The primary causes of hip pain are recognised as hip tendon overload injury (tendonopathy), hip joint or low back joint issues. It is the most prevalent lower limb tendon overuse injury and also the most debilitating. It is often associated with hip bursitis, however research suggests the bursa (helps to reduce the friction between two moving tendons) is only sometimes inflamed and if so, then it is a component of the overall problem.
Hip pain and soreness around the hip joint are amongst the more common problems that patients see physiotherapists about. Difficulty lying on the hip, crossing the legs or even standing too long or getting out of the chair can be a hefty and painful task for those that suffer from hip pain. The pain can also be present during the night, making sleep difficult. Other regional hip joint and back joint conditions need consideration, however there are key features in the assessment that direct physiotherapists to look more closely at the tendons of the hip joint. The primary causes of hip pain are recognised as hip tendon overload injury (tendonopathy), hip joint or low back joint issues. It is the most prevalent lower limb tendon overuse injury and also the most debilitating. It is often associated with hip bursitis, however research suggests the bursa (helps to reduce the friction between two moving tendons) is only sometimes inflamed and if so, then it is a component of the overall problem. *Grimaldi, A., Mellor, R., Hodges, P., Bennell, K., Wajswelner, H., & Vicenzino, B. (2015). Gluteal tendinopathy: A review of mechanisms, assessment and management. Sports Medicine, 45, 1108. With expertise in movement analysis, a physiotherapy assessment is well placed to inform you of the source of the problem, situate the area and plan a treatment solution. The solution will be a combination of hands on treatment, training muscle for endurance, speed, strength and coordination. Your doctor is also an important partner in your recuperation with whom the physiotherapist will work alongside. Importantly understanding the nature of your problem and how hard or how little to work the hip is key to balancing the right amount of tendon load to enhance recovery.
![]() Now midway through the cricket season and post the Christmas innings, our work at SecondOpinion.Physio continues to ensure people are able to remain active and healthy when playing cricket and their other chosen summer sports. Most common cricket injuries are quads and hamstring muscle strains (1). That legendary West Australian bowler, Dennis Lillee came back from a horrible back injury in the seventies. This was a low back stress fracture (a.k.a. ‘stressie’). We know now that fast bowlers are more at risk this type of back injury and other injuries overall compared to the rest of the cricket eleven (2). Research funded by Cricket Australia has demonstrated a link between sudden work load increases and injury risk (3). Doubling the workload in terms of bowling or effort compared to the players' average workload increased the risk of injury between 3.3-4.5 times. An MRI scan study of fast bowlers and swimmers over a 2-4 year period identified that too much fast bowling was directly associated with bone stress, especially at the fourth lumber vertebra. For young bowlers (15-17 year olds), this involved the non-bowling arm side (3). Therefore timely treatment of the right kind is vital for the season and to prevent future problems. This highlights the importance of gradual build up for anyone involved in exercise and sport-specific programmes. Developing the right muscle strength and technique is critical for ensuring bone and muscle health. If you have had a break over Christmas or are just starting your season, 'the reset button' on training is a good idea. Key Points
1. Engstrom, C. M. & Walker, D. G. (2006). Pars interarticularis stress lesions in the lumbar spine of cricket fast bowlers. Medicine & Science in Sports & Exercise,39(1),
28-33. 2. Hulin, B. T., Gabbett, T. J., Blanch, P., Chapman, P., Bailey, D., Orchard, J. W. (2014). Spikes in acute workload are associated with increased injury risk in elite cricket fast bowlers. British Journal of Sports Medicine, 48, 708-712. 3. Orchard, J., James, T., Kountouris, A., Blanch, P., Sims, K., & Orchard, J. (2011). Injury report 2011: Cricket Australia. Sport Health, 29(4), 16. 4. Ranson, C., Hurley, R., Rugless, L., Mansingh, A., & Cole, J. (2013). International cricket injury surveillance: a report of five teams competing in the ICC Cricket World Cup 2011. British journal of sports medicine, 47(10), 637-643. |
Luca Scomazzon-Rossi APAMLuca graduated from a Bachelor of Physiotherapy with honours and has a background in personal training.
Jayce Gilbert FACP, APAMClinic director & Specialist Musculoskeletal Physiotherapist* in treatment for back, neck, headache and TMD (Jaw/Face) problems. Archives
November 2020
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