Hip pain can be from varied sources and can show up in multiple areas. It requires detective work and a thorough assessment to determine the diagnosis and cause of your pain. This is done through signs and symptoms, thorough questioning and specific tests. It is dependent on your therapist’s clinical experience and knowledge.
“The hip bones connected to the pelvic bones….” song. The hip bones connect to the pelvis in a ball and socket joint. The pelvis itself is actually 3 bones joined at the front by fibrocartilage (pubic symphysis), and at the back with strong ligaments connecting in a strong wedge shaped bone the tail bone or sacrum. This areas mobility is crucial as a connection to important muscles for walking; it is often implicated in hip pain.
A few of the muscles that attach from the pelvis to the hip you may have heard of are piriformis, gluteals, hip flexors, hamstrings, and quadriceps.
The piriformis, one of the deep hip rotators, can affect the sciatic nerve by compressing it and is a common cause of sciatic pain. Sciatic pain does not always come from your spine, it can be from gripping of butt muscles.