Hip pain is common problem, and it can be confusing because there are many causes.  The most common cause of Hip Pain is arthritis for which you will need to see your GP for them to advise on the best treatment option of you. Trochanteric Bursitis Trochanteric bursitis is an extremely common problem that causes inflammation of the bursa, which is a protective cusion over the outside of the hip joint.  There are two main bursa which protect the hip joint, the superficial trochanteric bursa and the deep trochanteric bursa.  The superficial trochanteric bursa lies beneath the tensor fasciae latae (one of the muscles on the side of your hip) and the deep trochanteric bursa lies beneath the the largest of your glutes (gluteus maximus) both of the these muscles insert in to the Iliotibial Band (ITB).  Reduced flexibility in your gluteus maximus, tensor fasciae latae or ITB can cause trochanteric bursitis, from too much cycling or running or from running on uneven surfaces.  Another common cause is some women is an imbalance between your abductor and adductor muscles.  Trochanteric bursitis can also be caused by clients altering their posture as a result of a previous back injury. In all these cases a deep tissue or sports massage can help.  However if the cause is walking with more weight going through the outside of your foot (excessive foot eversion) then your make need to see a podiatrist for personalized orthotics. Hip Flexors Illiopsoas the main hip flexor, shortens when we sit down, so prolonged sitting can cause contracture (anatomical shortening) which can cause either lower back or hip pain.  I have personally found this to be a common cause of hip pain which can be successfully treated with deep tissue or sports massage. If you experience lower back or hip pain when standing up from a seated position then rectus femoris which is one your largest quadriceps muscle make be tight and/or your gluteus maximus which is the other muscle which helps your stand from a seated position may be weak.  If you suspect you have weak glutes you can strengthen them with squats and lunges. Fractures Hip fractures are common in the elderly with osteoporosis.  Stress fractures of the hip are common in people who participate in high impact sports e.g. long distance running, treatment is usually to avoid the high impact sport and this is usually successfully. When should I see my GP about my hip pain?  

• Inability to walk comfortably on the affected side
• Injury that causes deformity around the joint
• Hip pain that occurs at night or while resting
• Hip pain that persists beyond a few days
• Inability to bend the hip
• Swelling of the hip or the thigh area
• Signs of an infection, including fever, redness, warmth
• Any other unusual symptoms

In my last post, I explained how both your scalenes and sternocleidomastoid can become both tense and painful from shallow breathing.   Obviously deep breathing will help as it will address the cause.  But what if you have a bad habit of shallow breathing, and know its causing tension in your neck muscles? First there are some stretches that will help.

• Sternocleidomastoid Stretch

The sternocleidomastoid muscle runs like two long strap-like muscles on either side of the front of the neck. To stretch it, rotate the head to one side as far as is comfortable. Then tilt the head to the same side, as if trying to reach the ear to the shoulder. Hold for 30 seconds and then repeat on the other side of your neck.

• Scalenes Stretch

The scalenes muscle groups is made of three muscles; anterior scalene, middle scalene & posterior scalene.  Due to the location of these muscle tightness can contribute to tension headaches & can refer pain both to the chest and shoulder.  In addition the brachial plexus a network of nerves that supplies signals to the shoulder and arm.  Therefore tension within these muscles can also restrict these nerve signals, causing pain and pins & needles (paraesthesia) down the arm to the hand. Stretching the scalenes is relatively easy. Start by sitting in a chair. Put your right hand under your bottom and sit on it. This pins the shoulder down so that your neck can stretch without raising the shoulder. Tilt your head directly to the left bringing your left ear towards your left shoulder. If you don’t feel much of a stretch, bring your left hand up to Gently pull your head down towards the left more. Hold for 30 seconds. Repeat this stretch tilting the head slightly in front of and behind the shoulder as well. This stretch can also be done lying down. See picture below.