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Hip

Therapy 1

Hip Osteoarthritis


- Common cause of hip pain over age of 50
- Decreased movements of the joint specifically flexion and inward rotation
- Backward tilting of the pelvis
- Morning stiffness
- Often seen in high BMI population

Special Test

- FADIS test
- FABER test

Treatment

- Electrotherapy
- IFT
- Dry needling

Therapeutic Exercise

- Weight reduction
- Manual Therapy
- Quadripod Rock back
- Single Knee to chest
- Hamstring stretch
- Standing hip adductor stretch
- Hip flexor stretch
- Joint mobilization
- Manual traction

Therapy 2

Hip Labral Tear


- Pain in the front of the hip
- Generalised joint pain
- Popping, locking, snapping feeling from hip
- Feeling of instability

Special Test

- CLICK test

Treatment

- Electrotherapy
- TENS
- Dry needling

Therapeutic Exercise

- Hip extension leaning over a table
- Hip abduction strengthening

Therapy 3

Piriformis Syndrome


- Irritated sciatic nerve caused by the compression or injury of piriformis muscle
- Buttocks pain
- Pain radiating to back of the thighs and lower leg
- Pain increases with sitting

Special Test

- FAIR test
- Piriformis length test at 90°
- Piriformis length test at 60°
- Palpation of piriformis muscle

Treatment

- Electrotherapy
- Dry needling

Therapeutic Exercise

- Piriformis stretch
- Sciatic nerve mobilization
- Gluteus muscle strengthening

Therapy 4

Groin Strain


- Strain on the adductor muscle
- Caused by excessive stretch during which the muscle is being contracted

Special Test

- Palpation of adductor muscle
- Manual muscle testing

Treatment

- Cryotherapy

Therapeutic Exercise

- Hip ROM exercise
- Adductor press
- Progressive adductor strengthening
- Strengthening using theraband
- Dynamic stretching exercise
- Butt kickers
- Deep walking lunges
- Lunge twist
- High kicks

Therapy 5

Pelvic Girdle Pain


- Pain usually felt in same side of the joint, buttoks, back of the thigh or in groin
- Association with increased BMI
- Gluteal or pelvic floor muscle dysfunction
- Joint hypermobility
- Periods or amenhorria
- Associated with pregnancy

Treatment

- Pelvic floor muscle strengthening
- Bent knee fall outs
- Hip abductor and adductor muscle strengthening

Therapeutic Exercise

- Soft tissue massage
- Isometrics to elbow extensors
- Joint mobilization
- Quadripod forward rocking
- Prone lift off