Overuse Series Part 2: The Hip

Overuse hip injuries are common in active individuals, such as runners, cyclers and those in sports like football, hockey and soccer. These injuries can begin with chronic pain from repetitive, high-impact activities like running, or sudden increases in activity levels from training.

Hip Tendonitis

Tendonitis occurs when a tendon becomes inflamed from repetitive stress. Tendons are attached directly into the bone and are structured that do not provide strength. Therefore, they must stretch as the muscle shortens.


  • Physical therapy
  • Relative rest of the painful area
  • Ice, ultrasound treatment or high-intensity galvanic stimulation

Active stretching helps to improve the length of the muscle-tendon unit. The muscle needs to be strengthened, as well as tightened at the same time. Most of these muscles are attached to the pelvic ring, so it’s important to stretch and strengthen all of your peripelvic tissues as well.

Another type of hip injury related to overuse is bursitis, which is extremely common in runners.


Bursitis forms inflammation in the fluid-filled sacs that lubricate your joints. Runners may experience a tight feeling in their hamstring or iliotibial band, which can occur from running on the same side of the road or wearing old shoes.

Symptoms of Bursitis

  • Dull ache
  • Burning, rubbing or popping sensation on the outside of your hip
  • Pain usually appears during or after a long run

Treatment for Bursitis

  • Reduce your mileage
  • Stretch hamstring and ITB after a run
  • Ice
  • Cross train
  • Consider anti-inflammatory medication, but always consult with your physician first.

Those who sit in front of a computer for several hours of the day tend to have shortened hip flexors. Strong and flexible hips are essential to overall health, especially running. Always remember to stretch your hips to reduce your risk of future injuries.

This article was adapted from Runner’s World and Medscape. To read about bursitis in runners, click here. To read about hip tendonitis, click here.

If you have any questions about knee pain or pain in general, please contact Campbell Clinic to meet with a physician. For more information about Campbell Clinic, please visit our website.

What is a herniated disc?

A herniated disc usually affects the cervical spine, but can occur anywhere along it. It is a relatively common condition that happens when spinal discs, cushion-like pads between the vertebrae, move out of place and press on the nerves that are adjacent to it. Without spinal discs, the bones in the spine would rub against one another.  Discs protect the spine and make twisting and bending possible.

How does it happen?

Spinal discs lose fluid volume over time as people age. Additionally, tears and microscopic cracks form as we get older and discs dry out.

Herniated discs can develop from:

  • Overuse injuries
  • Trauma to the spine
  • Repetitive movements
  • Obesity
  • Age
  • Genetic factors that cause the disc to degenerate

Lifting objects the wrong way can result in a herniated disc, which is why it’s essential to lift heavy objects with a straight back. Obesity can also cause various forms of health issues, but one is that it puts a heavy amount of strain along the spine. It’s important to take care of yourself and take the necessary steps to maintain a healthy lifestyle.


  • Burning, numbness or tingling
  • Muscle spasms
  • A range of symptoms from aches to severe pain

Seek medical attention immediately if you experience a loss of bowel or bladder control.

How to treat it

In some cases, surgery is required. The good news is that most people who have a herniated disc do not require surgery. They can actually heal on their own, as disc fragments are absorbed by the body. Physical therapy is also an option, as various positions and exercises can help to reduce pain.

If you or someone you know is experiencing a herniated disc, please contact Campbell Clinic to meet with a physician. For more information about Campbell Clinic, please visit our website.

This blog post was adapted from Spine Universe. Read the full article here.