There are a few different structures that can be the source of pain and most often it isn’t just one structure in general.
Our body moves and works as a unit, so we must treat it as one.
Some of thestructures that could be involved are:
- Superficial and deep nerves
- Tendons of the hip flexors
- Bursa sacs
- Hip flexor group (iliopsoas, rectus femoris, sartorius, gracillus, TFL, and the adductors).
Common aches or pains that a person likely experiences come on at the beginning of a movement such as:
- Standing up
- Going up or down stairs
- Laying on a side while in bed or stretching
- Sitting down for long periods of time
- Simply just walking.
We start by identifying if the hip flexors are tight through orthopedic tests, muscle activation, and stretches.
Then we perform soft tissue work such as:
Finally we start working on core stability as well as adding in ISOMETRIC hip exercises to improvestrength and muscle patterning/firing.
Exposure- sometimes we must normalize a painful movement. Just because there is pain does no mean we have an injury.
When we find a painful spot let’s explore the area and try to normalize the pain before telling ourselves we are injured.
PROXIMAL STABILITY = DISTAL MOBILITY