Femoroacetabular impingement is a condition where the bones of the hip are shaped differently. There are a number of different ‘shapes but because they do not fit together perfectly, the hip bones rub against each other and cause damage to the joint.
Hip impingement can also be due to repetitive activity involving recurrent movement of the legs (often beyond the normal range of motion) where bony or sift tissue can get ‘pinched’ regardless of the shape of the hip bones.
Hip Osteoarthritis commonly occurs as we get older and is caused as breakdown of the cartilage occurs and damage to the underlying bone results. This can create both pain and stiffness in the joint as well as swelling. Relief can be provided by treatment of the muscles around the joint and also by strengthening these to reduce further wear and tear.
The socket of the hip is covered by a surface of rubbery fibro cartilage material – called the labrum.
This provides cushioning for the joint and holds the fluid of the joint in place. Tearing of this part of the joint can require no treatment or where the hip feels like it may catch treatment may require physiotherapy or in certain circumstances surgery.
Tendinopathies of the hip relate to irritation and inflammation of the tendons that attach into the area surrounding the hip joint. These tendons often become inflamed as a result of excessive tension or loading of the muscles they attach into. Recovery from tendinopathies often require hands on physical therapy as well as exercise rehabilitation.
There are bursae located around the outer part if the hip joint. These small sacks which are sometimes filled with a small amount of fluid act as cushions between the bones, tendons and muscles. The most common bursae of the hip to become irritated is located at the greater trochanter when this becomes inflamed it can commonly cause hip pain. Treatment may be provided by physiotherapy and remedial exercise.