February 24th, 2012

Health N' Sports: Hip Pain Treatment

Staff Report

Health N' Sports: Hip Pain Treatment
photo from coreperformance.com

Louisville Orthopaedic Clinic Explains Hip Concerns

As a part of the Louisville Orthopaedic Clinic, the Sports Rehab Team physical therapists are knowledgeable and trained in the latest advancements and techniques available in sports rehabilitation. On a weekly basis, the Health N’ Sports Update will give information on prevention, recovery, and include special offers, as well as general health tips that would be beneficial to all. If there is a specific topic you’d like to know or hear more about, email future suggestions to editor@catholicsportsnet.com.

Hip Tendinitis or Something More Insidious

Pain that is localized over the front of the hip is a common complaint during the early conditioning period with young athletes. It is seen mostly in those sports that require bursts of running and/or kicking such as football, soccer, track, and basketball. Tenderness is most acute over the front of the hip bone (iliac crest) where the strong muscles of the thigh attach. Onset can be acute or gradual. Several conditions should be considered:

  • Tendinitis: An inflammation of the tendon attachment of the quad muscles onto the iliac crest
  • Iliac Apophysitis: A more serious injury that can occur in skeletally immature athletes between the ages of 12 and 18 years old. An “Apophysis” is a term used to describe the cartilage growth area on the rim of the iliac crest where the thigh muscles attach. Apophysitis is a term used to describe an acute or chronic traction injury where a small piece of bone can be pulled off (avulsed)

Diagnosis: Both problems can be very painful to palpation over the front of the iliac crest and some swelling may be noted. X-rays will rule out Apophysitis.

Treatment: Both conditions are treated conservatively with rest, ice, anti-inflammatories and gentle exercise. Generally the athlete will have to refrain from running until the pain subsides. Stretching and strengthening exercises are added as the condition improves. A physical therapist can help with decreasing the recovery time.


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