Pain patterns and screening

Hip Region

• Stability and mobility
• Coxa Vara
• Coxa valga
• Coxa Norma
• Muscles around hip joint
• Nerve supply
• Blood supply

Pain patterns,

True hip pain... Posterior deep within buttock or anteriorly in the groin

Lateral side of hip pain....Not intra Articular but trigger point, bursitis, True hip pain active and passive motion pain must increase with weight Bearing.

1. Antalgic gait pattern
2. Abductor weakness

how to control and manage pain ?

Referred pain from low back SI, SACRUM, 

Localized hip pain from bursits, hernia, Weakness, strain ETC

Upper Lumbar vertebrae Causes pain to anterior aspect of high.

Lower causes Pain to buttock, Poterior, aspect of thigh,

Persistent pain not relived with reset and night pain.....Medical referral

systemic presentations,

Non Capsular pattern.

Limited hip extension, adduction, lateral rotation

Capsular Pattern for the hip

Limitation of flexions, abduction, medial rotation and, sometimes, slight limitation of hip extension.

Empty end feel can endicator of potentially serious of potentially series desieses such as infections or neoplasm.

= Empty end feel is described as limiting pain before the end range of motion is reached

= Decreased range of motion is positive for an intra articular of symptoms.

= If Normal hip rotation is present in the position but the motion reproduces hip pain, Than the extra articular cause should be considered.