Cycling is an ideal, low-impact cardiovascular activity that demands a lot of the hips. Pain in the hip region can greatly impede a cyclist, or may lead to stopping cycling completely. To get back on the bike, it is necessary to determine the cause of the pain and treat it appropriately once diagnosed.
Causes
A whole host of injuries may lead to hip pain when cycling. Trochanteric bursitis is a common injury that leads to pain on the outside of the hip resulting from inflammation in the bursa, a fluid-filled sac designed to protect the hip. Strains at the hip are also common, especially of the hip flexors, groins, hamstrings, gluteals and quadriceps. The hip labrum, cartilage in the socket part of the ball and socket hip joint, may become torn acutely in one incident, or chronically over time, leading to pain. These are just a few examples of what may cause pain when cycling.
Evaluation
A qualified healthcare professional should evaluate the hip to determine the root cause of the problem. Special orthopedic tests will be performed. If needed, x-rays will also be ordered. Occasionally, more extensive diagnostic testing, such as an MRI or CT, may be ordered as well.
Treatment
Treatment will be determined by the cause of the pain. A home exercise program may be given, or physical therapy may be ordered. Typical treatment consists of strengthening appropriately, especially focusing on the quadriceps, hamstrings, gluteals, hip flexors and adductors and doing soft tissue work to add flexibility to tight muscles. A combination of these therapies, over time, should effectively reduce or eliminate pain.
Prevention
Do not do too much too fast when starting cycling. Gradually increase workload, intensity and frequency. Also, a strengthening program may help prevent injuries from developing. Proper equipment is also important when cycling. Using equipment of the wrong size will place more stress on the joint and muscles. A bicycle should be fitted to the rider.
Considerations
Continuing cycling after an injury develops may lead to a more serious, complicated condition. It is important to address an injury as quickly as possible to prevent this from happening. Seek help from a healthcare professional and modify activity as needed.
References
- Examination of Orthopedic and Athletic Injuries; Chad Starkey, Sara Brown, Jeff Ryan; 2009
- Hip Pain
