"My hip hurts" can point to three different places, and which one it is changes the whole direction of treatment. Pain felt in the groin usually comes from the hip joint itself. Pain on the outer side that worsens when lying on it is most often tendon-related. Pain deep in the buttock may come from the lower back or from the deep hip muscles. In Bursa Nilüfer, Fizyoterapist Aydın Ali starts with an assessment whose first job is to separate these three.
Fizyoterapist Aydın Ali provides one-to-one care for hip pain at the clinic in Bursa Nilüfer — in Fethiye Mahallesi, on Kelebek Sokak, at a central point of Nilüfer, opposite the Fethiye covered market.
It is a short trip by car or public transport from İhsaniye, Odunluk, Balat, Özlüce, Ataevler, 23 Nisan and the surrounding areas. Every session is one-to-one, assessment-based and tailored to you.
One question decides the direction of treatment for hip pain: where is it felt. Pain felt in the groin points to the joint itself; pain on the side that increases when lying on that side points to the tendons; pain deep in the buttock points to the back or deep hip muscles.
Fizyoterapist Aydın Ali starts the assessment with this distinction and rules out pain spreading from the back through neurological examination. Manual therapy is used to bring pain under control; the lasting part is strengthening the hip's side muscles. Adjusting side-sleeping position is a concrete part of the programme.
Pain felt in the groin is the most reliable sign that it comes from the hip joint itself; osteoarthritis and intra-articular problems are typically felt here. People often describe it by cupping the groin with their hand.
Pain on the outer side of the hip is a different picture: this is where the tendons over the greater trochanter and the bursa sit. The distinguishing finding is pain on lying on that side — patients complain of waking at night. Pain deep in the buttock may come from the back or from deep muscles such as the piriformis.
Pain on the outer hip was called "bursitis" for many years. The current understanding is different: in most complaints here the problem lies not in the bursa but in the tendons of the muscles on the side of the hip. The change of name is not a trivial detail — it changes the treatment.
An inflammation assumption leads to a rest-and-injection approach. A tendon-loading assumption puts graded strengthening at the centre. Current practice follows the second; adjusting the side-lying position is a concrete part of the programme too.
The most common worry in hip osteoarthritis is that moving will wear the joint out faster. Guidelines conclude the opposite: appropriately dosed exercise reduces pain, improves function and does not accelerate the progression of osteoarthritis. Exercise is one of the recommended first-line treatments here.
The programme is built on hip strength, range of motion and gait quality. The same preparation pays off if joint replacement comes up: going into surgery strong directly affects recovery afterwards. The surgical decision belongs to an orthopaedic surgeon.
A problem in the lower back can refer pain to the hip, and in that case treatment aimed at the hip will not produce the expected result. The distinguishing finding is usually this: if hip movements do not clearly change the pain but back movements do, the source is probably the back.
Fizyoterapist Aydın Ali therefore does not limit the assessment to the hip. Where there is numbness, weakness or reflex change in the leg, a neurological examination is performed and the programme built accordingly.
Being unable to bear weight after a fall, with the leg appearing shortened or turned outwards, raises the suspicion of a fracture and needs urgent assessment. Hip pain with fever, severe pain that does not settle at night, unexplained weight loss and a known cancer history also require medical assessment.
In children and adolescents, hip or knee pain accompanied by limping deserves particular attention; in this age group hip pain can present as knee pain. Fizyoterapist Aydın Ali screens for these at the first assessment.
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Fizyoterapist Aydın Ali · Bursa Nilüfer. Share your complaint; we plan the process together after the assessment.
Not every case needs imaging; assessment is usually enough to begin. Imaging is a medical decision and comes up with a history of trauma, night pain, or a lack of expected response to the programme.
In outer hip pain, a pillow between the knees stops the upper leg pulling the hip inwards and reduces pressure on the tendon. It is a simple adjustment that makes a clear difference to night pain for most people.
No. Walking at an appropriate distance and pace is beneficial and encouraged. What matters is that the distance does not push pain past the agreed threshold, which is set together at the assessment.
Pain in the groin has several possible causes besides the hip joint — an inguinal hernia is one. Pain that increases with coughing or comes with a sense of swelling in the groin requires medical assessment.
For pain starting deep in the buttock and spreading down the leg, worse with long sitting.
An exercise-based programme aimed at reducing pain and increasing walking capacity in cartilage wear.
Graded, measurement-based rehabilitation for joint problems and the period after orthopaedic surgery.
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The appointment form does not ask for health information; details are discussed by phone.
