Hip pain is a common issue that affects people of all ages and can significantly impact daily activities. While hip pain can arise from various causes, including joint degeneration, sciatica, piriformis syndrome, structural abnormalities, and referred pain from other areas of the body, muscle strain and trigger points are often overlooked as significant contributing factors.
In particular, trigger points in the Iliocostalis Lumborum, Quadratus Lumborum, Gluteus Medius, and Gluteus Minimus muscles can play a critical role in causing or exacerbating hip pain. Understanding these trigger points and how they develop is essential for effective pain management and prevention.
What Are Muscle Trigger Points?
Muscle trigger points, often referred to as "knots," are hyper-irritable spots in skeletal muscle that can cause pain, tenderness, and stiffness. These points are often palpable and can lead to referred pain, which means the discomfort is felt in a different area than where the trigger point is located. Trigger points can develop due to muscle overuse, injury, poor posture, or prolonged inactivity.
There is growing concern that hip pain is becoming more prevalent, particularly in modern societies where sedentary behavior is increasing. The rise in desk jobs, prolonged sitting during commutes, and the increasing use of digital devices contribute to this trend.
How Prolonged Sitting Contributes to Hip Pain
Prolonged sitting, especially with poor posture, is a significant contributor to the development of muscle trigger points and subsequent hip pain. When we sit for long periods, certain muscles are overworked while others become inactive. This imbalance can lead to muscle tension, weakness, and the formation of trigger points in the muscles that support the hips and lower back.
Poor Posture: Sitting with a slouched back or uneven weight distribution places additional stress on the Iliocostalis Lumborum and Quadratus Lumborum, leading to the development of trigger points in these muscles.
Muscle Compression: Sitting compresses the gluteal muscles, including the Gluteus Medius and Gluteus Minimus, restricting blood flow and causing these muscles to weaken and develop trigger points.
Hip Flexor Tightness: Prolonged sitting often leads to tight hip flexors, which can pull the pelvis out of alignment and place additional strain on the muscles surrounding the hip, contributing to the development of trigger points.
Key Muscles Involved in Hip Pain:
1. Iliocostalis Lumborum
The Iliocostalis Lumborum is a muscle in the lower back that plays a crucial role in maintaining posture and supporting the spine. Trigger points in the Iliocostalis Lumborum can cause referred pain that radiates from the lower back to the hips and buttocks, mimicking the symptoms of sciatica. This pain is often described as a dull ache or sharp discomfort, especially when bending, twisting, or standing for extended periods.
2. Quadratus Lumborum (QL)
The Quadratus Lumborum is a deep muscle located in the lower back, connecting the pelvis to the spine. It plays a vital role in stabilizing the lower back and assisting with movements like side bending and lifting the hip. Trigger points in the QL can cause referred pain that spreads to the hip, lower back, and sometimes the front of the thigh. This pain can be particularly bothersome when sitting, standing, or walking.
3. Gluteus Medius
The Gluteus Medius is a key muscle located on the side of the hip, responsible for stabilizing the pelvis during walking, running, and balancing on one leg. It also helps abduct the thigh, moving it away from the body's midline. Trigger points in the Gluteus Medius can cause sharp, stabbing pain on the side of the hip, often mistaken for bursitis. This pain can also radiate down the leg, making walking or climbing stairs difficult.
4. Gluteus Minimus
The Gluteus Minimus is the smallest of the gluteal muscles, located beneath the Gluteus Medius. It plays a similar role in stabilising the pelvis and supporting hip movements. Trigger points in the Gluteus Minimus can cause pain that radiates from the hip down the side of the leg, resembling sciatica. This pain can make sitting, walking, and other activities involving hip movement particularly uncomfortable.
Prevention and Relief of Hip Pain Due to Trigger Points
1. Regular Movement and Stretching: Taking regular breaks from sitting, stretching, and incorporating movement into your daily routine can help prevent the development of trigger points.
Stretching exercises that target the hip flexors, lower back, and gluteal muscles can help maintain flexibility and reduce muscle tension.
2. Strengthening Exercises: Strengthening the muscles that support the hips and lower back can help prevent trigger points. Exercises like bridges, leg lifts, and side-lying hip abductions can strengthen the Gluteus Medius, Gluteus Minimus, and Iliocostalis Lumborum.
3. Proper Ergonomics: Ensuring your workstation is ergonomically designed can reduce the strain on your muscles during prolonged sitting. This includes using a chair with proper lumbar support, maintaining a neutral spine position, and adjusting your chair and desk height to reduce strain on the lower back and hips.
4. Myofascial Release: Myofascial release (MFR) can be effective in relieving hip pain, particularly when the pain is related to conditions like muscle tightness, trigger points, or myofascial pain syndrome. This technique involves applying sustained pressure to the myofascial connective tissue to alleviate pain and restore motion.
Research supports the effectiveness of myofascial release in relieving hip pain, particularly when caused by myofascial trigger points or muscle tightness. For instance, a study published in the Journal of Bodywork and Movement Therapies found that myofascial release significantly reduced pain and improved function in patients with chronic gluteal pain. The study highlighted the importance of combining myofascial release with other therapeutic exercises to achieve optimal results .
Another study in the Journal of Orthopaedic & Sports Physical Therapy demonstrated that myofascial release, when combined with stretching and strengthening exercises, led to significant pain reduction and improved mobility in patients with piriformis syndrome, a common cause of gluteal pain .
How Myofascial Trigger Point Therapy Works
Releasing Trigger Points: Myofascial release helps in releasing trigger points—knots or tight areas in the muscle that can cause referred pain. In the gluteal region, trigger points in muscles like the gluteus maximus, gluteus medius, and piriformis can be effectively treated with MFR.
Improving Blood Flow and Circulation: MFR increases blood flow to the affected muscles, which helps in reducing inflammation, easing muscle tension, and promoting healing.
Restoring Mobility and Flexibility: By releasing tight fascia and muscle restrictions, MFR improves the flexibility and mobility of the gluteal muscles, reducing the pain associated with stiffness and muscle tightness.
Reducing Nerve Compression: In cases where gluteal pain is due to conditions like piriformis syndrome, where the sciatic nerve is compressed, myofascial release can help by reducing the tension in the piriformis muscle, thereby alleviating pressure on the nerve.
Both self-massage and professional trigger point massage can be effective in relieving hip pain. Professional massage offers the benefits of expert care, precision, and a comprehensive approach, making it particularly advantageous for severe or persistent gluteal pain.
Conversely, self-massage is a cost-effective and convenient method for managing and preventing pain. It can be performed as often as needed, making it ideal for those with chronic pain or recurring trigger points. Additionally, self-massage can be done at home, at work, or anywhere you have the necessary tools.
However, proper technique is essential for effective self-massage. It's important to learn how to correctly locate and apply pressure to trigger points to avoid injury or worsening the pain. Certain areas of the gluteal muscles can be challenging to reach on your own, particularly if the trigger point is deep or in a hard-to-access spot, unless you use a professionally designed self-massage tool.
If you're interested in self-massage to relieve hip pain, we recommend using LittleMum’s professional-designed massagers, which are effective at reaching those hard-to-access areas. LittleMum massagers are easy to use and can be nearly as effective as a professional massage. Below, we will provide detailed instructions on how to use some of these massagers. We are confident in their ability to alleviate hip pain caused by muscle strain or trigger points.
LittleMum Back Trigger Point Massager
The LittleMum Back Massager is designed to replicate the pressure of a skilled deep tissue massage therapist’s fingers. It features 14 therapy nodes strategically positioned on both sides of the spine, ensuring the spine remains in a neutral curve when lying down. This alignment promotes a safe and effective massage experience.
The LittleMum Back Trigger Point Massager is strategically designed to target multiple muscles in the gluteal region, including the Gluteus Maximus, Gluteus Medius, Gluteus Minimus, and the piriformis muscle. Its design makes it an excellent choice for effectively relieving tension in the gluteal muscles and alleviating hip pain.
The massager is made of food-grade silicone, providing a sensation similar to a real massage, which is why it receives outstanding feedback. We are confident in its ability to relieve your hip pain. It also comes with a 15-year warranty and is FSA or HSA eligible when purchased through Amazon by clicking the link below.
LittleMum Back Deep Tissue Massager
Thanks to the distinctive design of the LittleMum Back Deep Tissue Massager, it allows for simultaneous massaging of the Gluteus Maximus, Gluteus Medius, Gluteus Minimus, and Piriformis using its six integrated ridges. It also effectively reaches and relieves deep-seated pain in the Quadratus Lumborum.
If you prefer to be seated in a chair, position the massager's inward side against your back, allowing the six ridges to work their therapeutic magic
Built with a strong aluminum alloy frame and a durable bending rod, the LittleMum Massager supports up to 500 pounds for lasting durability and safety. Its 5mm-thick, food-grade silicone coating adds comfort. The massager comes with a 15-year warranty. Versatile for use at home, in the office, at the gym, or on the go. It is FSA or HSA eligible when purchased through Amazon by clicking the link below.
LittleMum Shoulder Deep Tissue Massager
The LittleMum Shoulder Deep Tissue Massager effectively releases tightness in your Quadratus Lumborum (QL), glutes, and Piriformis muscles, all without putting pressure on your spine. It works similarly to how a skilled massage therapist would use their elbow or fist to target and relieve painful muscles.
If your hip pain originates from a tight Iliocostalis Lumborum, simply lie on your back and position the massager’s lower angle (trigger point side) in the soft tissue area between your 12th rib and the top of your pelvis. The massager will effectively target your tight muscle, providing relief and a refreshing sensation. It can also be used while sitting in a chair or in your car seat.
The massager is incredibly versatile and can even be used to release your psoas muscle if needed. Like the LittleMum Back Deep Tissue Massager, it is built with a durable aluminum alloy frame and coated with silicone. It comes with a 15-year warranty and is perfect for use at home, in the office, at the gym, or on the go. It is also FSA and HSA eligible when purchased through Amazon by clicking the link below
LittleMum Shiatsu Back Massager
Proper alignment is essential for preventing and relieving hip pain caused by tight hip flexors or gluteal muscles. You can correct spinal posture and ensure proper alignment while sitting with the LittleMum Manual Shiatsu Back Massager.
Made of food-grade silicone that’s perfectly balanced—not too hard or too soft—the LittleMum Shiatsu Back Massager maintains its strength and support even under continuous use. If you're interested in trying it out, you can click the link to purchase it on Amazon.
