Hips and knees

Spire Portsmouth Physiotherapy offers a wide range of services to treat hip and knee conditions. Our team works closely with the specialist orthopaedic consultants at Spire Portsmouth Hospital to ensure an excellent level of care.

Below you will find more information about:

Hip and groin injuries

People who are at risk of this condition usually present with muscle imbalance, core weakness, ligamentous injury or a history of previous hip/groin injury. Also a dramatic change in training techniques and intensity can increase an athlete’s chance of developing this condition. The variety of structures and potential causes of pain can make differential diagnosis a challenge for the clinician.

Signs and symptoms
Due to the nature of this condition signs and symptoms can vary from person to person, depending on the structures that are affected. You should however consider seeing a physiotherapist if you begin to get any of the following symptoms:

  • Clicking or ‘catching’ of the hip
  • Pain with hip flexion
  • Pain or burning on the outside of the hip
  • Dull aching in the buttock area
  • Pulling in the groin or inner thigh area
  • Deep aching in the groin on one side
  • Pain with sit ups

How physiotherapy can help
Physiotherapists are usually the first point of contact for patients suffering from this condition and the symptoms associated with it. Accurate diagnosis of hip and groin injuries, correct treatment and rehabilitation, and/or referral if necessary, avoids long periods of inappropriate treatment.

Physiotherapy treatment for this condition is based on an accurate diagnosis to whether conservative treatment is going to be beneficial or if further investigation is warranted.

A graded approach to your chosen sport/activity is preferred to prevent this condition. A regular review and check of your footwear is recommended especially if you are about to increase your intensity of mileage in training.

Knee pain

Knee pain is the most common musculoskeletal complaint that brings people to their doctor*. With today's increasingly active society, the number of knee problems is increasing. Knee pain has a wide variety of specific causes and treatments.

It is vital to make an accurate diagnosis of the cause of your symptoms so that appropriate treatment can be directed at the correct area. If you have knee pain, some common causes include:

  • Arthritis
  • Ligament damage
  • Cartilage damage
  • Dislocated kneecap

Signs to indicate you should see a physiotherapist

  • Inability to walk comfortably on the affected side
  • Injury that causes the knee to swell or change shape
  • Knee pain that occurs at night or while resting
  • Knee pain that persists beyond a few days
  • Locking (inability to bend or fully straighten) the knee 
  • Swelling of the joint or the calf area
  • Signs of an infection, including high temperature, redness
  • Any other unusual symptoms.

Top tips for an injured knee
Follow the principle of RICE for the first few days - Rest the knee, apply Ice for 20 minutes at a time, Compress by wearing a tubigrip or knee support to help limit swelling and Elevate the knee above the level of the heart which will also help prevent excess swelling.

A chartered physiotherapist can fully examine your knee to establish what damage may have occurred. They will also be able to provide you with specific advice and a course of treatment which is tailored to you and your specific knee problem. Treatment often consists of a specific exercise and stretching programme and soft tissue treatments.

 All physiotherapists at Spire Portsmouth Hospital are registered with the Health Professions Council (HPC) and the Chartered Society of Physiotherapy (CSP). Find out more about our Spire Physiotherapy team.

The physiotherapy team at Spire Portsmouth Hospital

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