The most common causes of hip pain that we address in our office:
Piriformis Syndrome: A common label in healthcare, the piriformis becomes inflamed and irritated, and it is then assumed it is responsible for your hip pain. While this is close, the actual problem is an adhesion between the sciatic nerve and the smaller hip muscles that are near the piriformis. A sciatic nerve entrapment is a very big deal, and without fixing the entrapment, piriformis syndrome will persist.
Hip Impingement: Also known as femoral acetabular impingement (FAI). This occurs due to excessive, abnormal bone growth in the ball-and-socket joint of the hip. This excessive growth of the bone most often occurs due to excessive load in the hip during adolescent sports. This will lead to cartilage damage in the hip. Restoring full hip range of motion by fixing the adhesions in the hip muscles in conjunction with activity management is critical in slowing this degenerative condition.
IT Band Syndrome: The IT band is always a victim and never the primary cause of pain. With overuse, the hamstring muscles will develop adhesion. The hamstring muscles sit in an ideal position to stabilize the back of the knee but once they become overused the IT band has to help stabilize the knee. Since the IT band is on the side of the leg it is not in an advantageous to stabilize the knee joint and will become irritated and inflamed due to overuse. This is a very common injury in runners.
Osteoarthritis: As we age, and muscle adhesion develops from overuse, our joints are not loaded properly. Arthritis, a bone-building, degenerative condition, is caused by a limited range of motion In a joint, where the forces through that joint are not evenly placed. The body responds by building up the bone on the part of the joint that is loaded and will lead to cartilage degeneration and chronic joint pain. Restoring range of motion can slow down the progression of arthritis.
Hip Bursitis: Inflammation of the bursa, a fluid-filled sac that provides a cushion for the hip joint, is a classic indicator of overuse of the muscles that attach to the hip joint.