It’s all in the hips!

It’s all in the hips – the many issues that could be caused by hip instability

Hi guys, this is Jules from Reach Physiotherapy in Brighton. Today I’m going to talk to you a little bit about hip stability and hip control.

People come to us and they might have hip pain, they might have lower back pain, they might have knee pain, ankle pain, as well as, in theory, things higher up as well; a lot of the time we see people with pains in these various places, these various joints, and quite often when we assess the control and the stability around that person’s hip complex, they’re often lacking control.

If we’re lacking control in the middle of our body, we’ve got some of the biggest muscle groups and muscles individually in and around the hips. Mainly what I’m talking about is the gluteal muscles: gluteus maximus, medius and minimus. If they’re not functioning 100%, or maybe they’re weak, maybe they’re tight, then that can actually have negative affects further down the chain – at the knee joint and at the foot and ankle complex – and also, because the lumbar spine is just above the back of the hips, we also can get some compromise in the lower back and the lumbar spine area as well.

A lot of the time, when we’re assessing hip control, there are certain movement patterns – we might get someone to do a functional movement such as a single leg dip, a bit like a pistol squat – and quite often we’ll see maybe the knee converging inwards or the foot having to work very hard to maintain balance, or maybe someone might lean to one side, which shows maybe that it’s having an affect on the lumbar spine as well.

So it can be paramount to optimise hip control, stability and strength, and also length, around the hip joint to prevent some of these other issues happening, either above or below the hips.

If you’re experiencing unexplained pains, get in touch with us and we can discuss how we can help you. 

* Contact Reach Physiotherapy for a list of references used for this blog content.