Hip Pain Treatment Newport Beach

People say hip and mean three different places. Where exactly it sits is the single most useful piece of information, because each location points at a different structure.

What Hip Pain Treatment Newport Beach examines

Groin pain usually means the hip joint itself. Pain over the outside, particularly lying on that side at night, is more often the tendon and bursa at the side of the hip. Pain in the buttock is frequently the low back or sacroiliac joint referring, not the hip at all.

How we test it

Passive hip range in every direction, tests that load the joint specifically, strength of the gluteal muscles, and an examination of the low back and sacroiliac joint. Hip Pain Treatment Newport Beach patients receive here always includes the back, because the overlap is so common.

Groin, side or buttock

Getting this right changes everything about the plan. Treating a back-referred buttock pain as a hip problem produces months of no progress, and the reverse is equally true. The examination is worth the time it takes.

When to image

Significant loss of passive rotation with groin pain, particularly with a hard end-feel, points at joint change worth imaging. So does hip pain after a fall in anyone with reduced bone density. Otherwise most hip pain is soft tissue and does not need a scan to begin treatment.

Sleeping and sitting with it

Outer hip pain is often worst lying on that side, and a pillow between the knees when side-lying takes the strain off the tendon that is usually responsible. Deep low chairs and sitting cross-legged both compress the joint and provoke groin pain. These are small changes and they frequently do more in the first fortnight than anything done on the table, because they stop the tissue being provoked between visits.