#3 Most Common Cause of Hip Pain - Rectus Femoris Origin Strain

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Most runners at one time or another will experience hip pain when running, as most as if it aches into the joint or the groin. The pain may get worse as you run and when your all done, you ice it and think with a good night’s rest it will be gone… hopefully. Unfortunately some runners aren’t so lucky. When you wake up you might feel pain with simple tasks, even putting on your shoes. I have had this and I defeated it. The trick is you have to know what you are dealing with in the first place when it come to hip pain when running.

What are some Signs and Symptoms of Hip Flexor Tendonitis (hip pain when running)?

Pain on the front of the hip around the groin
Pain with long strides, putting on shoes, walking stairs, standing from a sitting position
Pain with quick hip flexion
Slow onset
Pain increases with activity
Possible radiation to knee

How do I know if I have Hip Flexor Tendonitis (hip pain when running)?

X-ray’s will rule out if there is a problem in the joint
Definitive answer is an MRI
Physical Exam by a Medical Professional

What causes Hip Flexor Tendonitis (hip pain when running)?

Overuse
Acute Trauma
Strain during eccentric contractions

Who gets Hip Flexor Tendonitis (hip pain when running)?

Runners
Triathletes
Cyclists
Baseball players
Hockey players
Soccer players

What are some common treatments for Hip Flexor Tendonitis (hip pain when running)?

Rest
Stretching
Ice
Non-Steroidal Anti-Inflammatory medications
Active Release Technique®
Corticosteroid Injection
Massage
Platelet Rich Plasma

How does P2 Sports Care treat Hip Flexor Tendonitis?

First you must understand how inflammation of the tendon could occur. Many times when tissues in the body become overused they have a tendency of developing small tears from micro-trauma. The tendon of the hip flexor is no exception. These tears within tendons and other soft tissues fill up with scar tissue overtime. This scar tissue is not as flexible and resilient as normal tendinous tissue and as a result can tear again easily and the cycle will continue, thus leading to the development of a repetitive stress injury. This is how hip pain when running can become chronic.

At P2 Sports Care we believe much of the RICE method can be done at home when the injury is acute (fresh). However, rarely do we consider Hip Flexor Tendonitis as an acute or traumatic injury. When most people feel pain in the hip region it has actually had a “silent” problem for months, so it is perfect for our type of treatment. This condition normally responds quickly to types of treatment which focus on removing scar tissue, such as Active Release® and Graston.

Careful palpation of the area may in fact reveal the problem is not of the primary hip flexor tendon (psoas tendon) at all, but rather from tendonitis of other structures. The rectus femoris, obturator externus, pectineus, sartorius and the anterior portion of the hip capsule can be the primary structures causing hip pain when running of similar in presentation. If you have a provider with skilled palpation skills, the exact structure is not hard to locate.

We focus on a systematic approach to improving the health of the problematic tendons/ muscles and give instructions for prevention of re-injury.

Watch more How to Treat Back Pain videos: http://www.howcast.com/videos/508842-What-Causes-Hip-Pain-Back-Pain-Relief

There’s a number of causes of hip pain. The hip pain, or the hip joint, just like the shoulder joint, is a complicated ball and socket joint, therefore as a result, it relies heavily on the soft tissues, the muscles, ligaments to hold it together, otherwise it can sort of dislocate or separate quite easily.

By relying heavily on the musculature, and having so many degrees of motion within that joint, there can be this pattern of doing activities too frequently, too often, like sitting, like bending, that can lead to tissue breakdown within the joint.

The other separate issue with the hip joint compared to the shoulder, is that you have a lot of weight bearing responsibilities with the hip, your standing, walking, running tasks, so that can further exacerbate the breakdown of tissues. But usually we’re spending most of our day in a flex position at the hip, just like as I am now, and as a ball and socket joint in this position. The ball is settling, or sitting, in one specific area.

So it’s fine there, but all the other areas that it belongs in, and is supposed to roll around in, it’s not pushing those areas enough, and you can get a lot of restrictions and can lead to muscle strains and muscle problems when we try to actually get active later in the day.

The other big problem is we tend to not stretch enough. We pretend to run, we exercise, we work out, but we really don’t stretch those hip joints and hip muscles enough to offset the strength training, and that could, again, further exacerbate, you know, hip condition. So it’s a combination of stretching more and sort of getting up more at the office, which can help, you know, sort of alleviate some of the breakdown.

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Filed under: Arthritis

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