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The iliac crest provides attachment for the hip flexors, the abdominal muscles, and the muscles that rotate the hip. Direct impact on the iliac crest can cause contusion, bruising, and inflammation of tissue or even bone fracture. Severe pain can be felt after the injury happens.

Dry needling acupuncture is very effective in treating this injury. Needles can be applied to the painful tissues with two to three needles per square centimeter, including the gluteal muscles, iliotibial band, and hip flexors. Two treatment sessions per week should be provided.

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