Hip pain doesn't have to limit your movement.

The truth about hip pain

Hip pain can come from the joint, surrounding tendons or muscles, the lower back, workload, or more than one factor. Similar symptoms do not always point to one exact tissue.

The first visit separates local hip findings from possible lower-back or nerve referral and checks the movements that matter to you.

The assessment can include hip and lower-back movement, strength, balance, relevant neurological signs, and the load that reproduces the pain.

Treatment can combine short-term load changes, hands-on care when appropriate, and progressive strength or movement work. Progress is checked against the painful task. If it is not changing, the plan or working diagnosis changes.

Why your hip hurts

Your hip supports body weight and helps control movement of the leg. Strength, mobility, training load, and the task that provokes symptoms can all matter. The assessment checks which findings change your familiar movement instead of assuming one alignment or muscle is the cause.

Hip flexor sensitivity or restricted movement: These findings can occur with anterior hip pain, but sitting or tightness alone does not prove the cause. The task response and other hip findings matter.

Gluteal capacity: The glutes contribute to walking, running, and single-leg tasks. Strength or control findings matter when they reproduce or change the patient’s familiar task; weakness by itself does not prove the cause of pain.

Deep gluteal findings: The piriformis and nearby structures can be relevant in some buttock or leg-pain presentations. Lumbar, hip, and neurological findings need to be compared before using that label.

SI-region pain: Pain near the sacroiliac joint can overlap with lumbar, hip, and pelvic-girdle presentations. A cluster of findings and the patient’s history are more useful than an alignment claim.

Referred pain from the lumbar spine: Lumbar joints, discs, or nerve roots can refer symptoms toward the hip, buttock, or leg. Treatment and referral decisions depend on the full examination rather than location alone.

How the Endura Method treats hip pain

At visit one, you describe the pain pattern and Devon assesses the hip, lower back, strength, movement, and neurological signs as needed. You leave with a working diagnosis and a specific plan.

Treatment may include short-term load changes, hip or trunk strengthening, mobility work, hands-on care when appropriate, and a gradual return to sitting, running, lifting, or another relevant task.

Progress is checked against range, strength, walking, sitting, and the work or training task that matters. The exercises become harder as the hip tolerates more load.

Start with the first visit. Assessment and treatment begin in one 50-minute visit.

The difference between symptom relief and resolution

Hip pain can involve overlapping local, lumbar, neurological, and load-related factors. Hip flexor sensitivity, reduced gluteal capacity, SI-region pain, and lumbar referral can feel similar, so the plan should follow the examination and response rather than one label.

The Endura Method starts by making that distinction, then matching treatment to the finding instead of loading every patient with the same hip routine.

Ready to get your hip back?

If hip pain is limiting walking, running, lifting, or sitting, call Dr. Devon at (647) 951-5841 to discuss what pattern is most likely driving it and whether Endura is the right fit.

Sources and further reading

For patients researching hip pain, SI joint dysfunction, and gluteal rehabilitation:

• Reiman MP et al. — Diagnostic accuracy of clinical tests for femoroacetabular impingement and labral tear (British Journal of Sports Medicine, 2015) — on clinical testing for hip joint problems and the importance of structural diagnosis.
• Arab AM, Nourbakhsh MR — The relationship between hip abductor muscle strength and iliotibial band tightness (Chiropractic & Osteopathy, 2010) — on the connection between hip abductor strength and iliotibial band tightness.
• Vleeming A et al. — European guidelines for the diagnosis and treatment of pelvic girdle pain (European Spine Journal, 2008) — clinical guidelines for SI joint dysfunction and pelvic girdle pain diagnosis and management.
• Canadian Chiropractic Association — what is chiropractic care? — CCA’s patient-facing overview of chiropractic assessment and care.
• College of Chiropractors of Ontario — standards of practice — the regulatory standards governing Dr. Devon’s patient care.