Hip injury can present in different ways, e.g. it can just start suddenly with severe aching in the hip. It can also gradually set on until it becomes an unceasing and excruciating pain. Hip, buttock or pelvis injury can yet come on as random and indefinite pain over a period of time.
Pain that is diagnosed as hip injury radiates from the groin rather than the buttocks.
Injury to the hip.
Considering that hip pain/injury can be caused or originate from any of the above scenarios, it is extremely necessary to treat it at the source—a thorough assessment is therefore necessary.
How does physiotherapy help?
Assessment will start with the way you walk in order to establish a pattern. The physiotherapist can also look at your functional mobility, e.g. when you sit and get off a chair, or when you squat—if you can squat. They will also assess the movement of both your hips at the joints, your posture and your lower back flexibility. It may also be necessary for the physiotherapist to do with your pain.
You can be treated in the following ways:
Joint mobilisations
Heat or ice
Electrotherapies like TENS, ultrasound or interferential
Massage
Stretches or strengthening exercises
Real-time ultrasound core muscle assessment
Low back mobilisations, stretches or exercises
Managing your Pain at Home
You can try to manage your pain at home before you see the physiotherapist. In the case of an acute or sporting injury, you can use the well-known RICE — Rest Ice Compression Elevation.
You can also use a pillow, cushion or rolled up to your hip.
Finally, you need to get a full assessment for the right treatment.
In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.
Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.
The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.
Dynamic ultrasonography examination demonstrating the full thickness tear and already occurring muscle atrophy due to misdiagnosis and not referring the patient to proper diagnostic workup
Demonstration of how very small muscle defect is made and revealed to be a complete tear with muscle contraction under diagnostic sonography (not possible with MRI)
Complete tear of rectus femoris with large hematoma (blood)
Separation of muscle ends due to tear elicited on dynamic sonography examination
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