Massage Therapy and Hip Pain

 Osteoarthritis of the hip is common in the general population, this may contribute to substantial social and financial burdens. 

Osteoarthritis of the hip is common in the general population, this may contribute to substantial social and financial burdens. 

Non-pharmacological therapeutic interventions are being embraced by the medical community because they are often simple to carry out, economical, and have relatively minor side effects. 

Conservative Care for Mild to Moderate Hip Osteoarthritis

The presentation of hip pain, does not always mean that the joint is the primary contributor to pain. There is research to suggests that in this condition sensitization of nociceptive pathways may result in patients with osteoarthritis perceiving relatively low level stimuli as being overtly painful, which contributes to the complex clinical picture of hip pain.

Structures to be Aware of When Treating Hip Pain

Contemporary multimodal massage therapists are uniquely suited to incorporate a number of rehabilitation strategies for acute and chronic pain based on patient-specific assessment findings including, but not limited to:
• Manual Therapy (neurodynamic mobilization, classic massage, joint mobilizations)
• Education on psychosocial factors (eg. BPS framework of pain, fear avoidance)
• Remedial Loading Programs (eg. static stretching, concentric, eccentric, isometric)

Structures to keep in mind while assessing and treating patients suffering from hip pain may include neurovascular structures and investing fascia of:
• iliopsoas (iliacus and psoas major)
• hip adductors (adductor brevis, adductor longus, adductor magnus, pectineus, gracilis)
• external rotators (piriformis, gemellus superior, externus and internus obturators, gemellus inferior, and quadratus femoris)
• quadriceps (rectus femoris, vastus lateralis, vastus mediali, vastus intermedius)
• gluteal muscles (gluteus maximus, gluteus medius, gluteus minimus, and tensor fasciae latae)

More to Explore

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* In most clinical cases the sacroiliac joint is stable, and you can not detect it's motion or lack of it by palpation (Goode et al. 2008).

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