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Common Hip and Pelvic Injuries

Because they are the connection between the upper and lower part of your body, your hips and pelvis are critical for basic movement. The ball at the end of your femur fits into an acetabulum, which is formed by the connecting of all three bones in your pelvis. If you have an injury or a problem in this area, it can be quite difficult to go about your daily activities without feeling constrained. Common hip and pelvic injuries can severely reduce your mobility. Your hips were designed to move. As a result, if you’re experiencing discomfort that’s interfering with your regular activities, you should offer yourself the best chance to recover and reclaim your life.

Common hip and pelvic injuries are frequently classified into several groups. If injuries are not treated quickly and effectively, they can result in pain, disability, and a reduction in quality of life.

Types of Hip Fractures

In a hip fracture, the upper half of the femur is broken. The hip is a ball-and-socket joint in which the rounded tip of the femur, known as the femoral head, fits snugly into the acetabulum, a cup-shaped portion of the pelvis. The femur narrows somewhat below the femoral head to produce the femoral neck, which links to the main part of the femur. It then continues into the trochanter, a bony ridge that serves as an attachment place for muscles that support the hip joint.

The severity of the injury and the location of the break determine the symptoms of a hip fracture. Most people feel severe stabbing pains in their hips or groins, and they may be unable to put any weight on the affected hip. Other common side effects include swelling, redness, or bruising in the skin above the injury.

Femoral Neck

The femoral neck is a common site for hip fractures. This region of the hip is more commonly fractured in women than in males, and the injury is frequently caused by a fall. Low bone density in women over the age of 60 increases the risk of a fracture even after a slight fall.

Femoral Head

A kind of stress fracture known as an insufficiency fracture can develop in the femoral head in persons with osteoporosis. When fragile bones split under the stress of everyday actions like walking or climbing stairs, it’s called an insufficiency fracture.

A dislocated hip, in which the femur is wrenched out of the acetabular socket, is associated with many femoral head fractures. The femoral head can be moved with such force that it cracks or breaks in some cases. A high-impact injury, such as a vehicle accident, is the most common cause of this type of fracture.

Trochanter

An intertrochanteric fracture is one that occurs between the femoral neck and the trochanter. A subtrochanteric fracture is one that occurs beneath the trochanter. This type of fracture is frequently caused by a direct impact to this area of the hip from a fall.

Overuse injuries 

When repetitive stresses are applied to a specific structure or region of the hip, overuse problems occur. Overuse injuries to the hip and pelvis are a common source of pain and impairment. These injuries are common in weekend warriors, high-level athletes, and people who do repetitive movements with their hips and pelvis throughout the day. This sort of injury causes discomfort, stiffness, and possibly cracking on the outside of the hip (external snapping hip syndrome). It can lead to greater pain, limping, and the inability to continue running, cycling, or even working if it is not addressed with physical therapy and stretching. The following are examples of common hip and pelvic injuries related to overuse:

These injuries arise when the muscle or tendon is subjected to more stress and exertion than the structures can handle. Pain, inflammation, and incapacity are the end results. Excessive usage of the muscles and tendons that attach to the hip and pelvis can cause acute pain and tenderness to the touch at the front, outside, behind the hip and pelvis, and on the groin. Iliopsoas tendonitis, for example, is characterized by pain in the front of the hip that is sometimes accompanied by a snap, a condition known as internal snapping hip syndrome. 

A stress fracture is another type of injury caused by overuse damage to the hip and pelvis. These fractures, also known as fatigue fractures, occur when the bones are subjected to excessive and repetitive stress or pressures, resulting in a minor “crack” or break.

Rest, anti-inflammatories, and physical therapy with a hip specialist are commonly used to treat these types of injuries. If the groin discomfort is significant and occurs while bearing weight, or if it is impossible to put weight on it, x-rays may be recommended. You should consult an orthopedist as soon as possible to get treatment. 

For consultations in the Phoenix area, feel free to contact Desert Edge Physical Therapy.

Anatomic causes and changes in the anatomy of the hip and pelvis

Differences in the anatomy of the hip and pelvis are known as anatomic differences. The disparities are frequently developmental in character and continue to progress until adulthood. The position of the socket, also known as the acetabulum, is at the root of most of these problems. The most frequent type is hip developmental dysplasia (DDH). DDH, if left untreated, can lead to

With hip developmental dysplasia, the acetabulum (socket) with the head is inadequately developed. This condition may induce deep groin pain. DDH can also create progressive wear and tear on the cartilage, leading to hip arthritis, which is characterized by chronic discomfort, decreased range of motion, and loss of function. Specialists often use an x-ray or other imaging technique to diagnose these problems. 

Consult an orthopedist if you have concerns about DDH. In many cases, you can also use high-quality physical therapy to address the condition. If necessary, you also have the option to get surgical procedures to repair the acetabulum, which will allow for a better fitting hip joint. Following this form of surgical repair, you’ll need physical therapy and rehabilitation to regain full function.

Changes in the form of the ball and socket, known as femoral acetabular impingement syndrome, and hip labral tears are two major anatomical differences. Pinching, soreness, reduced range of motion, and soreness after activity are all symptoms of these conditions. If not treated with surgery and/or physical therapy, it can lead to cartilage deterioration and arthritis in the long run. The main symptoms in this syndrome are pain and pinching in the inside joint of the hip as well as pain in the outside of the hip while sitting or performing exercises.

Traumatic Injuries

High-level sporting activities can also lead to common hip and pelvic injuries. These fractures commonly occur in the femoral neck, greater trochanter, acetabulum, pubic rami, sacrum, and other parts of the hip and pelvis, and are characterized by extreme pain in the hip and pelvis area, leg-lengthening on the damaged side, inability to bear weight through the lower extremities, and disability. These are quite visible injuries, and anyone experiencing them should go to the emergency room or consult an orthopedist right away. All major injuries will eventually require high-quality physical therapy to manage and treat.

Physical therapy and rehabilitation are critical to resuming full participation in the activities you enjoy. Specialty centers, such as Desert Edge Physical Therapy, offer you the best chance at attaining full recovery. Physical therapists can help people recover from pain and injury. When struggling with dysfunction, pain, or injury, seeing a physical therapist can be precisely what your body needs to keep running smoothly for the rest of your life. Too many of us believe we must simply cope with the pain that arises as a result of inactivity, dysfunctional movement, or injury; however, Desert Edge Physical Therapy is here to help you regain your proper mobility so you can participate in the activities you enjoy.

Desert Edge Physical Therapy is here to help you regain your proper motion so you can participate in the human experience with joy and fulfillment! We offer services including Sports Medicine, Orthopedic Care, and Post-Surgery Recovery.

Common Ailments & Injuries We Treat:

If you are suffering from any of these injuries, visit Desert Edge Physical Therapy and schedule an appointment with us.

published on Friday, July 2nd, 2021