Muscle injuries are common for people who exercise regularly and aim to improve their health status. Not all muscle injuries are bad, such as the soreness after a gym session, run or returning to activity you haven’t done for a while. There are times though when muscle pain is not pleasant, and it results in a pain that last for longer than normal and limits your ability to exercise and move. It is these types of injuries that need expert management.
The start of the school year heralds much blogging on childhood and adolescent back pain. School bags seem to feature prominently in these. But what is really important for healthy young backs? We will dip into a bit of back ground but then come back to the bag.
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.
As the clinic director of Peak MSK Physiotherapy and SecondOpinion.Physio in Bayside Melbourne, Jayce is specialised in the treatment of back, neck, headache and TMJ (jaw) problems.
Av is one of the physiotherapists at Peak MSK Physiotherapy. He provides physiotherapy treatment for muscular, joint and sporting injuries as well as liaising with our specialist musculoskeletal physiotherapist regarding complex clinical case management.