hip is one of the most anatomically stable joints, but it is susceptible to
injury when it is in the flexed position. Thus, hip sprains are uncommon sports
injuries, accounting for less than 4% of all sprains. These injuries usually
occur as a result of severe twisting or traumatic impact to the hip, such as
what may occur during a fall or with direct and forceful contact. Hip sprains
can also result from overuse and overstretching of the hip, especially among
individuals who do not warm up sufficiently before activity.
hip joint has a capsule that is comprised of multiple circular and longitudinal
ligaments, including the transverse ligament, the iliofemoral ligament, the
pubocapsular ligament, and the ischiocapsular ligament. A ligament is a band of
tissue that connects bones together. Because the bones of the hip anchor
muscles that travel down the leg, across the abdomen, and into the buttocks, a
sprain in the hip area may radiate pain to any of these sites.
that is felt directly over the injured ligament and that increases with
and bruising (in severe cases)
and muscle spasm
partial or full loss of joint flexibility
or pain with walking
physician will examine the affected area and apply pressure to the areas of
suspected injury to identify points of maximum tenderness. Patients may be
asked to perform certain movements to determine the range of motion, the
stability of the joint, and muscle strength. Radiographs should be taken to
rule out fracture, dislocation, and subluxation. Magnetic resonance imaging is
used to look for labral tears, which can be confused with joint sprain.
the injured area
relative rest and use crutches with no or partial weight bearing until walking
is no longer painful.
to rehabilitation of the muscles, range-of-motion exercises, and proprioception
activities around the joint. Progressive chiropractic adjustments may address
concomitant joint dysfunction.
prognosis for this condition depends on the severity of the strain. With
conservative treatment, mild to moderate sprains will usually heal on their own
within a few weeks to a couple of months. Severe injuries may require surgery
followed by a physical therapy rehabilitation program. It is important to allow
the injury to heal completely before resuming physical activity to avoid the
risk of reinjury. Special medical athletic wear (e.g., Bio Skin compression
shorts) helps to increase proprioception and control muscle movements to
improve recovery time after injury.