When is PT not appropriate for hip pain?
In some cases, patients with hip pain will be referred to a different provider. While this is rare, we want to be certain we, as physical therapists, are able to help.
Some of the symptoms we look for include:
- Fever, chills, night sweats (increased risk of infection or cancer)
- Weight loss (concern of cancer or infection)
- Recent infection (increased risk of infection)
Medication-specific concerns include:
- Steroids (risk of osteoporosis)
- Anti-coagulants (risk of bleeding)
- Immunosuppressants (risk of infections)
Sometimes, the digestive and renal/urinary systems can refer pain to the hip region. In these cases, we look for symptoms associated with food consumption such as recent weight change, changes in bowel habits and/or pain associated with urination.
Hip fractures can occur in older people and in those with a compromised bone density. Symptoms include pain around the hip and difficulty bearing weight. In addition to age, risk factors include osteoporosis, long-term use of certain medications such as steroids, high alcohol consumption and cancer. Stress fractures can occur from repetitive force, such as running long distances. This is more common in patients with compromised bone density.
We define patient-centered goals as what you hope to accomplish from physical therapy. While these are typically activity-specific goals, often patients report they just wish to experience less pain.
Hip labral tears occur when the labrum, a band of cartilage surrounding the hip joint, is irritated. Labral injuries can occur after trauma or as a result of repetitive stress to the hip joint.
IT (Iliotibial) band syndrome is a non-traumatic overuse injury that can result in pain at either the outside of the hip or knee. IT band syndrome is common in runners and endurance athletes.