Hip & Groin Region

Hamstring Origin Tendinosis and Tears

Hamstring tendinosis is a strain of the hamstring tendon as it attaches to the Ischial Tuberosity at the top of the back of the thigh. Presents with:- Pain and tenderness at the ischial tuberosity
– Pain when stretching the hamstring muscles
– Pain when sitting for variable periods of time
– Gradual onset of pain following running
– Acute injury

Osteitis Pubis and Adductor Syndrome

Osteitis pubis is a painful condition of the symphysis pubis and surrounding muscle fascia. Exact cause uncertain but it is thought to be due to repeated microtrauma or exertional stresses on the fascia and the joint.

Sportsman’s Hernia

Also called Athletic pubalgia or sports hernia, Gilmore’s groin or groin disruption. Painful condition affecting the groin. Exact cause unknown. Usually athletes but not always. Tends to present with a grumbling pain , difficult to pinpoint in the groin region which does not settle even after long periods of rest.

Hernia’s: Including Direct/Indirect Inguinal and Femoral

These often present as grumbling discomfort in the groin area sometimes radiating down into the scrotum. There can be visible bulges in the groin area that can become more prominent when coughing, straining, or standing up.

Hip Joint Pain: Labral Tears and Impingement

Arthritis. Joint effusions, synovitis and ganglia formation.

Outer Aspect (Lateral) Hip Pain: Gluteus Medius & Minimus Tendinosis and Tears

Pain presents at the outer aspect of the hip joint. Often tender to pressure applied over this region. Difficult to sleep whilst lying on one’s side. Cause is tendinosis , tears or overlying bursitis at the attachment of one and/or two tendons attachments which originate from buttock muscles. A very common condition, usually affecting women.

Iliotibial Band Syndrome

ITBS is a common cause of pain at the outer aspect of the hip and knee. Often seen with runners and cyclists. The iliotibial band is a normal band of thickened tissue that runs on the outside of the thigh, extending from the outside of the pelvis above the hip region extending over the hip and inserting just below the knee. The band is very important in the stabilisation of the knee during running and walking. This band can be injured due to repetitive rubbing of the band at the level of the hip and the knee.

Piriformis Syndrome

Disorder that occurs when the sciatic nerve is compressed/irritated by the piriformis muscle in the buttock. This can be tricky to diagnose and is often “missed” as a diagnosis as the resulting pain / discomfort can be variable in its presentation. Pain can be localised to the buttock region, mimic hamstring discomfort, mimic sciatica, mimic hamstring muscle strains and have other unusual presentations.