- Referred nerve pain from the low back
- Femoral acetabular impingement syndromes
- Sprains and strains of the ligaments and muscles of the hips
- Labral tears
- IT (Iliotibial) band syndrome
A 2013 study published in Osteoarthritis and Cartilage found that patient education combined with 12 chiropractic treatments (twice a week for six weeks) was more effective for hip OA than a daily stretching program or patient education alone.
A 2016 study of 210 people with hip OA found that those who participated in a 12-week exercise program had less pain and more mobility than the placebo or no-treatment groups.
You deserve to get to experience pain-free hip movements that give you to the ability to take back your life
Q: What life hacks do you have for hip pain?
A: Foam roll your hips, stretching your hips, maintain a healthy diet and weight, remain active even if that means finding a way to move around your pain, warm-up or stretch before exercising or physical activities, sleep on your back with the legs spread apart pr sleep on the unaffected side of the body with a pillow between the knees, compression can be helpful, sitting on a donut or a cushion, try working out in the water and biking if the regular activity is too painful to take some of the impact off your joints, and do not be ashamed to get support like a cane or walker until you feel confident in your freedom of movement.
Q: What is my hip area exactly?
A: The hip region is the buttock, anything below the hip bone aka what is below the love handles. It is very common for the groin and thigh to get included in the hips
Q: Can my hip pain cause my knee pain?
A: Yes a common condition called IT (illiotiobal) band syndrome can cause frustrating lateral knee pain, especially in cyclists and runners
Q: What is arthritis?
A: The two forms of arthritis are inflammatory and osteoarthritis, aka wear, and tear arthritis. Osteoarthritis, which is the most common form of arthritis in the hip, is a chronic condition in which the cushioning material of the joints breaks down and the bones rub against each other. This causes pain, stiffness, and loss of joint movement.
Q: Can my hip pain come from my back?
A: Yes your hip pain can be from a disc bulge, muscle nerve referral, or from the joints of the low back
Q: Is my hip pain sciatica?
A: It may be, but sciatica follows the sciatic nerve down the back of the hip.
Q: Why did I get hip and outside pain thigh after being pregnant?
A: You most likely suffer from Meralgia Paresthetica caused by compression of the lateral femoral cutaneous nerve during pregnancy.
- Disc and nervous system pain follow dermatomal patterns to some degree. A dermatome is an area of skin in which sensory nerves come from a single spinal nerve root
- The nerve pain from bones, muscle, ligaments, and spinal joints
- Local entrapments follow peripheral nerve patterns like the entrapment syndrome of meralgia paresthetica where the lateral femoral cutaneous gets compressed by the inguinal ligament
- Myofascial trigger points follow patterns that can be created from pressure on injured muscles, the piriformis trigger point pattern is one of the most well know in the human body
Osteoarthritis (OA) is the most common form of arthritis, affecting an estimated 302 million people worldwide. It is a degenerative,"wear-and-tear" type of arthritis that occurs most often in people 50 years of age and older, but may occur in younger people. The cartilage in the joints gradually wears away. The joint becomes frayed, rough, and the protective space between the bones decreases. This can result in bone rubbing on bone and produce painful bone spurs.
Generally, the pain develops gradually over time, although sudden onset is also possible. There are other symptoms, as well:
- The joint may become stiff and swollen, making it difficult to move.
- Pain and swelling may be worse in the morning, or after sitting or resting.
- Vigorous activity may cause pain to flare up.
- You may get lock, stick, creak, click, snap or grinding like noises during movement.
- Pain may cause a feeling of weakness or giving out.
- Many people with arthritis note increased joint pain with rainy weather.
With hip Osteoarthritis, the pain is usually described as being in the groin or thigh as well
Hip impingement is a condition in which there is abnormal wearing contact between the ball and socket of the hip joint. The result is increased friction during hip movements that may damage the joint.
Patients often complain of:
- Pain in the groin after prolonged sitting or walking
- In Athletes, pain in the groin with deep flexion or rotation of the hip during activity
- Popping or clicking in the front of the hip
- Pain that radiates along the side of the thigh and in the buttocks
Treatment of hip impingement/femoroacetabular impingement begins with conservative, non-surgical methods. Activity modifications and a course of rehabilitation exercise therapy are often successful in alleviating symptoms.
A hip labral tear involves the ring of cartilage (labrum) that follows the outside rim of your hip joint socket. Besides cushioning the hip joint, the labrum acts like a rubber seal or gasket to help hold the ball at the top of your thighbone securely within your hip socket.
Athletes who participate in sports such as ice hockey, soccer, football, golf and ballet are at higher risk of developing hip labral tears. Structural abnormalities of the hip also can lead to a hip labral tear.
Many hip labral tears cause no signs or symptoms. Some people, however, have one or more of the following:
- Pain in the hip or groin, often made worse by long periods of standing, sitting or walking
- A locking, clicking or catching sensation in your hip joint
- Stiffness or limited range of motion in your hip joint
The cause of a hip labral tear might be:
- Trauma. Injury to or dislocation of the hip joint, which can occur during car accidents or from playing contact sports such as football or hockey, can cause a hip labral tear.
- Structural abnormalities. Some people are born with hip problems that can accelerate wear and tear of the joint and eventually cause a hip labral tear.
- Repetitive motions. Sports-related and other physical activities, including long-distance running and the sudden twisting or pivoting motions common in golf or softball, can lead to joint wear and tear that ultimately result in a hip labral tear.
If the sports you play puts a lot of strain on your hips, condition the surrounding muscles with strength and flexibility exercises.
Is a common knee injury that usually presents with pain and/or tenderness on palpation of the lateral aspect of the knee, superior to the joint line, and inferior to the lateral femoral epicondyle. It is considered a non-traumatic overuse injury and is often concomitant with the underlying weakness of muscles. Overuse is thought to be caused by repetitive knee flexion and extension movements frequently seen in cyclists and runners. This repetitive motion causes excessive friction between the lateral femoral epicondyle and the iliotibial tract.
The iliotibial tract is a thick band of fascia that runs on the lateral side of the thigh from the iliac crest and inserts at the knee. It is composed of dense fibrous connective tissue that appears from the tensor fascia latae and gluteus maximus. It descends along the lateral aspect of the thigh, between the layers of the superficial fascia, and inserts onto the lateral tibial plateau at a projection known as Gerdy’s tubercle. In its distal portion, the iliotibial tract covers the lateral femoral epicondyle and gives an expansion to the lateral border of the patella. While the iliotibial band does not have any boney attachments as it courses between the Gerdy tubercle and the lateral femoral epicondyle, this absence of attachment allows it to move anteriorly and posteriorly with knee flexion and extension.
The main symptoms of ITBS are:
- Sharp pain on the outer aspect of the knee, particularly when the heel strikes the floor, that can radiate into the outer thigh or calf
- Pain that tends to worsen when running or coming downstairs
- Audible snapping sensations when the knee bends
- Swelling on the outer side of the knee
- Exercise-related tenderness over the lateral femoral epicondyle
- An acute, burning pain when pressure is applied on the lateral femoral epicondyle with the knee in flexion and in extension
The treatment of ITBS is usually non-operative, and physiotherapy should be considered the first and best line of treatment. Due to the variety of potential causes of IT band syndrome, it is necessary to consider areas that may be contributing to abnormal body mechanics. Especially with knee conditions, the joints above (hip) and below (ankle/foot) should be assessed to determine if they are contributing to the problem.
Everything you need to decrease annoying pain, stiffness, swelling and increase healing so you can get back to proper movement
- Hands-on chiropractic adjustments
- Myofascial release and many other manual therapy techniques
- Instrument assisted soft tissue mobilization
- Rehabilitation exercises
- Corrective and pre-rehabilitation exercises
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