Hip Muscle Strains
Muscle strains occur as a result of changes in the position of the bones their tendons attach to. Bones in the body will often gradually move into a different position as loads are applied to them over the years. The bones in the feet move from their natural resting positions, result in a change in position of the entire foot as you stand and walk. The position of the foot then has an influence on the resting position of the pelvis.
For example excess foot pronation (flat foot, pes planus) or supination (high arch, supination) will change the position of the knee and ultimately tilt the pelvis.
If the pelvis is tilted, the muscle surrounding the pelvis and hips will not work in ‘equilibrium’ between the left and right sides. Therefore a greater demand will be placed on muscles at one side more than the other, and this increased stressed can eventually result in an injury. The injury may present as tendinopathy, bursitis, joint inflammation, osteoarthritis, or muscle tightness.
When carrying out an assessment in relation to hip pain, it is important to assess the range of motion of the hip joint, to assess core muscle activation and to assess foot posture, for example assess forexcess foot pronation (flat foot, pes planus) or foot supination (high arch, pes cavus).
Foot orthotics may be required to restore foot posture and restore muscle balance around the pelvis and hips.