Joint related hip pain

Pearls from future physio Lloyd Evans #exercisethought #physio

Hip pain is common in active young to middle aged men and women. In general populations estimates of prevalence range from 7% in adolescents to 14% in older adults. First line treatment of hip joint pain usually comprises of conservative management. Surgical management may be included in order to obtain resolution of symptoms if conservative treatment hasn’t succeeded. Although pain outcomes for hip arthroscopy appear positive, recent studies have reported reduced hip muscle strength and hip joint range of motion following hip arthroscopy. Rehabilitation should include hip muscle strengthening, restoration of neuromuscular control and unloading the damaged & vulnerable structures.

References:

1. Christmas, C., Crespo, C. J., Franckowiak, S. C., Bathon, J. M., Bartlett, S. J., & Andersen, R. E. (2002). How common is hip pain among older adults. J Fam Pract, 51(4), 346-348.

2. Kemp, J. L., Collins, N. J., Makdissi, M., Schache, A. G., Machotka, Z., & Crossley, K. (2012). Hip arthroscopy for intra-articular pathology: a systematic review of outcomes with and without femoral osteoplasty. British journal of sports medicine, 46(9), 632-643.

3. Kemp, J. L., Schache, A. G., Makdissi, M., Pritchard, M. G., & Crossley, K. M. (2013). People with chondropathy have greater physical impairments than those without following hip arthroscopy. Osteoarthritis and Cartilage, 21, S274.