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Hip Pain diagram - Lilyfield Physio

Walking, climbing stairs, running, jumping or squatting; your hips are doing most of the work. At least they would like to be. The hip joint is a big and very mobile joint and is hungry to play a dominant role in weight bearing activities. This calls for strong muscle activity especially from the powerful Gluteal Muscles (buttock muscles). Strong muscle activity requires good brain – nerve – muscle connections as well as actual muscle strength.

Pain often alerts us to a muscle imbalance problem and there are many hip problems associated with Gluteal muscle inactivity:

·       Gluteal tendinopathy
·       Groin Strain
·       Hamstring Strain
·       Hip Joint Impingement
·       Hip Arthritis
·       Bursitis

Do you have a leg to stand on?

For the gluteal muscles to work efficiently and consistently we really need to be able to stand up on top of our leg. This sounds obvious but often due to weakness or postural trunk muscle tension we land on our leg with our body pulling us off balance and we are just propped on the front or side of our leg. The Gluteal muscles will not fire up as needed and a vicious cycle of hip muscle weakness continues.

How do we fire up our gluteal muscles?

Gluteal muscle exercises such as the side lying – clam exercise and the bridge exercise have been shown to activate the Gluteal muscles and will take the edge off your hungry hips.

More importantly, exercises that target natural weight bearing activities will encourage the automatic firing pattern of the Gluteal muscles and this will make strengthening easier, more efficient and more powerful.

Step exercise and stair climbing

Learn to climb stairs with a dominant hip movement strategy. This will reduce pain and stress in the hip and knee and enable a much stronger action. Press down into the step with your entire foot engaging the connection between your foot, knee and hip and stand up on top of your leg. Let your heel drop and try not to lean forwards.

Step exercises - Lilyfield Physio

Beware of Sitting

Your sitting habits may compromise your hip movement and can play a big role in the inefficiency of the hip muscles. Moving more often helps avoid the dangers of habitual sitting. Practice standing up and sitting down with Gluteal muscle awareness many times every day.

Ensure your efforts are rewarded

Exercise success is always facilitated by having a reason for the exercise which is related to moving freely and strongly as well as being without pain. Enjoy the power of contented hips.

Running - Lilyfield Physio


Neck Pain and Shoulder pain while working at a desk.

Is neck pain at work giving you grief?

Increasing computerisation in the work place has made it difficult for us to keep a strong back and neck.

Could you benefit from strengthening exercises for your neck and shoulder muscles?

Researchers from University of Queensland reviewed the scientific evidence for workplace-based interventions for office workers with neck pain. The study was published in the journal Physical Therapy.


The study found that regular exercise to strengthen the neck and shoulder muscles was the most effective intervention and was of greater benefit than trying to find the ideal ergonomic set up.

Simple neck / shoulder strengthening exercises may be what you need in 2018.

You were made to move…. and we can help!

Read the latest evidence from the World Confederation of Physical Therapy Congress 2017, currently underway in Cape Town.

“Physical therapists have a vital role to play in giving patients the ability, knowledge and self-confidence to self-manage chronic musculoskeletal disorders. Their contribution could be increasingly important as musculoskeletal disorders rise in prevalence, a focused symposium heard.” Read more

Justin Rose says “Thanks Kam!”

Justin Rose, British golfer, thanks long time Physiotherapist Kam Bhabra from Lilyfield Physio for helping his Olympic career. Justin Rose proudly holds his Olympic Gold in Rio – and he’s thanking Kam who was his physio all through his early days in England. Kam’s knowledge of the particular requirements of golfers is legend and its not only Justin who is congratulating him, but all of us too!