Hip pointer injuries and sports rehab are found in contact sports such as football or when an athlete falls and hits the surface hard (skier, cyclist).
A hip pointer injury is a result of a direct blow to the top of the pelvis called the iliac crest or the bony protrusion on the outside of the hip called the greater trochanter.
The force of the impact usually by a helmet causes a bruise ( technical term contusion) to these areas and sometimes an avulsion fracture. An avulsion fracture is where a small part of the bone is pulled away by the attached muscle.
When hip pointer injuries occur there can be bleeding in the front and side of the hip and into muscle groups surrounding the area. The bleeding and swelling makes movement of the hip painful. The absence of padding and fat in this region makes the hip vulnerable to this type of injury.
In the following article I will discuss sports rehab for hip pointer injuries.
Initial treatment for hip pointer injuries is to start resting, applying ice and compression several times per day. Usually the orthopedist will prescribe an anti-inflammatory medication to speed things along. All of the above will start the process of reducing the pain, inflammation and swelling. Once the acute pain has subsided it is now time to make an appointment with the sports rehab specialist or physical therapist.
On initial visit to the sports rehab specialist a comprehensive evaluation is performed to assess the injury and rule out any complications. From this assessment the physical therapist will plan a program to include modalities, hip range of motion and stretching and finally hip strengthening.
The use of modalities includes ultrasound, electrical stimulation and cold laser. Ultrasound will diminish the inflammation and soothe the region. Electrical stimulation will stimulate injured muscles, reduce scar tissue and relax the musculature. Cold laser will reduce the hematoma and speed up the healing process. Sports massage is often utilized to further breakdown scar tissue and loosen muscle fibers.
Normally the sports rehab specialist progresses the range of motion exercises from active (athlete performs); active assistive (therapist and athlete together) and finally passively ( therapist only). Passive range of motion is when the sports rehab specialist aims for full range of motion.
To build strength into the hip area a total hip apparatus is utilized. This apparatus is extremely beneficial because you can isolate the planes of motion of the hip. The physical therapist can also implement velcro weights, resistive bands, leg press and knee extension machines. Using a stationary bike and treadmill works on regaining endurance in the hip region. In some facilities you will find aquatic therapy is very helpful to gain motion and strength will tissue is healing.
Most hip pointer injuries are accidental events and cannot be prevented. Wearing protective hip padding appropriate for your sport is advised. It is always best to incorporate hip warm up exercises in your routine. If you are not familiar with the specific warm up exercises you should get a print out from your sports rehab specialist.