Strains of the Hip
The large bones that make up the hip joint also serve as anchors for several muscles. Some of these muscles move down the thigh to the knee. Other muscles move across the abdomen or the buttocks. When overuse or injury stretches or tears the muscle fibers, the resulting injury is called a strain.
Cause
Muscle strains frequently occur in the hip area when a stretched muscle is forced to contract suddenly. A fall or direct blow to the muscle (called a contusion), overstretching, and overuse can tear muscle fibers, resulting in a strain. The risk of muscle strain increases if you had a prior injury in the area, if you do not warm up properly before exercising, or if you attempt to do too much too quickly. Strains may be mild, moderate, or severe, depending on the extent of the injury.
Symptoms
- Pain over the injured muscle is the most common symptom of a hip strain.
- Using the muscle aggravates the pain.
- Swelling may also be present, depending on the severity of the strain.
- There may be a loss of strength in the muscle.
Diagnosis
Physical Examination & Patient History
During your first visit, your doctor will talk to you about your symptoms and medical history. During the physical examination, your doctor will check all the structures of your injury, and compare them to your non-injured anatomy. Most injuries can be diagnosed with a thorough physical examination.
Imaging Tests
Imaging Tests Other tests which may help your doctor confirm your diagnosis include:
X-rays. Although they will not show any injury, x-rays can show whether the injury is associated with a broken bone.
Magnetic resonance imaging (MRI) scan. If your injury requires an MRI, this study is utilized to create a better image of soft tissues injuries. However, an MRI may not be required for your particular injury circumstance and will be ordered based on a thorough examination by your Peninsula Bone & Joint Clinic Orthopedic physician.
Treatment Options
Non-Surgical
In general, treatment and rehabilitation are designed to relieve pain, restore range of motion, and restore strength—in that order.
RICE is the standard treatment protocol for mild to moderate muscle strains.
Rest. Avoid putting weight on the hip. Your doctor may suggest using crutches for the first day or two after the injury.
Ice. Gently massage the area with ice to help decrease swelling.
Compression. Compression shorts or a wrap bandage may be helpful.
Elevation.
Your Peninsula Bone & Joint Clinic orthopaedic physician may also recommend aspirin or ibuprofen to reduce swelling and ease pain.
After the first couple of days, your doctor may suggest heat therapy, including hot soaks, heat lamps, or heating pads.
Avoid the activity that caused the strain for 10 to 14 days. During that time, you can rebuild muscle strength and endurance with stretching and strengthening exercises.
If the pain returns, stop and go back to easier activities that do not cause pain. Severe muscle strains may require a longer rehabilitation time.
Conservative Treatment Options
Treatment Highlights
VERILAST Hip Replacement Technology
Innovative Implant Design
Smith Nephew VERILAST hip replacement implant.
It’s important to remember that not every hip implant is the same. The Smith Nephew VERILAST Hip Technology is the one technology that directly addresses two of the most commonly cited concerns associated with hip replacement implants:
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Implant Wear
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Implant Fracture