The Hip, Pelvis and Upper Leg
At our Harpenden clinic, we use hip physiotherapy to treat a number of problems. The hip joint is a ball and socket joint between the head of the femur (thigh bone) and the acetabulum (the socket of the pelvis). A labral rim attaches to the acetabulum and effectively deepens the joint. The articular surface of the acetabulum and the head of femur are covered by articular cartilage.
The joint is covered by an extensive capsule which houses synovial fluid and 3 deep, strong ligaments – something we focus on during our specialist hip physiotherapy.
From a muscular perspective, the most powerful hip extensor is the gluteus maximus, although the hamstrings also help out with this movement. The two prime movers of hip flexion are the iliacus and psoas major muscles that come from the lumbar spine and attach onto the pelvis and femur.
The hip abductors are important in weight bearing at the hip and pelvis, the most commonly known are gluteus medius and gluteus minimus which work with the Iliotibial Band (ITB) and piriformis. The hip adductors attach into the groin, of which there are 3 that are commonly involved with groin sprains, which can often be eased with hip physiotherapy.
Common Problems with the Hip, Pelvis and Upper Leg
- Sacroiliac joint dysfunction/pain
- Muscle strains
- Inguinal, Gilmores & Sportsmans hernia
- Osteitis pubis
- Snapping hip syndrome (Dancers hip)
- Femoral Acetabular Impingement (FAI)
- Fractures: head/neck of femur, pelvic, pubic rami
- Post operatively:
- Total hip replacement
- Hip resurfacing
- Femoral Acetabular Impingement
- Gilmores groin/sportmans hernia repairs