Hip Conditions

Types of Hip Condition

Types of Pain

Hip Impingement

Femoroacetabular Impingement Syndrome (FAI) is caused by abnormalities of the femur (ball) or acetabulum (socket). There are two types depending on which area is affected: Cam (Femoral head is not round) and Pincer (socket has increased coverage of the ball) or both may be present which is then termed a mixed deformity. More common in sports where the hip is flexed and internally rotated e.g. hockey, tennis, football and horse riding.

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Groin Pain (Adductor Tendinopathy)

The adductors are a group of muscles on the inside of the upper leg and groin area which help to stabilise the pelvis. It is a common site of injury in activities with high running loads, kicking and rapid changes of direction.

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Gluteal (Tendinopathy)

Gluteus Medius is a muscle of the buttock which attaches to a bony prominence on the outside of the hip. There are also two bursa (fluid filled sacs) which lie in this area with the role of preventing friction, able to expand and swell to do so. Irritation of the Gluteus Medius tendon (attaching muscle to bone) can lead to tendinopathy and cause you the following symptoms to the outside of your hip.

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Hamstring (Tendinopathy)

The Hamstring group is made up of 3 muscles which attach from behind the knee to a bony prominence in the buttock and thigh bone. The Hamstrings work to control bending of the knee and taking your hip back behind you. Typically an overuse injury and commonly seen in runners, kicking or jumping sports. The Hamstrings are prone to this type of injury as they control the slowing down of a straight knee during activities such as sprinting and hill climbing.

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Osteoarthritis is the most common form of arthritis and is one of the leading causes of pain and disability. It referrers to a clinical syndrome of joint pain accompanied by varying degrees of functional limitation and subsequent reduced quality of life. There is often a poor link between changes visible on an x-ray and symptoms of osteoarthritis; minimal changes can be associated with a lot of pain, or modest structural changes to joints can occur with minimal accompanying symptoms. Osteoarthritis is a condition that results from a loss of cartilage with subsequent remodelling of adjacent bone and subsequent inflammation. It is some of these changes in the joint structure that can then be seen on x-ray. It is a dynamic process that involves all joint tissues: the bones, cartilage, joint capsule, lubricating fluid and surrounding muscles. Sometimes the altered joint structure compensates for the changes and does not cause pain. It’s when the natural repair process cannot compensate enough that the joint starts to become painful.

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