The adductor group is responsible for hip adduction. Medial rotation is performed by the gluteus medius and gluteus minimus, as well as the tensor fasciae latae and assisted by the adductors brevis and longus and the superior portion of the adductor magnus.

While the gluteus maximus is an antagonist for hip flexion, in hip extension it is the primary mover. The hamstrings are agonists during both hip flexion and extension, but the most important antagonists are the psoas and iliacus muscles.

The primary hip extensors include the gluteus maximus, posterior head of the adductor magnus, and the hamstrings (TABLE 2).13 , 17 In the anatomic position, the posterior head of the adductor magnus has the greatest moment arm for extension, followed closely by the semitendinosus.

Gluteus Maximus

Agonist/Antagonist

Instructions:

1. Lie on your back with bent knees and your feet in toward your hips.
2. Press your palms into the floor alongside your body.
3. Extend your right leg so it’s straight.
4. Lift your hips up as high as you can.
5. Hold this position for 30 seconds.
6. Do each side 2–3 times.

Going for a “pure” walk (no running at all) allows your body to make small adaptations that strengthen your feet, knees, and hips. Long, brisk walks can help boost your endurance.

The patient is instructed to flex one leg at the hip and knee as if taking a marching step. While holding this position, the patient is asked to arch his or her back into extension. Reproduction of pain on the stance leg is a positive finding. The test is then repeated on the contralateral side.

Go to a hospital or get emergency help if: Your hip pain is acute and caused by a serious fall or other injury. Your leg is deformed, badly bruised, or bleeding. You are unable to move your hip or bear any weight on your leg.

In the hip, a pinched nerve can cause a:

• sharp, searing, or burning pain in the hip, thigh, or groin.
• dull, achy pain in the hips and buttocks.
• tingling, “pins and needles” feeling, or numbness in the hip or down the leg.
• weakness or loss of movement in the affected hip and leg.

What Is Sciatica? Sciatica refers to back pain caused by a problem with the sciatic nerve. This is a large nerve that runs from the lower back down the back of each leg. When something injures or puts pressure on the sciatic nerve, it can cause pain in the lower back that spreads to the hip, buttocks, and leg.

The femoral nerve helps move your hips and knees It’s one of the largest leg nerves and runs from your pelvis down the front of your leg. The nerve signals carried by the femoral nerve are a critical part of the ability to stand, walk, and maintain balance.

The hallmarks of sciatica pain include: Searing pain in your lower back that can come and go with certain movements. Pain that radiates down one side of your buttocks, hips, and legs. Dull pain in your back, hips, and buttocks.

1. Simple Seated Stretch

1. Start by sitting in a chair and cross your sore leg over the knee of your other leg.
2. While keeping your spine straight, bend your chest forward. If you don’t feel pain, bend forward a little more.
3. Hold this position for about 30 seconds.
4. Repeat this stretch with your other leg.

Your doctor may refer you to a physical therapist. During physical therapy sessions, you learn to perform exercises for sciatica that alleviate a pinched nerve in the hip. This includes stretching and strengthening the muscles and other soft tissues in the buttocks, hip, lower back, and abdomen.

Osteoarthritis and rheumatoid arthritis are among the most common causes of hip pain, especially in older adults. Arthritis leads to inflammation of the hip joint and the breakdown of the cartilage that cushions your hip bones. The pain gradually gets worse.

Wrap an ice pack or a bag of frozen vegetables in a towel to ice your hip. A warm bath or shower may also help reduce your pain and prepare your muscles for stretching. Stretch. Gently stretching your body may reduce hip pain, especially if the cause is a strain or pinched nerve.

Muscle stiffness typically occurs after exercise, hard physical work, or lifting weights. You may also feel stiffness after periods of inactivity, like when you get out of bed in the morning or get out of a chair after sitting for a long time. Sprains and strains are the most common reasons for muscle stiffness.

One of the most common hip issues, bursitis is when the small sacs that cushion your hip joints become inflamed. If your pain tends to stay muted during the day and gets worse when you lie down on your hip, it may . be bursitis.

Sleep position If you regularly wake up at night from hip pain, the way you’re sleeping or your mattress could be to blame. A mattress that’s too soft or too hard could trigger pressure points, which may lead to a sore hip. Sleep posture can also cause pain.

Reduces back and hip pain Putting a pillow between your knees or thighs has the potential to help you maintain the natural alignment of your hips and pelvis while you sleep. This improved alignment may help take the strain off inflamed ligaments or muscles that are causing your discomfort.

Signs that it might be time for a hip replacement:

• Your pain persists or recurs over time.
• Your hip aches during and after exercise.
• You’re no longer as mobile as you’d like to be.
• Medication and using a cane aren’t delivering enough relief.
• Your hip stiffens up from sitting in a car or a movie theater.