Therapeutic goals
Reduction of anterior hip pain and inflammation.
Reduction of mechanical stress on the iliopsoas tendon.
Improved hip mobility.
Strengthening of the stabilising muscles of the hip and pelvis.
Improved lumbopelvic neuromuscular control.
Prevention of recurrence and a gradual return to sporting activities.
Techniques used
Pain-relieving physical therapy as indicated. Massage therapy and myofascial release of the iliopsoas region, proximal quadriceps and hip muscles. Relaxation work for the anterior hip region.
Progressive stretching of the iliopsoas and quadriceps. Stretching of the tensor fasciae latae and gluteal muscles. Overall hip mobility work.
Progressive strengthening of the pelvic and hip stabilisers: gluteus maximus, gluteus medius, deep abdominal muscles, hip external rotators.
Single-leg balance exercises. Work on an unstable surface or balance cushion. Pelvic control and lower-limb alignment work.
Pelvic control work during walking and running. Gradual reintroduction of running according to tolerance. Advice on warming up and adjusting training load.
Exercise programme
- Glute bridge, double-leg then single-leg
- Clamshell with a resistance band
- Side-lying hip abduction
- Core strengthening (front and side plank)
- Controlled squat with pelvic stability work
- Step-up / step-down
- Controlled knee raise (functional hip flexion)
- Lumbopelvic control exercises
Protocol details
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