Physiotherapy for Hip Pointer


Hip pointer is a condition in which the top portion of your pelvic bone is injured from a blow causing symptoms. The top part of your pelvis is called the iliac crest.

Causes

The most common cause of hip pointer is a direct blow to your iliac crest, which may occur in contact sports such as football, rugby, and contact martial arts. In some cases, the condition occurs when the person slips sideways and hit their iliac crest area in a hard object like a table or stair.

Symptoms

You may experience pain and swelling. Bruising may occur if small blood vessels near or in the skin are damaged. Trunk side-bending may be limited because of pain.

Severe pain or hearing or feeling of cracking at the time of your injury may mean that a break in your bone has occurred. You should go to the emergency room for prompt diagnosis and treatment.

What you can do

Minor cases of hip pointer with mild symptoms can be effectively managed with rest and putting an ice pack over your injury for 20 minutes at a time. Continue applying the pack every 3 to 4 hours during the first 2 to 3 days or until your pain and swelling subsides. When using an ice pack, make sure to wrap the pack with towel.

You can perform gradual strengthening of your core muscles once your symptoms go away. Ask your physiotherapist about appropriate exercises that you can perform.

Physiotherapy for Hip Pointer

The physiotherapy treatments that you receive for your hip pointer will depend on the severity of your injury. You physiotherapist will perform a thorough physical examination and evaluation of your injured body part and other associated structures. He or she will then formulate a comprehensive physiotherapy treatment plan with you involved in decision making.

Physiotherapy Treatment Options for Hip Pointer

Based on your specific problems and goals, your physiotherapist may provide you with a combination of any of the following
  • Cold therapy (ice pack application)
  • Heat therapy
  • TENS (transcutaneous electrical nerve stimulation)
  • Ultrasound (US)
  • Soft tissue mobilization (massage)
  • Stretching
  • Range of motion (ROM) exercises
  • Core strengthening exercises
  • General Conditioning exercises
  • Patient education
    • About hip pointer
    • Precautions to consider
    • Home treatments for hip pointer (home management)
    • Injury prevention
  • Return to work or sport rehabilitation program

Your physiotherapist may provide you with a list of home exercises that you can safely do at your home. Make sure to carefully follow your therapist’s home instructions.

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