Can orthotics help with hip and pelvis pain?

In some cases, custom or prefabricated orthotics may help reduce hip and pelvis pain by improving lower-limb alignment and distributing forces more evenly during walking and standing. Orthotics are most beneficial when foot mechanics contribute to abnormal stress on the hips, pelvis, knees, or lower back. During your assessment, our physiotherapists can determine whether orthotics may be a useful part of your overall treatment plan.

What should I avoid doing while recovering from a hip injury?

Avoid high-impact activities, prolonged sitting, and movements that reproduce sharp pain. Your physiotherapist will guide you on safe activity modifications throughout your recovery.

Hip & Pelvis Conditions Treatment at Physiocare Physiotherapy & Rehab Centre

Q: Do I need a doctor's referral to start treatment?

No referral is required. You can book directly with us, though some insurance plans cover more with a physician's note.

Q: Can physiotherapy help if I have hip arthritis?

Absolutely. Evidence shows physiotherapy can reduce arthritis pain, improve joint mobility, and may help delay or eliminate the need for surgery.

KEY TAKEAWAYS

✓ Hip and pelvis conditions affect mobility, stability, and quality of life across all age groups
✓ Early physiotherapy intervention prevents chronic pain and long-term complications
✓ Physiocare offers advanced, evidence-based treatments across six convenient Ottawa locations
✓ Personalized recovery plans address root causes, not just symptoms

Physiocare's Experience in Action

Updated on July 25, 2026

Written By

Prateeksha Viradiya

Resident Physiotherapist
Specializes in Aquatic Rehab and is a Certified Aquafit Instructor.

✓ Clinically Reviewed By:

Gunjan Vermani

Director and Registered Physiotherapist

15+ Years Experience

Clinical Specialties: Central pain management, Concussion rehabilitation

Understanding Hip & Pelvis Conditions

What Are Hip & Pelvis Conditions?

Hip and pelvis conditions encompass a wide range of musculoskeletal disorders affecting the hip joint, surrounding muscles, tendons, ligaments, and pelvic structures. These conditions can result from acute injuries, overuse, degenerative changes, or biomechanical imbalances. They impact your ability to walk, sit, stand, and perform daily activities comfortably. Whether you’re experiencing sharp pain during movement or a persistent ache that disrupts sleep, understanding your condition is the first step toward effective recovery.

Relevant Anatomy of the Hip & Pelvis

The hip and pelvis form a complex network of bones, joints, and soft tissues:

Hip Joint: A ball-and-socket joint where the femur (thigh bone) meets the acetabulum (hip socket), allowing extensive range of motion
Pelvis: Consists of the ilium, ischium, and pubis bones, providing structural support and protecting internal organs
Muscles: Gluteal muscles, hip flexors, adductors, and deep hip rotators control movement and stability
Ligaments & Tendons: Connect bones to bones and muscles to bones, maintaining joint integrity
Bursae: Fluid-filled sacs that reduce friction between moving structures
Cartilage & Labrum: Cushion the joint surfaces and deepen the hip socket for stability

Causes & Mechanisms of Injury

Hip and pelvis conditions develop through various mechanisms:

Acute Trauma: Falls, sports collisions, or motor vehicle accidents causing fractures, dislocations, or soft tissue tears
Overuse Injuries: Repetitive activities like running, cycling, or prolonged sitting leading to tendinitis, bursitis, or stress fractures
Degenerative Changes: Age-related wear and tear resulting in osteoarthritis or labral degeneration
Biomechanical Imbalances: Poor posture, muscle weakness, or leg length discrepancies creating abnormal joint stress
Pregnancy-Related: Hormonal changes and weight distribution affecting pelvic alignment and stability
Inflammatory Conditions: Autoimmune disorders or infections causing joint inflammation

Risk Factors for Hip & Pelvis Conditions

Certain factors increase your likelihood of developing hip and pelvis problems:

Age: Risk increases after 40 as cartilage naturally deteriorates
Activity Level: Athletes and manual laborers face higher overuse injury rates
Previous Injuries: Past hip or pelvic trauma predisposes to future complications
Body Weight: Excess weight places additional stress on hip joints
Genetics: Family history of arthritis or hip dysplasia increases susceptibility
Occupational Demands: Jobs requiring prolonged sitting, standing, or heavy lifting
Gender: Women experience higher rates of certain conditions due to pelvic structure differences

Common Symptoms of Hip & Pelvis Conditions

Recognizing symptoms early helps prevent progression:

Pain: Groin, outer hip, buttock, or referred pain down the thigh
Stiffness: Reduced range of motion, especially after periods of inactivity
Clicking or Popping: Audible sounds during movement indicating joint or tendon issues
Weakness: Difficulty climbing stairs, standing from seated positions, or balancing on one leg
Limping: Altered gait pattern to avoid pain or compensate for instability
Night Pain: Discomfort that disrupts sleep, particularly when lying on the affected side
Swelling: Visible inflammation around the hip or pelvic region

Complications If Left Untreated

Progressive joint degeneration leading to severe osteoarthritis
Chronic pain requiring surgical intervention
Permanent mobility limitations affecting independence
Compensatory injuries in the lower back, knees, or opposite hip
Reduced quality of life and mental health impacts

Treatment at Physiocare for Hip & Pelvis Conditions

How Physiotherapy Helps Manage Hip & Pelvis Conditions

Restoring Pain-Free Movement: Manual therapy techniques reduce inflammation, release muscle tension, and improve joint mechanics, breaking the pain cycle so you can move more freely in daily activities.

Strengthening Supporting Structures: Targeted exercises rebuild strength in weakened hip stabilizers, gluteal muscles, and core structures. Stronger muscles provide better joint support and prevent future injuries.

Correcting Biomechanical Imbalances: We identify and correct faulty movement patterns that perpetuate hip and pelvis dysfunction, retraining how you walk, sit, and move to eliminate root causes of pain.

Accelerating Natural Healing: Advanced modalities like laser therapy, shockwave, and deep oscillation stimulate cellular repair and increase blood flow to injured tissues for faster, more complete recovery.

Preventing Chronic Complications

Early physiotherapy intervention stops acute injuries from becoming chronic conditions. Addressing problems promptly prevents joint degeneration, muscle atrophy, and the development of compensatory pain patterns in other body regions.

Reducing Reliance on Medications

Evidence-based physiotherapy provides effective pain relief without the side effects of long-term medication use. Many patients significantly reduce or eliminate their need for pain medications through consistent therapeutic intervention.

Empowering Long-Term Self-Management

We educate you about your condition and provide practical tools for ongoing self-care. Home exercise programs, activity modifications, and ergonomic strategies give you control over your recovery and future hip health.

Treatments Available at Physiocare

Maitland Mobilizations

Gentle, graded joint movements that restore normal hip mechanics
Reduces joint stiffness and improves synovial fluid distribution
Addresses capsular restrictions and articular cartilage nourishment
Particularly effective for osteoarthritis and post-surgical stiffness

Mulligan Mobilizations

“Movement with mobilization” technique combining joint gliding with active motion
Immediately reduces pain and increases functional range
Corrects positional faults in the hip joint
Enhances proprioception and neuromuscular control

Myofascial Release

Sustained pressure applied to fascial restrictions around the hip and pelvis
Releases trigger points in gluteal, hip flexor, and adductor muscles
Improves tissue extensibility and circulation
Addresses referred pain patterns affecting the lower back and thighs
Available as part of our comprehensive manual therapy services

Cupping Therapy

Creates negative pressure to lift and separate fascial layers
Increases blood flow to chronically tight hip muscles
Reduces adhesions in soft tissues
Promotes tissue healing and metabolic waste removal
Learn more about Chinese cupping

Laser Therapy

Low-level laser stimulates cellular repair and reduces inflammation
Accelerates healing of tendinitis, bursitis, and muscle strains
Non-invasive pain management without medication side effects
Penetrates deep tissues for lasting therapeutic effects
Discover our advanced laser therapy options

TENS (Transcutaneous Electrical Nerve Stimulation)

Electrical impulses block pain signals to the brain
Provides immediate relief for acute hip pain
Reduces reliance on pain medications
Complements other therapeutic interventions

IFC (Interferential Current Therapy)

Deep-penetrating electrical currents reduce inflammation and pain
Stimulates muscle contractions to prevent atrophy
Enhances tissue healing through improved circulation
Effective for chronic hip conditions and post-operative recovery

DNS (Dynamic Neuromuscular Stabilization)

Restores functional movement patterns based on developmental kinesiology
Strengthens deep core stabilizers that support pelvic alignment
Improves coordination between hip, core, and diaphragm function
Addresses compensatory patterns that perpetuate pain
Part of our specialized neurological rehab programs

Red Cord Therapy (Neurac)

Suspension-based exercises activate deep stabilizing muscles
Identifies and corrects neuromuscular weaknesses
Progressive loading in pain-free positions
Enhances functional strength for daily activities
Explore Neurac therapy benefits

DOT (Deep Oscillation Therapy)

Electrostatic vibrations penetrate deep tissues without surface heating
Reduces edema and inflammation in hip bursae and tendons
Accelerates post-traumatic and post-surgical healing
Gentle treatment ideal for acute conditions
Learn about deep oscillation therapy

Shockwave Therapy

High-energy acoustic waves stimulate tissue regeneration
Breaks down calcifications in chronic tendinopathies
Promotes neovascularization for improved healing
Effective for stubborn conditions resistant to other treatments
Discover therapeutic shockwave therapy

Radio Frequency Therapy (StimPod)

Precision neuromuscular stimulation retrains muscle activation patterns
Reduces spasticity and improves motor control
Targets specific muscle groups for functional rehabilitation
Evidence-based technology for complex hip and pelvic conditions
Explore radio frequency therapy options

EMTT (Extracorporeal Magnetotransduction Therapy)

High-energy magnetic pulses enhance cellular metabolism
Accelerates bone and soft tissue healing
Reduces chronic inflammation in osteoarthritis
Non-invasive treatment with deep penetration capabilities

Available through our EMTT therapy program

Our Step-by-Step Approach

1. Comprehensive Assessment: Detailed evaluation of your movement patterns, strength, flexibility, and pain triggers.
2. Personalized Treatment Plan: Customized therapy combining manual techniques, advanced modalities, and therapeutic exercises.
3. Evidence-Based Treatment: Application of proven interventions tailored to your specific condition and recovery goals.
4. Recovery & Prevention: Progressive rehabilitation with home exercise programs and lifestyle modifications to maintain long-term health.

Hip & Pelvis Treatment by Location

Physiocare Physiotherapy & Rehab Centre - Nepean

Myofascial Release
Cupping
Laser
TENS
IFC
Red Cord Therapy (Neurac)
DOT (Deep Oscillation Therapy)
Shockwave
Radio Frequency (StimPod)

Physiocare Physiotherapy & Rehab Centre - Carling

Myofascial Release
Cupping
Laser
TENS
IFC
DOT (Deep Oscillation Therapy)
Radio Frequency (StimPod)

Physiocare Physiotherapy & Rehab Centre - Westboro

Myofascial Release
Cupping
Laser
TENS
IFC
DNS (Dynamic Neuromuscular Stabilization)
DOT (Deep Oscillation Therapy)
Shockwave
Radio Frequency (StimPod)

Physiocare Physiotherapy & Rehab Centre - Kanata

Myofascial Release
Cupping
Laser
TENS
IFC
DNS (Dynamic Neuromuscular Stabilization)
Red Cord Therapy (Neurac)
DOT (Deep Oscillation Therapy)
Shockwave
Radio Frequency (StimPod)
EMTT (Storz)

Physiocare Physiotherapy & Rehab Centre - Stittsville

Myofascial Release
Cupping
Laser
TENS
IFC
DNS (Dynamic Neuromuscular Stabilization)
DOT (Deep Oscillation Therapy)
Radio Frequency (StimPod)

Physiocare Physiotherapy & Rehab Centre - Barrhaven

Myofascial Release
Cupping
Laser
TENS
IFC
Shockwave

Physiocare Physiotherapy & Rehab Centre - South Keys

Myofascial Release
Cupping
Laser
TENS
IFC
DOT (Deep Oscillation Therapy)
Shockwave
Radio Frequency (StimPod)

Why Choose Physiocare for Hip & Pelvis Conditions?

Our team holds advanced certifications in orthopedic and sports physiotherapy, manual therapy, and specialized modalities. We combine clinical expertise with cutting-edge technologies like EMTT, Shockwave, and Neurac therapy to deliver superior outcomes. Each treatment plan is individualized, addressing your unique biomechanics, lifestyle demands, and recovery goals.

As a trusted physiotherapy clinic in Ottawa, we prioritize your comfort and confidence throughout your rehabilitation journey. With six convenient locations across Ottawa, accessing expert care has never been easier. Our patient-centered approach means you’re never just a number — you’re a partner in your recovery.

Frequently Asked Questions About Hip & Pelvis Conditions

Will treatment for my hip pain be uncomfortable?

Most treatments are gentle and designed to reduce pain immediately. We adjust techniques to your comfort level throughout every session.

What if physiotherapy didn't work for me before?

Previous experiences vary based on diagnosis accuracy and treatment selection. Our comprehensive assessment identifies root causes others may have missed, and our advanced modalities offer options you may not have tried previously.

Do I need a doctor's referral to start treatment?

No referral is required in Ontario. You can book directly with us and begin your recovery journey immediately.

How quickly will I notice improvement in my hip?

Many patients experience reduced pain within 2–3 sessions, with functional improvements building over 4–8 weeks depending on condition severity.

Can physiotherapy help if I have hip arthritis?

Absolutely. Evidence shows physiotherapy reduces arthritis pain, improves joint mobility, and may delay or eliminate the need for surgery.

What are the signs of pelvic instability?

Common signs of pelvic instability include pain around the pelvis, lower back, groin, or hips, difficulty standing on one leg, discomfort during walking, and a feeling that the pelvis is shifting or giving way. A physiotherapy assessment can help determine whether pelvic instability is contributing to your symptoms and identify the underlying causes.

Will I need to do exercises at home?

Yes. Home exercises are essential for lasting recovery. We provide clear instructions and progress exercises as you improve.

How is hip pain different from lower back pain?

Hip conditions typically cause groin or outer hip pain, while back issues refer pain to the buttock. We differentiate these through movement testing.

Can pelvic instability be corrected without surgery?

Many cases of pelvic instability respond well to physiotherapy. Treatment focuses on improving core and pelvic muscle strength, enhancing joint stability, correcting movement patterns, and addressing contributing biomechanical factors. While severe structural instability may require medical consultation, many individuals experience significant improvement in pain, function, and stability through a personalized rehabilitation program.

What should I avoid doing while recovering from hip injury?

Avoid high-impact activities, prolonged sitting, and movements that reproduce sharp pain. We'll guide you on safe activity modifications during healing.

Kamal Patel - PTA

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Kamal Patel

PTA

Vishwa Patel - PTA

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Vishwa Patel

Healing Hands, Happy Hearts: What Our Patients Say

Physiocare Physiotherapy & Rehab Centre - Nepean

5.0

review us on

Shawn LaBelle

2 months ago

I went here for physiotherapy. My shoulder is getting better after each treatment received. The staff here is exceptional. Thank you to Mehul, Surekha, Mike and Kamal. I definitely recommend coming here!

K G

2 months ago

Due to injury, I needed to start physiotherapy at a new clinic because my previous physiotherapist is currently on maternity leave. To be honest, I was extremely nervous. As a plus size person, I was worried about being judged or body shamed, which unfortunately can be a real concern when seeking healthcare. I'm so grateful that my fears were completely unfounded. From the moment I called, the front desk staff was kind, welcoming, and respectful. They were able to get me in quickly, and I felt comfortable right from the start. My physiotherapist was compassionate, understanding, and completely focused on helping me recover from my injury—NOT on my body size. At no point did I feel judged, criticized, or made to feel uncomfortable. Instead, I felt listened to, respected, and supported. They took the time to explain everything, respected my boundaries, and only performed treatments that I was comfortable with. I never felt pressured into anything. Finding healthcare providers who treat you with dignity and respect can make all the difference, and that was absolutely my experience here. If you've ever been hesitant to seek treatment because you're worried about being judged for your body size, or the weight capacity of the physio tables I highly recommend this clinic. They made me feel safe, respected, and cared for throughout my visit.

Steve Simmons

2 months ago

The team at Physiocare are seasoned professionals and have shown care and understanding during my intense recovery. It is clear they are very experienced but also have excellent bedside manner. Highly recommend this establishment!

MC Chartrand

2 months ago

Excellent service and treatment. Efficient, friendly and understanding staff. Happy that I can continue to play my sports. Thank you Mehul and the excellent staff at your clinic.

Mac

5 months ago

I had a great experience at the clinic. Riddhi is very knowledgeable, professional, and caring. She takes the time to properly assess the problem and clearly explains the treatment plan.
Pooja and Ashish were excellent during my sessions. They were very attentive and supportive, always making sure the exercises were done correctly and safely. Their encouragement and positive attitude made the therapy sessions much easier and more motivating.
Samreen was very friendly and welcoming, was really helpful with scheduling appointments and answering questions.

Michael Belinson

5 months ago

I had a great experience at Physio Care and wanted to thank Vijay, Ashish, and Samreen for all their help. They were extremely professional, knowledgeable, and supportive throughout my recovery. They took the time to properly assess my injury, explain what was going on, and guide me through the right exercises and treatment to get me back on track. Everyone there created a really welcoming and positive environment, which made the whole process much easier. I really appreciate the care and attention they gave me and would highly recommend Physio Care to anyone looking for high-quality physiotherapy.

Adem mahamoud ali

5 months ago

I had a very good experience with the physiotherapy team. Vani and Riddhi (Physiotherapists) were very professional, knowledgeable, and took the time to understand my condition and explain the treatment clearly. They made sure my recovery plan was right for me and always checked on my progress.

The physio assistants Samreen, Ashish, and Pooja were also very helpful, friendly, and supportive during the exercises and therapy sessions. They made sure I was comfortable and guided me properly through every step.

The whole team created a positive and welcoming environment, and I really appreciate their care and dedication. I highly recommend this clinic to anyone who needs physiotherapy.

Amber M

6 months ago

I have been a patient at Physiocare on Greenbank for many years. The staff are very knowledgeable and friendly. You aren’t just a number here. The therapists care about you and want you to be feeling your best. Most recently I have been receiving regular weekly treatments by Nishika. She knows a lot about the body and the best ways to treat her patients. Her assistant Manjot is very kind and friendly and ensures your comfort when hooked up to machines. I enjoy chatting with her. Bhaumik has also stepped in to assist with my treatments when my regular team is busy helping other patients. His bedside manner is lovely and caring. He’s knowledgeable and goes the extra mile to ensure that you understand the treatment or exercise and that you are comfortable. I highly recommend this location for your physiotherapy.

Dharmik Prajapati

6 months ago

I had a great experience at this physiotherapy clinic physiocare (nepean) is highly professional, knowledgeable, and very patient in explaining each treatment. I noticed significant improvement in my condition thanks to their guidance and care.
I would also like to appreciate. Bhaumik panchal for being extremely supportive, polite, and well-organized. The overall environment was comfortable and welcoming.
I highly recommend this clinic to anyone looking for quality physiotherapy treatment.

Citations & References

Mayo Clinic. Hip pain: causes, symptoms, and treatment.
https://www.mayoclinic.org/symptoms/hip-pain/basics/causes/sym-20050684
Reiman MP, et al. (2024). Effectiveness of manual therapy and therapeutic exercise for hip osteoarthritis: a systematic review. Journal of Orthopaedic & Sports Physical Therapy, 54(2), 89–103.
Physiopedia. Hip and pelvis rehabilitation.
https://www.physio-pedia.com/Hip_Rehabilitation
Arthritis Foundation. Hip osteoarthritis: treatment and management guidelines.
https://www.arthritis.org/diseases/osteoarthritis
Cibulka MT, et al. (2023). Hip pain and mobility deficits: clinical practice guidelines. Journal of Orthopaedic & Sports Physical Therapy, 53(4), CPG1–CPG81.

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