Last week while playing in a pickup soccer game, I ran into another player and injured my hip. Now my hip is tender and painful when I walk and is hampering my conditioning. Could this be serious?
Dr. Charles Bush-Joseph:
It sounds like you are one of many athletes who experience pain, bruising, and inflammation from a hip pointer. A hip pointer refers to a direct contact injury to the iliac crest of the pelvis, or what most people think of as the “hip bone.” The term hip pointer is often used to illustrate a deep bruise, a break to the hip, or a small fracture to the hipbone. Most commonly it is used to describe a deep bruise.
Hip pointers usually occur when a blunt force or direct contact is made with the hipbone. They are often associated with contact sports such as football, soccer, and rugby. A hip pointer is usually recognizable by pain and tenderness that occurs after a direct contact injury. There is also a loss of motion in your hip joint that often causes a limp while walking and restricts your ability to run.Treatment:
The good news is that a hip pointer can often be effectively treated with RICE therapy: resting and discontinuing workouts; icing the hip for 20 minutes every hour over the first 48 hours; compressing the joints with a tightly wrapped bandage to help prevent swelling; and elevating the joint by sleeping or resting on the opposite hip.
If conservative treatment fails to reduce the pain of the injury, it would be a good idea to visit an orthopaedic physician. Your physician may recommend an anti-inflammatory medication to reduce swelling and pain, along with a stretching program that will help you to combat stiffness of the joint. Also, your physician may order an X-ray or other diagnostic testing to rule out a more serious injury such as a fracture.
For more information about Dr. Bush-Joseph and the Sports Medicine physicians of Midwest Orthopaedics at Rush, orthopaedic consultants for the Chicago Rush, call 877 MD BONES or visit us online at www.rushortho.com.
The information contained on this page is intended for education purposes only, and is in no way intended to serve as a substitute for direct medical advice. Anyone experiencing joint or muscle discomfort is encouraged to consult with a qualified orthopaedic physician. Submit Your Question
Platelet Rich Plasma Therapy
I recently read about a basketball player who underwent some type of blood platelet therapy to help his injury heal faster. How does that work? Are there any side effects? For a detailed answer, click here now.
I recently aggravated my foot while on a long training run. Now, even when I walk on it, the top of my foot swells to about twice its normal size and I can barely put weight on it. When I lie down at night the swelling dissipates and by the next morning is almost completely gone. What causes this condition? For a detailed answer and treatment options, click here now.
My ankle recently started cracking/popping every time I walk. I’ve been researching the condition, and the experts seem to say that if it doesn't hurt, then don't worry about it. Fortunately mine doesn't hurt but the popping is really annoying when I am at work. What can I do to help stop this? For a detailed answer and treament options, click here now.
I had bunion surgery 11 years ago on my right foot and now I think I need it on my left foot. When I had surgery, I was in a cast and had a pin in my foot. Has the surgery progressed since then? Are there any other options? Can a cortisone shot help? For a detailed answer and treatment options, click here now.
Big Toe Replacement
I am a 30-year-old basketball player who plays professionally in Europe. Some time ago I had bunion surgery outside of the United States, which produced a poor result. Two screws were place through the joint which ultimately damaged my cartilage.
I am considering partial joint replacement of my big toe. Do you think it will be possible to return to play professionally after this procedure? My body heals pretty well but I have not seen an example of an athlete who had partial joint replacement in the big toe and was able to resume their career. For a detailed answer and treament options, click here now.
I suffered distal biceps rupture approximately four months ago. I’ve been rehabbing the injury with little progress. Should I continue with rehab? Is it too late to have surgery? For a detailed answer and treatment options, click here now.
The tops of both of my feet are extremely sensitive to any kind of touch or pressure. I am not experiencing any swelling or significant pain, however. Also, I am unable to recall any specific injury or event when the condition started, but I’ve been experiencing it for a really long time. For a detailed answer and treatment options, click here now
Big Toe Arthritis
I recently went to a Podiatrist for treatment of what I thought was a bunion only to find out that I have Hallux Limitus or Hallux Rigidus. Is surgery the only treatment option for these conditions? Before making any decisions, I want to make sure that I’m exploring every available option. For a detailed answer and treatment options, click here now.
I recently injured my thumb playing basketball when another player bent it back severely while attempting to block my shot. It’s been a week now and it still hurts anytime I catch it on something like a door or my pockets. Should I see a doctor? For a detailed answer and treatment options, click here now
Rotator Cuff Tear Knee Pain
I believe that I have a rotator cuff injury. Are there degrees of rotator cuff tears? If so, do they all require surgery for repair? For a detailed answer and treatment options, click here now
My 13 year old son has been diagnosed with OCD of the patella, although I am very confused as to what this means. There appears to be a hole in his cartilage and he is in a great deal of pain. He is a top athlete, and I’m worried for him that this means he is done with sports. What treatment options are available to him? For a detailed answer and treatment options, click here now
Treating Shin Splints
My 14-year-old daughter runs cross-country and has developed shin splints. What do you recommend for a course of treatment? For a detailed answer and treatment options, click here now
Over the past few months my shoulder has really been bothering me during my golf swing. I’m an avid golfer and I participate in a women’s golf league every week. After I play, my shoulder seems to be stiff. Have I torn something? What do you recommend for a course of treatment? For a detailed answer and treatment options, click here now
As a soccer coach, I’ve noticed that ankle injuries are somewhat common with my players. How can you tell the severity of a sprain? Also, can you offer any tips for healing and prevention of ankle sprains? What do you recommend for a course of treatment? For a detailed answer and treatment options, click here now
About four weeks ago I fell while going up for a jump shot and have experienced pain at the conjunction of my right leg and butt. My physical therapist thinks that I have a hamstring strain. I'm trying to rest it, and I can ride a bike and walk, but I cannot run or play basketball. I've been doing some strengthening and stretching exercises but it still really hurts to sit or stand up after sitting for a prolonged period of time. Do you have any advice that could aid in my healing process? For a detailed answer and treatment options, click here now
Rotator Cuff Tendonitis
When I play tennis and raise my arms over my head to hit an overhead shot, I’m having pain in my shoulder. What could be causing this pain? For a detailed answer and treatment options, click here now
Replacing Athletic Footwear
How often should I replace my running shoes? Everyone I talk to has a different opinion, especially shoe salespeople. I’m interested in hearing a physician’s perspective. For a detailed answer and treatment options, click here now
I read an article about a condition referred to as "frozen shoulder" and was curious if this condition can also affect the elbow. I recently had a problem with my left elbow with similar symptoms that was not a result of any injury and now have an odd formation of scar tissue. For a detailed answer and treatment options click here now
Lower Back Pain
For several months I have been experiencing a deep tissue pain that starts in the upper part of my right glute and is accompanied by pain in my lower back. I cannot remember any specific incident that caused this injury. I take Ibuprofen for the pain, but the condition keeps resurfacing and is now limiting my training. Could this be serious? For a detailed answer and treatment options, click here now
Hydration and Cramping
I am an active person who works out about four to five times a week. I try and eat a balanced diet and drink enough water. Over the past month I have experienced an increasing amount of cramps while working out. I’ve tried drinking more water, but that is not helping. Sometimes the cramps are so severe I must discontinue activity, and they even wake me up at night. Is there anything else that I can do to prevent these cramps? For a detailed answer and treatment options, click here now
What type of shoes should a person with a semi-repaired Achilles avulsion wear for everyday use and for exercise walking and hiking? For a detailed answer and treatment options, click here now