Hip Sprain
Hip tension occurs when one of the muscles supporting the hip joint is stretched or ripped beyond its limits. Depending on the degree of sprain, it may be mild, moderate or severe. A severe stretch may limit your ability to move your hip.
It can occur even when doing simple daily activities, but often occurs during sporting activities.
Although many hip sprains are passed on with simple home treatment, severe sprains may require physical therapy or other medical treatment.
Definition of the disease
The hip joint consists of large bones femur, pelvis and surrounding muscle and connective tissue. Some of these muscles move to the abdomen or hips (hip flexors, gluteals). Others move towards the thigh directory (abductors, adductors, quadriceps, hamstrings).
Hip Pain
Lower abdominal muscles and hip flexor muscles are usually involved in hip tension.
Reproduced from JF Sarwark, ed: Essentials of Musculoskeletal Care, ed 4. Rosemont, IL, American Academy of Orthopedic Surgeons, 2010.
Muscle and tendons may be injured when the hip joint is sprained. Tendons are hard and fibrous tissues that connect muscles to bones. Injuries due to hip sprains often occur at the points where the muscle joins the tendon.
There may be a simple strain on your muscle or tendon with sprains. Subsequently, it may result in a partial or complete rupture of muscle fibers in the combination of muscle and tendon.
Once the muscle is injured, it is not a tissue with good ability to re-repair or regenerate. Recurrent sprains may be associated with athletic pubalgia (also called sports hernia). A sports hernia is a stretch or rupture of any soft tissue (muscle, tendon, ligament) in the lower abdomen or groin. This is also called Sports Hernia (Athletic Pubalgia).
Hip Pain
Lower abdominal muscles and hip flexor muscles usually play a role in hip tension.
Reproduced from JF Sarwark, ed: Essentials of Musculoskeletal Care, ed 4. Rosemont, IL, American Academy of Orthopedic Surgeons, 2010.
Causes
It is often an acute or sudden injury. It may occur suddenly during contact spores, such as a drop or a direct impact. Hip stretching or buckling may also occur due to excessive use by slow repetitive movements.
Risk factors for hip sprain include:
Previous injury in the same area
Insufficient warm-up before exercise
Very fast exercise start and sudden uncontrolled movements
Clinical Symptoms
There is pain and tenderness in the injured area. Other symptoms;
Increased pain with use
Inflatable
Limited range of motion
Muscle weakness
What is the Simple and First Approach Made at Home as a result of Sprains?
Simple home treatment improves many hip sprains.
If it is light;
It can be treated with RICE method. RICE; (Rest, Ice, Compression, Elevation)
Rest means ice, bandages and keeping up.
Rest; Avoid weighting activities for the first few days after injury
Ice; Apply ice immediately after injury to reduce swelling. Apply 15 minutes of ice gel every two hours a day. Do not apply ice directly to the skin.
Compression (elastic bandage); To prevent additional swelling, gently wrap the area with a light bandage or attach the compression shorts.
Elavation (height); Keep your leg higher than the heart as often as possible.
In addition, non-steroidal anti-inflammatory drugs or NSAIDs such as ibuprofen and naproxen may help to reduce swelling and alleviate pain.
If the pain persists and it becomes more difficult to move your hips and legs, consult your doctor.
How to Diagnose?
Physical Examination
It will examine your legs and hips for tenderness or swelling. It is examined by moving your legs and hips in various directions to assess your range of motion by applying pressure to the muscles.
Radiological
X-ray provides images of dense structures such as bones. Your doctor may take an X-ray to eliminate the possibility of stress fracture of the hip with similar symptoms. Often, no additional imaging test is required to confirm the diagnosis. However, MRI is the best imaging for the degree of muscle injury.
Treatment
It is usually treated with non-surgical methods. Pain is relieved by medical treatment.
1. Non-Surgical Treatment
In addition to the RICE method and anti-inflammatory medication, your doctor may recommend using crutches for several days to reduce weight on your hip. Other recommendations;
Heat therapy. Ice should be applied immediately after acute injuries to reduce swelling. Alternatively, however, using a warm towel or heating pad at 72 hours after injury can help relieve pain and improve range of motion.
Home workouts. Specific exercises strengthen the muscles that support the hip and help increase muscle endurance and flexibility.
Physiotheraphy. If pain persists after a few weeks of home exercise, rehabilitation is recommended. Exercise program is recommended to improve muscle strength and flexibility.
2. Surgical Treatment
In severe injuries where muscle fibers are completely torn, surgery may be necessary to return to normal function and movement. Surgery typically involves joining torn pieces together. But many are treated without surgery.
Recovery
In most cases, you should avoid activities that cause injury to you for 10 to 14 days. In severe sprains, recovery may take longer. Organize your activity according to your pain.
To prevent sprains;
Conditioning your muscles with a regular exercise program. Plan according to your age and activity level.
Warm-up before sport activity. A good warm-up prepares your body for a more intense activity. It increases blood flow, increases muscle temperature and increases your breathing rate. Warming saves time for your body to adapt to your exercise demands. Increases range of motion and reduces stiffness.
Wear or wear suitable protective clothing for sports.
Take time to cool down after exercise. Instead of performing a lot of fast stretching, stretch each muscle slowly and gradually, allowing each muscle to react and prolong your muscle time.
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