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DR BARRY TRIESTMAN, D.C.

11464 E Ridge Rd

Truckee, CA 96161

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Tel: 530-550-1688

Fax: 530-550-1688

Common problems that we can help:


The bursa cushions and lubricates the muscle and bones in the area. Pain is generally on the outside of the hip which is worse during running, skiing, hiking and possibly biking.

Arthritis of the hip joint

Generally stiffness after sitting or lying still which is relieved slowly my moving around. It is genrally deep, in the middle of the upper thigh and there should be a decrease in the range of motion.

Muscle strain, or tear

There are several muscles in the hip area in the buttock area there is the gluteus maximus and medius, piriformis hamstrings. In the front the psoas, pectinus, quadriceps. On the side is the Iliotibial band (IT band) and the tensor fascia lata. On the inside between the legs there are adductors. All which become injured and cause pain and abnormal movement.

Labral Tear

Pain in the hip joint caused by torn labral cartilage.

Snapping Hip

A snapping feeling within the hip. This can be due to problems in psoas muscle which cause pain any were  from deep in the middle upper thigh to the low back or Iliotibial Band (IT band) which cause pain in the outside of the thigh.

Hip replacement & Hip Surfacing

We can help with the scar tissue that forms after the surgery and the instability that ensues post surgically

**As a side note a spinal and knee injuries can cause hip pain**

Common causes
  • Improper movement 

  • Abnormal biomechanics 

  • Imbalance muscles 

  • Previous trauma injury 

  • Repetitive micro trauma 

  • Adhesions/scar tissue of Gluteals, Hamstrings, Psoas, Para-spinals

  • Spinal misalignment/subluxation of the Lumbar spine and Pelvis

  • Tight muscles 

  • Acute trauma 

  • Overuse injury 

  • Poor posture 

  • Arthritis

Solutions