?
When Hip Pain arises, immediate actions that can be taken include:
- Resting the leg and avoiding activities that trigger the pain
- Performing gentle range-of-motion exercises for hip, knee and foot to maintain flexibility
- Resting the leg, with the hip at a 30o flexion, perhaps using a pillow
Differential Evaluation of Hip Pain
Evaluation by the Physical Therapist in necessary for detecting other potential pathologies that coexist, such as:
- Hip Osteoartirits
- Greater Trochanteric Pain Syndrome
- Medial or Minor Gluteal tendinopathy
- Bursitis
- Tendinopathy of the small muscles of the hip
- Medial or Minor Gluteal tendon rapture
- Snapping Hip Syndrome
- Hip Fracture
Evaluation by Othropedic Physical Therapist Konstantinos Danalis is done by taking your medical history and history of the clinical condition, by clinical trials and a test therapy that follows.
How can Physical Therapy Help with Hip Pain?
During treatment the immediate concern is the cease of pain, which can be very acute in certain cases. This is achived through a combination of interventions, such as specialized massage and electrotherapy, which can be effective in any case. Then passive and active kinesiotherapy, with also specialized exercises is applied. Gradually, with the increase of range of motion, a set of exercises is introduced to strengthen the muscles and avert future deterioration of the clinical condition. The interventions used are:
Konstantinos Danalis,PT
Physical Therapist
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Athnasia A.
Mr Danalis is a very good professional who pays the necessary attention to his patient's condition. The most important is the quality and effectiveness of his creative treatment. Highly recommended!
Erifili S.
Mr Danalis has very deep knowledge on his practice and sepnds a lot of time on his patient! H is very positive and has helped me a lot!! I trust him and higly recommend him!
Giota S.
He has deep knowledge of his practice, he spent a lot of time on my condition kai he trully gained my trust! I would definitely recommend him!
How can I prevent Hip Pain
For Hip Pain prevention, in chronic conditions, a monthly program of sessions is required that includes :
You can find more advice for prevention and self care for hip pain you can find in the links below:
- Recomendations for Patients by American Physical Therapy Association
- Recomendations for Patients by American Physical Therapy Association
- Recomendations for Patients by American Physical Therapy Association
- Recomendations for Patients by American Physical Therapy Association
- Recomendations for Patients by American Physical Therapy Association
What is the cost of treatment
The cost of treatment is not high. The required sessions are usually 6, and in each one the treament progrmm is adjusted to the cauurent codnition. After redusing symptoms a structured exercise program is introduced to continue therapy and avert reccurent symptoms. The program is prescribed electronically, so that the patient has easy access and execute it by himself/herself. There is also the option of online supervision at a low cost. Continuous communication between the patient and the doctor is maintained for ongoing support.
If you have Neck Pain Contact PhysioDanali today for expert consultation.
References
- Kinsella R, Semciw A, Hawke L, Stoney J, Choong PFM, Dowsey MM. Diagnostic Accuracy of Clinical Tests for Assessing Greater Trochanteric Pain Syndrome: A Systematic Review With Meta-analysis. J Orthop Sports Phys Ther. 2023 Aug 10:1-46.doi: 10.2519/jospt.2023.11890. Epub ahead of print. PMID: 37561820
- Brennan KL, Allen BC, Maldonado YM. Dry Needling Versus Cortisone Injection in the Treatment of Greater Trochanteric Pain Syndrome: A Noninferiority Randomized Clinical Trial. J Orthop Sports Phys Ther. 2017 Apr;47(4):232-239. doi: 10.2519/jospt.2017.6994. Epub 2017 Mar 3. PMID: 28257614.
- Mallow M, Nazarian LN. Greater trochanteric pain syndrome diagnosis and treatment. Phys Med Rehabil Clin N Am. 2014 May;25(2):279-89. doi: 10.1016/j.pmr.2014.01.009. Epub 2014 Mar 18. PMID: 24787333.
- Cibulka MT, White DM, Woehrle J, Harris-Hayes M, Enseki K, Fagerson TL, Slover J, Godges JJ. Hip pain and mobility deficits--hip osteoarthritis: clinical practice guidelines linked to the international classification of functioning, disability, and health from the orthopaedic section of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2009 Apr;39(4):A1-25. doi: 10.2519/jospt.2009.0301. PMID: 19352008; PMCID: PMC3963282.
- Liao TC, Samaan MA, Popovic T, Neumann J, Zhang AL, Link TM, Majumdar S, Souza RB. Abnormal Joint Loading During Gait in Persons With Hip Osteoarthritis Is Associated With Symptoms and Cartilage Lesions. J Orthop Sports Phys Ther. 2019 Dec;49(12):917-924.doi: 10.2519/jospt.2019.8945. Epub 2019 Oct 14. PMID: 31610757; PMCID: PMC7935417.
- Runge N, Aina A, May S. The Benefits of Adding Manual Therapy to Exercise Therapy for Improving Pain and Function in Patients With Knee or Hip Osteoarthritis: A Systematic Review With Meta-analysis. J Orthop Sports Phys Ther. 2022 Oct;52(10):675-A13. doi: 10.2519/jospt.2022.11062. Epub 2022 Jul 26. PMID: 35881705.
- Skou ST, Pedersen BK, Abbott JH, Patterson B, Barton C. Physical Activity and Exercise Therapy Benefit More Than Just Symptoms and Impairments in People With Hip and Knee Osteoarthritis. J Orthop Sports Phys Ther. 2018 Jun;48(6):439-447. doi: 10.2519/jospt.2018.7877. Epub 2018 Apr 18. PMID: 29669488.
- Cibulka MT, Threlkeld J. The early clinical diagnosis of osteoarthritis of the hip. J Orthop Sports Phys Ther. 2004 Aug;34(8):461-7. doi: 10.2519/jospt.2004.34.8.461. PMID: 15373009.