Chronic posterior hip pain can manifest as prolonged and complex discomfort, referring to the area around the buttocks. The causes are diverse, often involving inadequate biomechanics of movement, disrupted muscular balance, and repetitive motions. The most common sources of chronic posterior hip pain are piriformis muscle syndrome, proximal tendinopathy of the hamstrings, dysfunction of the sacroiliac joint, and ischiofemoral impingement. Diagnosing and treating them can be challenging due to the extensive anatomy of this region, along with nonspecific symptoms and tests. The primary objective of this master's thesis was to gather and accurately describe the most prevalent forms of chronic posterior hip pain. It aimed to present kinesiological approach through orthopedic tests, introduce therapeutic methods involving a range of manual techniques and flexibility/strengthening exercises tailored to each specific pathology, and outline the treatment sequence. An effective approach to address chronic posterior hip pain encompasses comprehensive treatment, including precise exercise and therapeutic strategies, necessary imaging diagnostics, therapeutic interventions using manual therapy, and a movement-focused approach with exercises. Kinesiological approach focuses on reducing pain, improving mobility, retraining movement patterns, strengthening weak muscles, and educating patients about their condition. The study's findings indicated that, in most cases, the kinesiological approach proves more successful in alleviating chronic posterior hip pain compared to surgical interventions, which are typically considered a last resort. Skilled professionals, personalized programs catering to associated conditions, collaboration with healthcare practitioners, and patient education all play crucial roles throughout the rehabilitation process.
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