Hip Pain Treatment

Understanding Hip Pain

The hip is a large ball-and-socket joint designed for both stability and mobility. The femoral head fits deeply into the acetabulum of the pelvis, surrounded by a thick joint capsule, strong ligaments, and powerful muscles that control movement in all planes. The hip bears enormous forces during weight-bearing activities — up to five times body weight during running — making it susceptible to a variety of painful conditions. Hip pain can originate from the joint itself, the surrounding soft tissues, the lumbar spine, or the sacroiliac joint. Because these structures are closely interconnected, accurately identifying the true source of hip pain is essential for effective treatment. Dr. Townsend evaluates the hip as part of the larger lumbopelvic complex to ensure all contributing factors are addressed.

Common Symptoms

• Deep groin pain that worsens with weight-bearing or hip rotation
• Lateral hip pain over the greater trochanter, especially when lying on that side
• Stiffness in the hip that limits crossing the legs or putting on shoes
• Pain that radiates from the buttock down the outer thigh
• Limping or an altered gait pattern due to hip discomfort
• Clicking or catching sensations within the hip joint during movement

What Causes Hip Pain

Hip bursitis, particularly trochanteric bursitis, is one of the most common causes of lateral hip pain and results from friction and inflammation of the fluid-filled sac over the outer hip. Hip osteoarthritis causes progressive cartilage loss within the joint, leading to stiffness and deep joint pain. Sacroiliac joint dysfunction creates pain that is often perceived as hip or buttock pain. Lumbar disc herniations and nerve root irritation can refer pain into the hip region, mimicking a hip joint problem. Labral tears — damage to the ring of cartilage surrounding the hip socket — cause deep groin pain and mechanical catching. Muscle imbalances, particularly tight hip flexors from prolonged sitting, alter joint mechanics and increase stress on hip structures. Leg length inequality creates asymmetric loading that predisposes one hip to overuse.

Chiropractic Approach to Hip Pain

Dr. Townsend differentiates between true hip joint pathology, referred lumbar pain, and sacroiliac dysfunction through comprehensive evaluation. Range of motion testing, orthopedic provocation tests, and gait analysis pinpoint the involved structures. Lumbar and sacroiliac examination ensures that spinal contributions are not overlooked. Treatment for hip conditions includes specific hip joint mobilization and adjustments to restore normal joint play and movement. Pelvic and sacroiliac adjustments correct alignment imbalances that alter hip mechanics. Lumbar adjustments address any spinal nerve irritation that may be contributing to hip-region symptoms. Soft tissue therapy releases tight hip flexors, IT band restrictions, and gluteal trigger points. A targeted exercise program progresses from hip range of motion restoration to strengthening of the gluteal muscles, hip abductors, and core stabilizers. Leg length correction with heel lifts may be recommended when a structural inequality is contributing to hip asymmetry.

Benefits of Chiropractic Care for Hip Pain

• Restores hip joint mobility and reduces stiffness
• Corrects pelvic alignment to balance forces across both hips
• Addresses lumbar and sacroiliac contributions to hip pain
• Strengthens supporting muscles to improve joint stability
• Reduces bursitis inflammation through biomechanical correction
• Provides conservative management before considering joint replacement

What to Expect at Your First Visit

Your evaluation includes a thorough assessment of hip range of motion, joint integrity, gait mechanics, pelvic alignment, and lumbar spine function. Dr. Townsend will determine whether your pain originates in the hip joint, the sacroiliac joint, the lumbar spine, or the surrounding soft tissues. You will receive a clear diagnosis and a treatment plan addressing all identified sources of your hip pain.

Frequently Asked Questions

Is chiropractic safe for hip pain?

Yes, chiropractic care for hip pain is safe and effective. Dr. Townsend uses techniques appropriate for the specific hip condition present, from gentle mobilization for arthritic hips to more direct adjustments for joint restrictions. Cases requiring orthopedic evaluation are referred when appropriate.

How long does treatment take?

Most hip conditions show meaningful improvement within four to six weeks of care. Arthritic hips and chronic bursitis may benefit from periodic maintenance treatments to maintain comfort and mobility. Dr. Townsend will provide a realistic treatment timeline during your initial evaluation.

Do you accept insurance for hip pain treatment?

Yes, chiropractic care for hip pain is covered by most insurance plans. Our office staff will verify your benefits and discuss any financial responsibility before starting treatment.

Get Relief from Hip Pain Today

Don’t let hip pain control your life. Call (802) 474-4258 or request an appointment to schedule your evaluation at Chiropractic First in So. Burlington VT.