Hip Pain Treatment in Birmingham & Warwickshire
Promoting A New Standard Of Clinical Excellence In The Diagnosis & Treatment Of Hip Pain.
Hip pain is a common musculoskeletal complaint affecting individuals across various age groups in the United Kingdom. It can result from multiple factors, including age-related degeneration, injuries, inflammatory conditions, and lifestyle influences. Understanding the incidence of hip pain in the UK, along with its causes, impact, and management, is crucial for improving public health strategies and enhancing the quality of life for those affected.
Research indicates that hip pain is a prevalent issue in the UK, particularly among older adults. According to the UK Biobank and NHS data, hip pain affects approximately 10-25% of adults over the age of 60, with osteoarthritis being the leading cause. However, hip pain is not exclusive to the elderly; studies suggest that around 5-10% of younger adults and athletes experience hip discomfort due to overuse, trauma, or congenital abnormalities such as femoroacetabular impingement (FAI).
Additionally, hip fractures—a severe consequence of hip pain and instability—are responsible for more than 70,000 hospital admissions annually in the UK. The increasing prevalence of obesity and sedentary lifestyles has also contributed to a rise in hip pain cases among the working-age population.
Common Causes Of Hip Pain.
Musculoskeletal hip pain can arise from various structures, including muscles, tendons, ligaments, joints, and nerves. It is essential to differentiate between different causes to provide appropriate treatment and management. Some common causes of musculoskeletal hip pain include:
Intra-articular Causes (from within the joint)
- Osteoarthritis – Gradual onset, stiffness, reduced range of motion (ROM), crepitus.
- Femoroacetabular Impingement (FAI) – Pain with hip flexion and internal rotation, common in young adults.
- Hip Labral Tear – Clicking, locking, or giving way; pain with rotation.
- Avascular Necrosis (AVN) – Progressive pain, often in steroid or alcohol users.
- Inflammatory Arthritis (e.g., Rheumatoid Arthritis, Ankylosing Spondylitis, Gout, Septic Arthritis) – Morning stiffness, swelling, systemic symptoms.
- Hip Dysplasia – Developmental abnormality leading to instability and early arthritis.
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Extra-Articular Causes (From Around The Joint)
Lateral Outside Hip Pain (Side / Greater Trochanteric Region)
- Trochanteric Bursitis – Lateral hip pain, worse with lying on affected side.
- Gluteus Medius/Minimus Tendinopathy – Weakness, pain on resisted abduction.
- Iliotibial Band Syndrome – Lateral thigh pain, often in runners.
Posterior Hip Pain (Buttock Region)
- Piriformis Syndrome – Sciatic nerve compression causing radiating pain.
- Sacroiliac Joint Dysfunction – Pain worsens with prolonged standing or stairs.
- Lumbar Radiculopathy (e.g., L4-S1 Disc Herniation) – Back pain radiating to hip, positive straight leg raise.
Anterior Hip Pain (Groin Region)
- Hip Flexor Strain (Iliopsoas Tendinopathy) – Pain with resisted hip flexion.
- Sports Hernia (Athletic Pubalgia) – Chronic groin pain in athletes.
- Snapping Hip Syndrome (Iliopsoas Tendon Subluxation) – Audible snap with movement.
Consultation & Diagnosis of Hip Pain.
Understanding your Hip Pain.
After your Consultation and Diagnostic Service Appointment, your clinician will carefully review the findings from your case and develop a personalised treatment or management plan for your condition. When you return to the clinic, we will sit down with you to thoroughly discuss our conclusions. During this discussion, we will provide:
A Diagnosis: Clearly explaining your hip pain and its potential underlying causes / contributions.
A Prognosis: Offering an understanding of how your hip pain is likely to progress and the expected recovery timeline.
A Treatment Plan: If we determine that your hip pain is suitable for management within our clinic, we will outline the proposed approach.
- What we can do to help.
- What you will be able to do, in order to help yourself.
- What results you can expect.
- The rate at which you can expect these results.
- What this result will cost you in time and money. ‘We aim to make all costs involved in the management of your case known to you from the outset.’
- If we feel that your complaint would be better managed by another clinician, the appropriate referral to that clinician will be made without delay.
Safe & Effective Treatment Of Hip Pain.
Our treatments typically include a comprehensive range of gentle, evidence-based conservative care procedures.
Each patient’s care plan is personalised, taking into account their unique needs, preferences, and circumstances. We recognise that some patients may feel apprehensive about treatment, and we are committed to providing comfort and reassurance throughout the process. The care we provide includes, but is not limited to:
- Spinal mobilisation
- Peripheral joint manipulative therapy
- Peripheral joint mobilisation
- Nerve mobilisation
- Pacing & graded exposure
- Postural & lifestyle advice
- Myofascial therapy (soft tissue work)
- Orthotic & splint prescription
- Cognitive behavioural therapy
- Pain education
- Rehabilitative exercise management:
- Strength & endurance training
- Movement pattern training
- Postural exercise
- Flexibility exercise
- Balance training
- Graded motor imagery
Who Should I See? Chiropractor, Physiotherapist, Osteopath, or Podiatrist?
For the treatment of hip pain, we would probably suggest that you see one of our Chiropractors or Osteopaths, over a Physiotherapist or Podiatrist.
However, that said, each of these professions are essentially conservative (non-surgical) musculoskeletal care professions, and all can play a role in the diagnosis and treatment of hip pain.
