Réhabital
Hip Pain Treatment in Côte Saint-Luc
The hip bears body weight with every step and allows a wide range of motion, making it vulnerable to wear, overload and muscular imbalance. Pain on the outer side lying down, groin stiffness rising from a chair, or a limp after prolonged walking are common presentations that do not all share the same origin. At Réhabital in Côte Saint-Luc, we precisely identify the source of pain — joint, tendon or referred from the lumbar spine — before proposing a targeted treatment plan.
Book an AppointmentUnderstanding This Condition
Hip pain follows recognizable clinical patterns. Deep groin pain, worse with prolonged sitting, stair climbing or pivoting on the weight-bearing leg, points toward hip osteoarthritis or femoroacetabular impingement, especially in people over 45 or former athletes. Sharp pain precisely on the outer hip, worse sleeping on that side or walking, suggests gluteus medius tendinopathy or trochanteric bursitis, very common in women aged 40 to 60. Deep buttock pain radiating into the thigh may come from the sciatic nerve compressed by the piriformis muscle, or be referred from the lumbar spine — an essential differential diagnosis since treatment differs completely. In young active people, groin pain with a catching sensation may indicate a labral tear. Finally, generalized morning stiffness across several joints should raise suspicion of a systemic inflammatory cause. Assessing pelvic posture, abductor strength and lumbar mobility is essential, as these factors directly influence hip load.
Common Symptoms
Common Causes
Hip osteoarthritis
Progressive cartilage wear narrows the joint space and causes mechanical groin pain, often with short-lived morning stiffness and reduced internal rotation range.
Gluteus medius tendinopathy and trochanteric bursitis
Weak hip abductors overload the gluteus medius tendon, causing characteristic outer hip pain, worse with single-leg standing and lying on that side.
Femoroacetabular impingement and labral tear
A shape mismatch between the femur and pelvis causes repeated friction during deep hip flexion, potentially injuring the labrum and causing pain with a catching sensation, especially in young athletes.
Piriformis syndrome
Excessive tension in the piriformis muscle can compress the sciatic nerve, causing deep buttock pain radiating into the thigh, often mistaken for a lumbar issue.
Referred pain from the lumbar spine
Irritation of lumbar nerve roots or facet joint dysfunction can project pain felt at the hip or buttock, without structural damage to the joint itself.
Our Treatment Approach
Assessment by physiotherapist Colin Teghen Tamuton includes specific tests (FABER, FADIR, Trendelenburg test, abductor resistance testing), lumbar mobility examination and gait analysis. Treatment combines progressive strengthening of hip abductors and pelvic stabilizers, joint mobilization, targeted stretching of hip flexors and piriformis, and correction of compensatory gait patterns. Osteopathy with Shahram Ghasemi addresses pelvic, sacral and lumbar restrictions that influence hip mechanics. Massage therapy releases chronic tension in the glutes and iliotibial band. For active people whose walking or running biomechanics contribute to the problem, a podiatric assessment can complement the treatment plan.
What to Expect at Your First Visit
The first visit lasts about 60 minutes: detailed history, specific hip tests, and postural and gait analysis. You leave with a precise diagnosis, tailored exercises, and guidance on temporarily modifying painful positions.
At-Home Self-Care Tips
- Avoid sleeping directly on the painful hip; use a pillow between the knees.
- Limit prolonged cross-legged sitting.
- Progressively strengthen the abductors with standing exercises.
- Avoid prolonged single-leg standing.
- Apply ice to the outer hip after provocative activities.
- Walk at a moderate pace rather than stopping activity entirely.
Prognosis & Recovery Timeline
Gluteus medius tendinopathy caught early usually improves in 6 to 10 weeks with proper strengthening. Mild to moderate osteoarthritis responds well to exercise and load management; severe forms may need an orthopedic opinion.
When to See Us at Réhabital
Come in if hip pain persists beyond three weeks, limits walking, or disrupts sleep. Seek prompt medical care for severe pain after a fall, inability to bear weight, or fever associated with the pain.
Why Réhabital Clinic
In Côte Saint-Luc, we carefully distinguish joint, tendon and referred causes of hip pain to avoid ineffective treatment. Our plans combine strengthening, manual therapy and practical advice suited to your daily life.
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Frequently Asked Questions
Address
D4-5800 Cavendish Blvd
Côte Saint-Luc, QC H4W 2T5
Phone
(438) 842-3550Hours
Mon–Fri: 10AM–8PM
Sun: 10AM–4PM
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