Hip ManipulationHip Manipulation in Young Adults With Groin, Lateral Hip or Buttock Pain

Inclusion Criteria:

• The eligible participants will be young adults of both genders between the ages of 18-40 who have complaints of groin, lateral hip and/or buttock pain.

Exclusion Criteria:

• Participants will be excluded from participating in this study if they have any of the following medical or surgical history. These factors may affect the results of the study:

1. Impaired general health, e.g. fibromyalgia, chronic fatigue syndrome, cancer etc.
2. Neurologic or neurovascular dysfunction
3. History of peripheral vascular disease, diabetes or abdominal aneurysm
4. History of hip joint pathology, such as slipped epiphysis, Legg Calve Perthes, significant congenital hip dysplasia, and hip dislocation,
5. History of systemic disease affecting the musculoskeletal or neuromuscular systems, including inflammatory arthritides, connective tissue diseases, multiple sclerosis, muscular dystrophy, and cerebral vascular diseases
6. Known instabilities of hip or sacroiliac joint
7. History of low back and lower extremity surgery, e.g. total hip replacement, total knee replacement, lumbar laminectomy.
8. A diagnosed hip labral tests or clicking, catching, popping or hypermobility signs with hip labral tear tests
9. Amputee of lower extremity
10. Fracture hip or spine
11. Infection in spine or lower extremities
12. Hip ROM loss in all directions
13. Pregnant or up to 12 weeks post-partum
14. Bleeding or clotting disorders
15. Osteoporosis
16. Treated with hip manipulation in past 12 weeks