Hip pain manifests in many different ways, with the most common client complaints revolving around tight hips and/or anterior hip pain. Many people associate their hip pain to tight hamstrings, tight hip flexors, or just plain tight hips. Because soft tissue work has become so commonplace, most people are resorting to all sorts of stretching, foam rolling, and banded distraction work to address their hip pain. While sorting out soft tissue limitations can be part of an effective strategy for hip pain, there are many more factors that need to be taken into consideration.
The position of the pelvis certainly has a significant impact on the hip, which is why people often resort to passive strategies aimed at the muscles that act on the pelvis: the hip flexors, the hamstrings, the psoas. The hips anchor the pelvis, creating a very intricate relationship between the two. While there are many different causes of anterior hip pain, some influenced by structure, impairments in dynamic control of the pelvis and core have been shown to be a modifiable risk factor that we can address.
Avoiding hip pain, or better yet, keeping the hips healthy to begin with, is important for overall health. There are several common causes of hip pain, such as femoroacetabular impingement (FAI), labral pathology, chondral pathology, osteoarthritis, femoral anterior glide syndrome and hip joint laxity.
Impingement can be defined as an abutment of the femoral head against the acetabulum or decreased joint clearance between the femoral head and the acetabulum, and is one of the common causes of anterior hip pain. Much like with the shoulder, the hip is commonly placed in a position of impingement in athletic and functional movements, namely flexion, adduction and internal rotation (commonly called FADIR).
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