What if the hip was guilty?
In previous articles, we discussed some risk factors for groin injuries and ways to prevent them. Beyond prevention, if there’s still pain in this region, it’s not always easy to return to play. Although this may seem very simple, pain in the snout area is not always caused by muscle damage. Another cause of pain may be in the femoral-acetabular brace (FASE) also called the brace of the hip. This is a pathological collision between the femoral head and the acetabulum, which may be due to an anatomical abnormality in one or both structures of the hip.
Although the ISP can be asymptomatic, it is now recognized as a common cause of hip pain in athletes. It is the leading cause of osteoarthritis in the hip in the male population. A recent systematic review on the topic had male participants in sports of high levels impacted at a young age would be 1.9 to 8 times more at risk of developing the ISP. More specifically, field hockey players are 10 times more at risk.
In these findings, attention should particually be paid to the growing workload of players in field hockey training. One way would be to advance the intensity and duration of training on ice, especially after a period of inactivity. Warming up without much intensity beforehand, keep the first activation off ice and limit large amplitudes of footwork early in the practice and during the first drills are ways to reduce the risks during the recommencing of the activity.
It is important to know that only a portion of players suffering from ISP will develop osteoarthritis as they age. This means that the development of the ISP is not forsure going to happen but a risk factor for osteoarthritis. Consult a health care professional to prevent or treat this type of injury and it will increase your chances of to perform at your full potential and be healthy.
Written by Maxime Provencher, M. Physiotherapy
References:
Nepple JJ, Vigdorchik JM, Clohisy JC. (2015) What Is the Association Between Sports Participation and the Development of Proximal Femoral Cam Deformity? A Systematic Review and Meta-analysis. Am J Sports Med.
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