Hip pain is one of the most common musculoskeletal complaints we see at Peak Performance Chiropractic & Massage in Buffalo, NY. Whether you're a runner training for a marathon, a busy parent, or someone who spends most of the day sitting at a desk, hip pain can significantly affect your quality of life. One of the challenges with hip pain is that the hip joint sits at the crossroads of the lower back, pelvis, and legs. Because of this, pain felt in the hip isn't always coming from the hip itself. Sometimes the source is the spine, surrounding muscles, tendons, or even nerves.  Understanding where your pain is located, what activities aggravate it, and what other symptoms accompany it can provide clues about the underlying condition. Let's explore some of the most common causes of hip pain and what your symptoms might mean. Hip Osteoarthritis: Deep Joint Pain and Stiffness Hip osteoarthritis occurs when the cartilage that cushions the hip joint gradually wears down over time. It is more common as we age but can also develop after previous injuries or due to certain anatomical factors. Common Symptoms: Deep aching pain in the groin or front of the hip Morning stiffness that improves with movement Pain after prolonged standing or walking Difficulty putting on shoes and socks Reduced range of motion Many people are surprised to learn that hip arthritis often causes groin pain rather than pain on the outside of the hip. If you find yourself struggling to rotate your leg or experiencing stiffness when getting out of a car, arthritis may be contributing to your symptoms. Chiropractic care, soft tissue therapy, exercise, and mobility work can often help improve function and reduce discomfort associated with hip osteoarthritis. Greater Trochanteric Pain Syndrome: Pain on the Outside of the Hip Many people refer to this condition as "hip bursitis," although research has shown that irritation of the gluteal tendons is often involved as well. Common Symptoms: Pain on the outer side of the hip Tenderness when pressing on the side of the hip Pain while lying on the affected side Discomfort during walking or climbing stairs Pain that worsens after prolonged activity This condition is particularly common among runners, walkers, and individuals who spend a lot of time on their feet. Massage therapy can help address tight surrounding muscles, while chiropractic care and exercise recommendations can improve biomechanics and reduce stress on irritated tissues. Hip Flexor Strain: Pain in the Front of the Hip The hip flexors are a group of muscles that help lift your knee and bend your hip. Athletes, runners, cyclists, and people who sit for prolonged periods frequently experience hip flexor issues. Common Symptoms: Pain in the front of the hip or groin Pain when lifting the knee Tightness after sitting Discomfort during running, kicking, or climbing stairs Muscle tenderness Hip flexor strains can range from mild irritation to significant muscle injuries. Treatment often focuses on reducing muscle tension, restoring mobility, and gradually rebuilding strength. Labral Tears: Clicking, Catching, and Deep Hip Pain The hip labrum is a ring of cartilage that helps stabilize the hip joint. Labral tears can occur due to trauma, repetitive stress, or structural variations within the hip. Common Symptoms: Deep groin pain Clicking, popping, or catching sensations Feeling like the hip is "sticking" Pain during twisting movements Discomfort during prolonged sitting While not every clicking hip indicates a labral tear, persistent mechanical symptoms deserve evaluation. Proper diagnosis can help determine whether conservative care or additional medical intervention may be appropriate. Piriformis Syndrome: Hip Pain with Sciatica-Like Symptoms The piriformis is a small muscle located deep in the buttock. When irritated, it can sometimes affect the nearby sciatic nerve. Common Symptoms: Pain deep in the buttock Pain that radiates down the back of the leg Increased discomfort when sitting Relief with standing or walking Tightness in the gluteal region Because piriformis syndrome can mimic sciatica, a thorough examination is important. Chiropractic care and massage therapy often work well together to address muscular tension and improve movement patterns. Lumbar Radiculopathy: When the Hip Isn't the Problem Not all hip pain originates from the hip joint. Sometimes the lower back is responsible. A bulging disc, spinal arthritis, or other lumbar spine condition can irritate nerves that travel into the hip and leg. Common Symptoms: Hip pain accompanied by low back pain Numbness or tingling down the leg Burning or shooting sensations Weakness in the leg Symptoms that change with spinal movement If your hip pain travels below the knee or is accompanied by neurological symptoms, the source may be your spine rather than your hip. This is one reason a comprehensive evaluation is so important before beginning treatment. Sacroiliac (SI) Joint Dysfunction: Pain Near the Hip and Pelvis The sacroiliac joints connect the pelvis to the spine. Dysfunction in these joints can produce pain that feels remarkably similar to hip pain. Common Symptoms: Pain near the back of the hip Pain near the dimples of the lower back Pain when standing from a seated position Discomfort while walking Pain that may radiate into the buttock SI joint dysfunction commonly occurs after pregnancy, falls, repetitive activities, or prolonged asymmetrical postures. Hip Impingement (FAI): Pain During Movement Femoroacetabular impingement (FAI) occurs when the bones of the hip joint do not move together smoothly. Over time, this can create irritation within the joint. Common Symptoms: Groin pain during activity Pain with squatting Pain when sitting for long periods Reduced hip mobility Pinching sensation in the front of the hip FAI is often seen in active adults and athletes. Improving movement patterns and maintaining appropriate hip mobility can often help manage symptoms. Muscle Strains and Tendon Injuries Sometimes hip pain is simply the result of an overworked muscle or tendon. Common muscles involved include: Gluteus medius Gluteus minimus Hamstrings Adductors (groin muscles) Hip flexors Common Symptoms: Localized pain Tenderness to touch Pain with specific movements Symptoms related to exercise or activity These injuries often respond well to a combination of manual therapy, exercise, and gradual return to activity. When Should You Seek Care? While many causes of hip pain are musculoskeletal, some symptoms require prompt medical evaluation. Contact a healthcare provider if you experience: Severe pain following trauma Inability to bear weight Significant swelling Fever accompanying hip pain Unexplained weight loss Progressive weakness Loss of bowel or bladder control These symptoms may indicate a more serious condition requiring immediate attention. How Chiropractic Care and Massage Therapy Can Help At Peak Performance Chiropractic & Massage, we take a comprehensive approach to evaluating hip pain. Because the source of symptoms isn't always obvious, a thorough examination helps identify whether the issue is originating from the hip joint, surrounding muscles, pelvis, or lower back. Treatment may include: Chiropractic adjustments when appropriate Soft tissue therapy Massage therapy Mobility exercises Strengthening recommendations Movement and posture education Activity modifications Our goal is not only to reduce pain but also to improve function and help prevent future flare-ups. Don't Ignore Hip Pain Hip pain is not something you simply have to "live with." Whether your symptoms stem from arthritis, tendon irritation, a muscle strain, spinal involvement, or another condition, identifying the underlying cause is the first step toward effective treatment. If you're experiencing hip pain in Buffalo or Western New York, the team at Peak Performance Chiropractic & Massage is here to help. Through evidence-informed chiropractic care, massage therapy, and individualized treatment plans, we can help you get back to doing the activities you enjoy with less pain and better movement. Bethany Wolcott, DC

If you've spent any time on social media lately, you've probably seen people climbing into ice baths, sitting in saunas, or enthusiastically talking about their "contrast therapy" routine. But what exactly is contrast therapy? Is it worth trying? And what are the potential benefits and risks? Let's dive in.

June is Pride Month, a time to celebrate love, authenticity, community, and the ongoing pursuit of equality for LGBTQIA+ individuals. At Peak Performance, we're proud to join in that celebration and reaffirm something that we believe should be true every day of the year: everyone deserves to feel welcome & respected

Road Trip Ready: How to Survive Long Car Rides Without Neck and Back Pain Summer is officially road trip season. Whether your are visiting family, or packing the car for a weekend getaway, one thing is almost guaranteed: your body may not love sitting in the car for hours

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Discover how craniosacral massage supports the nervous system, reduces tension, and complements traditional therapies for lasting relief.

If you've ever stood in the recovery aisle at a sporting goods store or scrolled through fitness content online, you've probably asked yourself: Do I really need all of this? Foam rollers, massage guns, lacrosse balls, mobility tools... and then there's professional massage therapy sitting on the other end of the spectrum. So what's actually worth your time (and money)? And more importantly—what's going to help you feel better and move better? Let's break it down in a way that actually makes sense. First, What Are We Trying to Accomplish? Before we compare tools; it's important to understand the goal. Most people are using foam rollers or booking massages because they want to: Reduce muscle tightness Improve mobility Decrease soreness Recover faster from workouts Feel less stiff during the workday All solid goals. The question is: which approach gets you there most effectively—and when? Foam Rolling: The DIY Approach Foam rolling (a form of self-myofascial release) is essentially a way to apply pressure to your own muscles using your body weight. You roll over tight areas, pause on tender spots, and hope for that "good hurt" feeling that signals something is happening. The pros: It's accessible —you can do it anytime It's relatively inexpensive It gives you some control over pressure and location It can be a great warm-up or cool-down tool The limitations: It's hard to fully relax while supporting your own body weight You can't easily target certain areas (looking at you, upper traps and neck) Pressure is inconsistent depending on positioning It's easy to rush through it or avoid the spots that actually need attention Foam rolling works best as a maintenance tool , not a fix-all solution. Think of it like brushing your teeth—it helps keep things in check, but it doesn't replace going to the dentist. Massage Therapy: The Hands-On Advantage Massage therapy takes a different approach. Instead of trying to manage everything yourself, you have a trained provider assessing and treating your body directly. The pros: Targeted treatment of specific problem areas Ability to fully relax (which matters more than you think) Consistent, controlled pressure Techniques that go beyond what you can replicate on your own Real-time feedback and adjustments The limitations: It requires scheduling It's more of an investment than a foam roller You can't do it daily (unless you've got unlimited time and budget—which, if so, congrats) Massage is typically more effective for: Persistent tightness Areas you can't reach Recovery after intense activity Stress-related tension Situations where your body just won't "let go" on its own Why Relaxation Actually Matters Here's something people often overlook: your nervous system plays a huge role in muscle tension. When you're foam rolling, you're often bracing, balancing, and thinking about what you're doing. That keeps your body in a more active state. During a message, you're lying down, supported, and able to fully relax. That shift allows your nervous system to downregulate, which can make muscles more receptive to change. In simple terms: Relaxed muscles respond better to treatment. That doesn't mean foam rolling is useless—it just means it operates differently What the Research (and Reality) Suggests Foam rolling has been shown to: Temporarily improve range of motion Reduce perception of soreness Be helpful as part of a warm-up Massage therapy has been shown to: Reduce pain and muscle tension Improve circulation Support recovery Help regulate stress Notice a theme? Both have benefits—but they're not interchangeable. When to Use a Foam Roller Foam rolling is a great option when you: Need a quick reset during the day Want to warm up before a workout Feel general tightness but nothing too specific Are maintaining progress between appointments A few tips to make it more effective: Slow down (this isn't a race) Breathe—don't hold tension while trying to relieve tension Spend extra time on areas that feel restricted Avoid rolling directly over joints or sharp pain Consistency beats intensity here. When to Book a Massage Massage therapy is the better choice when: You've had the same tight spot for weeks (or months) Foam rolling isn't cutting it anymore You're dealing with stress that's showing up physically You're recovering from a tough workout, race, or busy stretch of life You want a more targeted, individualized approach It's also worth noting: sometimes the issues isn't where you feel it. A trained provider can identify contributing areas you might not even think to address. The Best Approach? Use Both. This isn't an either/or situation—it's a both/and. Foam rolling and massage therapy actually complement each other really well. Think of it like this: Massage Therapy helps reset your system and address deeper or more stubborn issues Foam rolling helps you maintain those improvements between visits If you only rely on one, you're probably leaving some benefits on the table. A Simple Game Plan If you're not sure where to start, try this: Daily or near-daily: Light foam rolling (5–10 minutes) + simple movement As needed: Longer foam rolling sessions after workouts Every few weeks (or based on your needs): Massage therapy for deeper work and recovery Adjust based on your activity level, stress, and how your body feels The Bottom Line Foam rollers are convenient, affordable, and useful—but they have limits. Massage therapy is more targeted, more effective for stubborn issues, and allows your body to truly relax—but it requires a bit more planning. If your goal is to move better, feel better, and stay consistent with your health, the best strategy isn't choosing one over the other. It's knowing when to use each. Final Thought If you've been aggressively rolling the same tight spot for weeks and it's still hanging around, that's your sign—it might be time to bring in some backup. And if you've been relying only on massage but doing nothing in between, a foam roller might be the missing piece to help those results last longer. Your body doesn't need perfection—it just needs a little consistency and the right tools at the right time.  Bethany Wolcott, DC D’Youville Chiropractic ‘26

Discover how deep tissue massage in Buffalo helps relieve chronic pain at its source by improving muscle function and mobility.

Race Day Starts Now: How to Prepare for the Upcoming Buffalo Half & Full Marathons Buffalo is a running city, and one of the most exciting weekends of the year is almost here. The Buffalo Half Marathon and Full Marathon bring thousands of runners, spectators, and cheering fans to the streets each spring. Whether you’re chasing a personal record, checking “run a marathon” off your bucket list, or simply hoping to cross the finish line smiling, race success starts long before the starting gun. In the final weeks leading up to race day, preparation matters. Training miles are important, of course—but so are recovery, nutrition, mobility, sleep, and smart body maintenance. You’ve been putting in the work—now is the time to support it. Trust the Training (and Stop Trying to Become a Hero Overnight) A common mistake runners make before a big race is cramming in extra mileage at the last minute. Resist the urge. By now, your fitness has largely been built. The final stretch should focus on maintaining your routine, reducing fatigue, and arriving at the start line feeling fresh. That means following your taper plan, keeping runs purposeful but manageable, and avoiding the classic “I should probably run 18 miles this weekend just to be safe” panic decision. Spoiler alert: you should not. Prioritize Recovery Like It’s Part of Training Recovery is where progress happens. In the weeks leading up to the Buffalo Marathon weekend, make recovery a non-negotiable part of your schedule. That includes: Dynamic warm ups before any effort Gentle stretching after runs Mobility work for hips, calves, and ankles Foam rolling or soft tissue work Easy walks on rest days Staying hydrated Getting enough sleep If you’ve been feeling tight, sore, or beat up, now is the perfect time to address those issues before they become race-day problems. Don’t Ignore the Warning Signs There’s a difference between normal training soreness and pain that needs attention. Some signs you shouldn’t brush off include: Sharp pain while running Pain that changes your gait Swelling that lingers Numbness or tingling Pain that worsens with each run A nagging issue that hasn’t improved in weeks Many runners try to “tough it out” right into race week. Sometimes that works. Sometimes it turns a manageable issue into a DNS (Did Not Start) situation. If something feels off, it’s worth getting checked out sooner rather than later. Get Your Body Race-Ready Many runners use chiropractic care, massage therapy, and mobility-focused treatment as part of their race prep. Why? Because when joints move well and muscles recover well, training tends to feel better. Depending on the individual, treatment before a race may help with: Hip or low back tightness Calf and Achilles tension Neck and shoulder stiffness Foot and ankle mobility General wear-and-tear from training volume Recovery between final training sessions The goal before race day is not to do anything aggressive or dramatically different—it’s to help you move and feel your best heading into the event. Practice Your Race Day Plan Race day should feel familiar. The week before the Buffalo Half or Full Marathon is not the time for experiments. Use your long runs and final training efforts to dial in: What you’ll eat the night before and morning of Your breakfast timing Hydration strategy Gels or fuel during the run Clothing choices Socks that do not betray you Pacing strategy Nothing says “memorable race experience” quite like trying brand-new shorts. Sleep Matters More Than You Think You may not sleep perfectly the night before the race—and that’s okay. Pre-race nerves are real. What matters more is your sleep in the week leading up to the event. Aim for consistent bedtimes, quality rest, and enough total sleep. Think of race-week sleep as banking energy. Respect the Buffalo Weather If you know Buffalo, you know the weather can be... creative. Race morning could be cool and ideal, warm and sunny, windy, rainy, or somehow all four. Keep an eye on the forecast and prepare accordingly. Dress in layers before the start Have throwaway clothes if it’s chilly Adjust hydration if it’s warmer than expected Don’t go out too fast if conditions are tough You trained for the distance. Stay flexible for the forecast. The Last Few Days: Less Is More In the final 48–72 hours, keep things simple: Easy movement only Light stretching Hydrate consistently Eat balanced meals with PLENTY of carbs Avoid staying on your feet all day Pick up your packet early if possible Lay out race gear the night before This is not the time for a heroic leg workout, a five-hour yard project, or helping your friend move a couch. We’re Cheering for Buffalo Runners  The Buffalo Half and Full Marathons are incredible events, and it’s always inspiring to see our city come alive with runners of every level. If you’re dealing with aches, tightness, or training-related issues leading up to race day, our Peak Performance team is here to help. Chiropractic care and massage therapy can be valuable tools to keep you moving comfortably and confidently as you prepare. Whether you’re aiming for a Boston qualifier, your first finish line medal, or just hoping to survive the final 10K with dignity—we’re rooting for you. Good luck, Buffalo. See you at the finish line. Bethany Wolcott D'Youville Chiropractic '26