Hip Injuries

Question 1

What are the 4 groin pain injuries?

Answer 1

Iliopsoas-related
Inguinal-related
Adductor-related
Pubic-related

Question 2

What are the commonly effected areas for a strain

Answer 2

Quadriceps
Hamstrings
Gastrocnemius

Question 3

What are the treatment aims for a strain

Answer 3

1. Reduce pain and swelling
2. Improve flexibility and muscle condition
3. Restore muscular strength
4. Return to full strength

Question 4

What are the treatments for a muscle strain

Answer 4

Healing: ice, heat and sports massage (acute 3 days)

Stretching: static then sports specific (subacute 0-3weeks)

Strengthening: gradual load, static then sports specific (3 weeks to 2 years)

Question 5

What causes greater trochanteric pain syndrome?

Answer 5

A disorder to the:

Trochanteric bursa
Gluteus medius and or medius tendons
Iliotibial band

Question 6

What can GTS be a combination of?

Answer 6

Gluteal tendinopathy

Bursitis surrounding the hip

Question 7

What are the treatments for GTS?

Answer 7

Strenghten the stabilisers gluteals (miniband hip bridges)
Restore flexibility (lunges, 90/90)
graded return to sport

Question 8

Iliopsoas related pain

Answer 8

tender to palpate
hip flexors effected
pain on hip flexion
strengthen hip flexors (iliopsoas, rec fem, sartorius

Question 9

Adductor Related pain

Answer 9

Adductor tenderness
hip adductors: adductor longus, brevis and gracilis
massage surounding muscles avoid fem triangle

Question 10

Inguinal related

Answer 10

Inguinal canal tender+ pain
no palpable inguinal hernia
pain with abdominal tests, pain with cough/sneeze
sterngthen adductors, abductors and abdominals

Question 11

what is myositis ossification

Answer 11

Development of bony substance when tissue is mobilised too early or agressively

Question 12

What is the treatment of acute quadriceps contusion?

Answer 12

Reduce pain bleeding and swelling
PRICE cryotherapy and compression wraps
twice a day 15mins
anti- inflammatories 3-7 days only

Question 13

what is the treatment for sub- acute quadriceps contusion?

Answer 13

Stretch+strengthen
isometric (spanish squat, quad extension holds)
Isometric (kneeling up and down, squats)
isokenetic (cycling)
gentle quad stretch 3-5 times a day
maintain fitness with cycling 
speed recovery with massage

Question 14

what are the sympotms of GTS

Answer 14

Trendelendburgs sign (weak hip muscles)
pain in: side lying, sitting crossed legged, prolonged wieght bearing, repetitive motions