Common Pelvic Injuries seen in Hakuba

Pelvic injuries occur in Hakuba for a number of reasons and when they do, they can be significant and painful, often limiting walking, sitting, and on-snow activity. 

At Peak Sports Physio Hakuba, we regularly assess and treat pelvic and hip-related injuries caused by falls, high-impact landings, and repetitive loading during skiing and snowboarding.

Pelvic Contusions (Bone Bruising)

How They Occur

  • Direct falls onto the hip or buttock while skiing or snowboarding

  • Slipping on icy ground around lifts, accommodation, or car parks

  • Park and freestyle falls onto hard-packed snow

Common Symptoms

  • Deep ache or sharp pain over the pelvis or hip

  • Pain with sitting, walking, or rolling in bed

  • Localised bruising and tenderness

How Physiotherapy Can Help

  • Pain and swelling management through compression and cold therapy 

  • Load modification and activity advice

  • Physiotherapy manual therapy and massage

  • Graduated return program to skiing and daily activities

Pelvic Fractures

How They Occur

  • Repetitive loading from skiing, touring, or snowboarding without adequate recovery

  • Sudden increases in training volume or terrain difficulty

  • Prolonged walking in ski boots on hard or icy surfaces

  • Direct trauma as a result of a fall or crash

Common Symptoms

  • Gradual onset groin, hip, or buttock pain

  • Pain that worsens with activity and improves with rest

  • Reduced tolerance to skiing or walking

How Physiotherapy Can Help

  • Early assessment and load management

  • Referral for imaging when a stress injury is suspected

  • Physiotherapy manual therapy techniques to surrounding muscles and massage

  • Provision of programs aimed at maintaining fitness while reducing pelvic load

  • Structured return-to-sport rehabilitation

Sacroiliac Joint (SIJ) Pain

How It Occurs

  • Twisting falls during skiing or snowboarding

  • Asymmetrical stances (especially in snowboarding)

  • Repetitive turning and uneven terrain

Common Symptoms

  • Pain in the lower back, buttock, or one side of the pelvis

  • Pain with turning, skating, or standing on one leg

  • Stiffness after sitting or at the end of the ski day

How Physiotherapy Can Help

  • Accurate assessment of pelvic mechanics

  • Physiotherapy manual therapy techniques and massage 

  • Mobility work 

  • Strengthening of hip and core muscles

  • Movement retraining specific to skiing and snowboarding

Adductor (Groin) Strains

How They Occur

  • Sudden edge catches or split-stance falls

  • Aggressive carving or skating on flat terrain

  • Slipping on icy walkways

Common Symptoms

  • Pain in the inner thigh or groin

  • Pain with pushing, skating, or edging

  • Reduced hip strength and control

How Physiotherapy Can Help

  • Early pain management and muscle protection

  • Progressive strengthening and flexibility work

  • Return-to-ski progression planning when appropriate

Pelvic Fractures (Low-Energy and High-Energy)

How They Occur

  • High-speed crashes or jumps

  • Falls onto hard snow or ice

  • Slips and falls around town, particularly in older individuals

Common Symptoms

  • Significant pain in the pelvis or hip

  • Difficulty walking or weight bearing

  • Swelling and bruising

How Physiotherapy Can Help

  • Early assessment and referral for imaging

  • Post-fracture rehabilitation

  • Restoring mobility, strength, and confidence

  • Safe return to snow and daily activities

Pelvic Injury physiotherapy management in Hakuba

At Peak Sports Physio Hakuba, we provide expert assessment and rehabilitation for pelvic and hip injuries related to skiing, snowboarding, and mountain life. Our goal is to help you recover efficiently, reduce pain, and return to the mountain safely.

📍 Located in the heart of Hakuba, Peak Sports Physio Hakuba helps you recover faster, move better, and enjoy more time on the slopes.

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