Hip Pain PT | Cha Physical Therapy

Hip and SI joint pain

Hip pain. Usually a deeper pattern.

The hip is a load-transfer joint between the spine and the lower limb. When something above or below stops working, the hip pays the price. Impingement, labral patterns, glute pain, post-replacement recovery: all benefit from treating the system, not just the joint.

The hip is built for both stability and motion. Most hip pain is a problem with one or the other.

Hip pain has several common patterns. Femoroacetabular impingement (FAI) is bony or soft-tissue impingement at end-range hip flexion, usually with deep groin pain. Labral irritation produces sharp catches in specific positions. Greater trochanteric pain (often called bursitis) is more often a gluteal tendon problem from poor pelvic control. SI joint patterns refer pain into the hip region from a different source entirely.

Post-surgical hip recovery, whether from replacement, arthroscopy, or labral repair, depends on how mobility and strength are rebuilt in the months after the procedure. The surgical work is one part of the outcome. The PT determines the rest.

Mobility where it is stuck. Strength where it has stopped firing.

Manual therapy addresses the joint restrictions, capsule tightness, and soft tissue that are limiting hip motion. For most patients with hip impingement or labral patterns, restoring posterior capsule mobility and addressing iliopsoas tone is the first priority. This is hands-on work, not stretches you do alone.

Then the strength and motor control: gluteal activation, pelvic stability, hip rotation control, and the trunk-hip coordination that distributes load properly through the joint. The exercises are specific to your pattern. Athletic or activity return is part of the plan if relevant.

Hip evaluated in context. Spine, hip, and foot together.

Hip pain that is treated in isolation often persists because the spine above or the foot below is feeding the dysfunction. Here, the evaluation looks at the whole kinetic chain. If the hip pain is downstream of a spine pattern, we address the spine. If it is a primary hip problem, we treat it directly.

One clinician, one hour, hands-on for the bulk of the session. The case is managed by the same therapist throughout. Post-surgical patients work to a clear functional milestone progression, not generic exercise sheets.

The hip can move again. And carry the load.

Address 16 W 32nd St, Suite 1007 NoMad, New York 10001
Hours Monday – Friday 9am – 7pm
Phone (212) 643-9326
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