Here’s another blog from a Mississauga Chiropractor…
A hip pointer is a contusion to the iliac crest or ASIS, sometimes involving an avulsion or tendinopathy. It is caused by a trauma to the iliac crest often from a contact sport or motor vehicle accident.
- Local pain, swelling and sometimes bruising to the iliac crest
- Increased pain with hip & trunk movement
- Abdominal & gluteal muscle spasms; pain with hip abduction, hip muscle contraction, coughing or sneezing.
- Tenderness with palpation along the iliac crest
- Sleep disturbance
- Increased pain & stiffness with walking
- Ice & rest for 48 hours if acute. Short periods of bed rest may be necessary. Patient should try to avoid causing pain.
- Sleep with the injured side up
- Immobilize the hip in an extended rather than flexed position
- After 48 hours:
- Continue to ice; start an ice massage if tolerated; walking as tolerated
- Stationary bike as tolerated
- Electrotherapy – IFC or microcurrent
- Massage therapy – very gentle and superficial at first. Later deep tissue massage is helpful in reducing scarring & adhesion. Avoid deep massage for at least 1 week.
- Passive range of motion exercises
- Osseous manipulation of the spine/pelvis
- Gentle stretching: Hamstring & Posas
- Recovery in 1-3 weeks in mild cases (longer in moderate cases)