HIP THIGH PAIN

QUADRICEPS MUSCLE STRAINS

This injury is commonly the result of quick sprints or quick stops while running. With a muscle strain, there is localized tenderness or a “bulge” in the tender area of the thigh.

The pain is aggravated by lifting the thigh (a straight leg raise), ascending/descending stairs, or getting up from a seated position.

POSSIBLE TREATMENTS

Aerobic/Endurance Exercise
Active Range of Motion (AROM)
Active Assistive Range of Motion (AAROM)
Cryotherapy or Cold Therapy
Core Strengthening
Electrotherapeutic Modalities
Gait or Walking Training
Heat
Isometrics
Proprioceptive Neuromuscular Facilitation (PNF)
Progressive Resistive Exercises (PRE)
Passive Range of Motion (PROM)
Proprioception Exercises
Physical Agents
Soft Tissue Mobilization
Stretching/Flexibility Exercise

POSSIBLE TREATMENT GOALS

Improve Balance
Improve ability to bear weight/stand on the leg(s)
Decrease Risk of Reoccurrence
Improve Fitness
Improve Function
Improve Muscle Strength and Power
Increase Oxygen to Tissues
Improve Proprioception
Improve Range of Motion
Self-care of Symptoms
Improve Tolerance for Prolonged Activities

QUADRICEPS TENDON RUPTURE

This injury is often the result of forceful kicking or a traumatic impact to the tendon, which may occur with a fall.

Signs and symptoms include pain and bruising just above the kneecap, an inability to walk, and severe weakness of the quadriceps (making it impossible to ascend/descend stairs).

Surgical repair is necessary.

POSSIBLE TREATMENTS

Aerobic/Endurance Exercise
Active Range of Motion (AROM)
Active Assistive Range of Motion (AAROM)
Cryotherapy or Cold Therapy
Core Strengthening
Electrotherapeutic Modalities
Gait or Walking Training
Isometrics
Proprioceptive Neuromuscular Facilitation (PNF)
Progressive Resistive Exercises (PRE)
Passive Range of Motion (PROM)
Proprioception Exercises
Physical Agents
Soft Tissue Mobilization
Stretching/Flexibility Exercise

POSSIBLE TREATMENT GOALS

Improve Balance
Decrease Risk of Reoccurrence
Improve Fitness
Improve Function
Improve Muscle Strength and Power
Increase Oxygen to Tissues
Improve Proprioception
Improve Range of Motion
Self-care of Symptoms
Improve Tolerance for Prolonged Activities
Improve Wound Healing

GROIN STRAIN (ADDUCTOR STRAIN)

This injury usually occurs in sports where cutting, side-stepping, or pivoting are required. Often, there is forceful separation of the legs or twisting of the toe outward.

Signs and symptoms include pain and tenderness in the inner thigh region.

POSSIBLE TREATMENTS

Aerobic/Endurance Exercise
Active Range of Motion (AROM)
Active Assistive Range of Motion (AAROM)
Cryotherapy or Cold Therapy
Core Strengthening
Electrotherapeutic Modalities
Gait or Walking Training
Isometrics
Proprioceptive Neuromuscular Facilitation (PNF)
Progressive Resistive Exercises (PRE)
Passive Range of Motion (PROM)
Proprioception Exercises
Plyometrics
Physical Agents
Soft Tissue Mobilization
Stretching/Flexibility Exercise

POSSIBLE TREATMENT GOALS

Improve Balance
Decrease Risk of Reoccurrence
Improve Fitness
Improve Function
Improve Muscle Strength and Power
Increase Oxygen to Tissues
Improve Proprioception
Improve Range of Motion
Self-care of Symptoms
Improve Tolerance for Prolonged Activities

HIP POINTER

Hip pointers are the result of a direct blow to the iliac crest in sports such as football, rugby, and soccer.

Signs and symptoms include pain, bruising, and tenderness at the bony prominence at the side of the hip.

Treatment usually involves rest, ice, and compression.

POSSIBLE TREATMENTS

Active Assistive Range of Motion (AAROM)
Cryotherapy or Cold Therapy
Core Strengthening
Electrotherapeutic Modalities
Gait or Walking Training
Isometrics
Proprioceptive Neuromuscular Facilitation (PNF)
Progressive Resistive Exercises (PRE)
Passive Range of Motion (PROM)
Physical Agents
Soft Tissue Mobilization
Stretching/Flexibility Exercise

POSSIBLE TREATMENT GOALS

Improve Fitness
Improve Function
Improve Muscle Strength and Power
Increase Oxygen to Tissues
Improve Proprioception
Improve Range of Motion
Self-care of Symptoms

TROCHANTERIC BURSITIS

A bursa is a fluid-filled sack that decreases shear forces between tissues of the body. Trochanteric bursitis (inflammation of a bursa) is caused by excessive stress on the bursa between the IT Band and the greater trochanter.

Signs and symptoms include pain over the outer aspect of the hipbone, which often is exacerbated when lying on the affected side, standing on the affected leg, or excessive walking.

Treatment often includes rest, ice, and compression, physical therapy including stretching and progressive strengthening, and steroid injection may be helpful.

POSSIBLE TREATMENTS

Aerobic/Endurance Exercise
Active Range of Motion (AROM)
Active Assistive Range of Motion (AAROM)
Cryotherapy or Cold Therapy
Core Strengthening
Electrotherapeutic Modalities
Gait or Walking Training
Isometrics
Iontophoresis
Mobilization
Proprioceptive Neuromuscular Facilitation (PNF)
Progressive Resistive Exercises (PRE)
Passive Range of Motion (PROM)
Proprioception Exercises
Physical Agents
Soft Tissue Mobilization
Stretching/Flexibility Exercise

POSSIBLE TREATMENT GOALS

Improve Balance
Decrease Risk of Reoccurrence
Improve Fitness
Improve Function
Improve Muscle Strength and Power
Increase Oxygen to Tissues
Improve Proprioception
Improve Range of Motion
Self-care of Symptoms
Improve Tolerance for Prolonged Activities

HAMSTRING STRAINS

A strain is a minor tear of a muscle. Quick acceleration while running or cutting is most often the cause of hamstrings strains. A minor pulling or a pop may be noted in the back of the thigh.

Symptoms: Pain, swelling, and an inability to run.

Treatment: rest, ice, compression, elevation, & physical therapy.

POSSIBLE TREATMENTS

Active Assistive Range of Motion (AAROM)
Cryotherapy or Cold Therapy
Core Strengthening
Electrotherapeutic Modalities
Gait or Walking Training
Heat
Isometrics
Proprioceptive Neuromuscular Facilitation (PNF)
Progressive Resistive Exercises (PRE)
Passive Range of Motion (PROM)
Proprioception Exercises
Plyometrics
Physical Agents
Soft Tissue Mobilization
Stretching/Flexibility Exercise

POSSIBLE TREATMENT GOALS

Improve Balance
Decrease Risk of Reoccurrence
Improve Fitness
Improve Function
Improve Muscle Strength and Power
Increase Oxygen to Tissues
Improve Proprioception
Improve Range of Motion
Self-care of Symptoms
Improve Tolerance for Prolonged Activities

FEMORAL NECK FRACTURE

A bad fall or blow to the hip can break (fracture) the thigh bone typically around the femoral neck region.

If the broken bone does not heal properly, the joint may slowly wear down. Blood flow through the femoral head may be restricted or cut off leading to the necrosis of the joint.

POSSIBLE TREATMENTS

Aerobic/Endurance Exercise
Active Range of Motion (AROM)
Active Assistive Range of Motion (AAROM)
Cryotherapy or Cold Therapy
Core Strengthening
Electrotherapeutic Modalities
Gait or Walking Training
Isometrics
Progressive Resistive Exercises (PRE)
Passive Range of Motion (PROM)
Physical Agents

POSSIBLE TREATMENT GOALS

Improve Balance
Improve ability to bear weight/stand on the leg(s)
Improve Function
Improve Muscle Strength and Power
Increase Oxygen to Tissues
Improve Proprioception
Decrease Postoperative Complications
Improve Range of Motion
Self-care of Symptoms
Improve Safety
Improve Wound Healing

AVASCULAR NECROSIS OF THE HIP

Avascular necrosis means bone death due to a lack of blood supply. A disrupted blood supply occurs when there is a fracture, dislocation, or repetitive trauma to the neck of the femur.

Signs and symptoms: include pain, limitation of movement and pain with walking.

Diagnosis: X-rays, MRI, or a bone scan may be helpful in diagnosing this disorder.

Surgical decompression or total hip replacement may be necessary.

POSSIBLE TREATMENTS

Aerobic/Endurance Exercise
Active Range of Motion (AROM)
Active Assistive Range of Motion (AAROM)
Cryotherapy or Cold Therapy
Core Strengthening
Electrotherapeutic Modalities
Gait or Walking Training
Isometrics
Progressive Resistive Exercises (PRE)
Passive Range of Motion (PROM)
Proprioception Exercises
Physical Agents
Stretching/Flexibility Exercise

POSSIBLE TREATMENT GOALS

Improve Balance
Decrease Risk of Reoccurrence
Improve Function
Improve Muscle Strength and Power
Improve Proprioception
Decrease Postoperative Complications
Improve Range of Motion
Self-care of Symptoms
Improve Safety

HIP OSTEOARTHRITIS

Osteoarthritis of the hip occurs when the cartilage coverings on ball (the head of the femur) and the socket (the acetabulum) wear out. It is worse when you bear weight on the affected limb. Range of motion is often limited especially internal rotation and hip flexion.

Recent studies have demonstrated that joint mobilization and stretching can result in significant pain relief.

POSSIBLE TREATMENTS

Active Assistive Range of Motion (AAROM)
Cryotherapy or Cold Therapy
Core Strengthening
Electrotherapeutic Modalities
Gait or Walking Training
Heat
Isometrics
Mobilization
Proprioceptive Neuromuscular Facilitation (PNF)
Progressive Resistive Exercises (PRE)
Passive Range of Motion (PROM)
Proprioception Exercises
Physical Agents
Soft Tissue Mobilization
Stretching/Flexibility Exercise

POSSIBLE TREATMENT GOALS

Improve Balance
Improve ability to bear weight/stand on the leg(s)
Improve Fitness
Improve Function
Optimize Joint Alignment
Improve Muscle Strength and Power
Increase Oxygen to Tissues
Improve Proprioception
Improve Range of Motion
Improve Relaxation
Self-care of Symptoms
Improve Safety
Improve Tolerance for Prolonged Activities

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