Back Clinic Hip Pain & Disorders Team. These types of disorders are common complaints that can be caused by a variety of problems. The precise location of your hip pain can give more information about the underlying cause. The hip joint on its own tends to result in pain on the inside of your hip or groin area. Pain on the outside, upper thigh, or outer buttock is usually caused by ailments/problems with the muscles, ligaments, tendons, and soft tissues surrounding the hip joint. Hip pain can also be caused by diseases and conditions in other areas of your body, i.e. the lower back. The first thing is to identify where the pain is coming from.
The most important distinguishing factor is to find out if the hip is the cause of the pain. When hip pain comes from muscles, tendons, or ligament injuries, it typically comes from overuse or Repetitive Strain Injury (RSI). This comes from overusing the hip muscles in the body i.e. iliopsoas tendinitis. This can come from tendon and ligament irritations, which typically are involved in snapping hip syndrome. It can come from inside the joint that is more characteristic of hip osteoarthritis. Each of these types of pain presents itself in slightly different ways, which is then the most important part in diagnosing what the cause is.
Individuals suffering from hip, thigh, and/or groin pain could be experiencing iliopsoas syndrome. Could knowing the symptoms and causes help in diagnosis and treatment?
Iliopsoas Syndrome
Iliopsoas syndrome encompasses several conditions that affect the inner hip muscle and can cause hip and thigh pain. The muscle helps to bend the leg toward the body.
The condition is usually caused by overuse injuries and commonly affects individuals who perform repeated hip flexion movements, like cyclists, gymnasts, dancers, runners, and soccer players. (Liran Lifshitz, et al., 2020)
The term is often used interchangeably with psoas syndrome, iliopsoas tendonitis, snapping hip syndrome, and iliopsoas bursitis. However, there are clinical differences.
Hip or groin clicking or snapping that can be heard and/or felt during movement.
Pain and/or stiffness in the hip and thigh area.
Pain that worsens when bending the hip – walking, climbing stairs, squatting, sitting.
Movements that involve bringing the knee toward the chest can worsen the pain.
Causes
The iliopsoas muscles are hip muscles on the front of the hip. They are made up of the psoas major, the psoas minor, and the iliacus. Small, fluid-filled sacs/bursae are within the hip joint between bones and soft tissues. The bursae reduce friction and provide cushioning to help the tendons, muscles, and other structures move smoothly over the bony prominences.
Iliopsoas bursitis happens when the bursa, which is located between the iliopsoas tendon and the inside of the hip joint, becomes inflamed and irritated.
Iliopsoas tendonitis/hip tendonitis happens when the tendon that attaches the thigh bone to the iliopsoas muscle becomes inflamed and irritated.
Iliopsoas bursitis and tendonitis are commonly caused by overuse injuries and intense activities like cycling, running, rowing, or strength training.
Diagnosis
Healthcare providers can diagnose iliopsoas syndrome based on symptom history and a hip examination.
Imaging tests – MRI and X-rays may be used to rule out other injuries or conditions like muscle tears. (Paul Walker, et al., 2021)
Avoid putting weight on the hip for a few days after the injury.
Ice
Apply ice immediately after the injury to bring the swelling down.
Use a cold pack for 20 minutes at a time, several times a day.
Do not apply ice directly on the skin.
Compression
Wrap the area in a soft bandage or use compression shorts to prevent further swelling.
Elevation
Rest as often as possible with the leg raised higher than the heart.
Medical Treatment
Non-steroidal anti-inflammatory drugs like ibuprofen and naproxen sodium can alleviate pain and reduce inflammation. (Paul Walker, et al., 2021)
Steroid injections can be used if symptoms continue or come back with additional injections administered as necessary. (Paul Walker, et al., 2021)
After pain and swelling subside, physical therapy may be recommended, as well as mild exercises to gradually improve hip strength and flexibility. (Paul Walker, et al., 2021)
A healthcare provider may recommend surgery in severe cases where pain persists, and conservative treatments don’t provide enough relief.
Lifshitz, L., Bar Sela, S., Gal, N., Martin, R., & Fleitman Klar, M. (2020). Iliopsoas the Hidden Muscle: Anatomy, Diagnosis, and Treatment. Current sports medicine reports, 19(6), 235–243. doi.org/10.1249/JSR.0000000000000723
Walker, P., Ellis, E., Scofield, J., Kongchum, T., Sherman, W. F., & Kaye, A. D. (2021). Snapping Hip Syndrome: A Comprehensive Update. Orthopedic reviews, 13(2), 25088. doi.org/10.52965/001c.25088
American Association of Orthopedic Surgeons. OrthoInfo. Hip strains.
For individuals with pelvic pain, how does MET treatment strategies reduce muscle weakness in the hips region?
Introduction
The pelvis’s main job is to ensure that the person’s body weight is distributed evenly for everyday movement within the upper and lower body. At the same time, the core muscles, ligaments, and joints surround the skeletal structure of the pelvis, which provides normal function while protecting the vital organ systems within the pelvic region. When normal or traumatic factors start to affect the body’s pelvic area, many individuals will often mistake the pain for low back pain, and the core muscles surrounding the pelvic bone can become weak and lead to pelvic pain. At the same time, normal factors like improper posture can cause anterior pelvic tilt and develop into other musculoskeletal disorders with overlapping risk profiles. When pelvic pain affects the lower extremities, it can also lead to reproductive issues that can cause even more stress to the individual. Luckily, many people opt for non-surgical treatments to reduce pelvic pain and its associated musculoskeletal condition by strengthening the weakened core muscles and reducing muscle weakness. Today’s article examines how referred pain symptoms affect the pelvis and how non-surgical treatments like MET therapy can reduce muscle weakness correlating with pelvic pain. Additionally, we communicate with certified medical providers who incorporate our patient’s information to reduce muscle weakness associated with pelvic pain. We also inform them that MET therapy can help mitigate the referred pain-like symptoms related to pelvic pain. We encourage our patients to ask amazing educational questions for our associated medical providers about their pelvic pain. Dr. Jimenez, D.C., incorporates this information as an educational service. Disclaimer
Referred Pain Symptoms Affecting The Pelvis
Have you noticed that you are taking more frequent trips to the bathroom and that your bladder still feels full? Do you experience muscle stiffness within your lower back or pelvic region from excessive sitting at your desk during work? Or do you notice that you are experiencing weak core muscles affecting your workout routine? These scenarios are associated with pelvic pain and can cause issues within the lower body extremities, affecting the person’s performance when doing normal activities. Pelvic pain is a multifactorial musculoskeletal disorder that can affect the corresponding body systems to induce referred pain. (Grinberg, Sela, & Nissanholtz-Gannot, 2020) Pelvic pain can cause referred pain to the gastrointestinal, pelvic musculoskeletal, and nervous systems, which then causes anatomic malfunction to the pelvic floor muscles. Pelvic pain can easily be mistaken for low back pain since the lumbar spine creates stressors for the muscles surrounding the pelvis.
When the pelvis is affected by mechanical stressors associated with the lumbar spine, it can cause pelvic dysfunction and causes the individual to be unbalanced when in motion. At the same time, the pelvic muscle structures will be overworked, leading to hip and joint destabilization, causing them to be weak. (Lee et al., 2016) When the pelvic muscle structures begin to destabilize, it can lead to sciatic nerve entrapment to the lower extremities, which leads to overlapping risk profiles for musculoskeletal disorders. When the surrounding pelvic muscles begin to entrap the pelvic nerve roots causing radiating pain down the legs. (Kale et al., 2021) However, there are ways to reduce referred pain affecting the pelvic region and restore muscle strength.
Sciatica, Causes, Symptoms, & Tips- Video
Since pelvic pain is a multifactorial musculoskeletal disorder that can lead to the development of referred pain to the lower body extremities, many individuals often think it is low back pain or sciatica. Referred pain is when pain affects a body location instead of where the source originated. Not treated immediately causes nerve entrapment, muscle weakness, and chronic pain within the reproductive and urinary organs. Many individuals seek non-surgical treatments to alleviate the pain and restore muscle strength to the body’s pelvic region. Non-surgical treatments like MET(muscle energy techniques) can help restore muscle strength to the pelvis through soft tissue stretching. Pain specialists specializing in MET therapy, like chiropractors and massage therapists, use hands-on maneuvers to relax, elongate, stretch, and massage the affected tight muscles and reduce any tender points that may have developed over time. (Grinberg et al., 2019) MET therapy can help stretch the pelvic stabilizing muscles. It can be combined with physical therapy and chiropractic care to realign the body and reduce nerve entrapment caused by pelvic pain. Check out the video above to learn more about the causes of sciatica and how non-surgical treatments may be the answer to alleviate pain.
MET Treatment Strategies For Pelvic Pain
MET therapy can reduce the effects of pelvic pain by including soft tissue manipulation methods to use controlled isometric and isotonic contraction to improve the normal physiologic function of the surrounding pelvic muscles and decrease pain and help stabilize the alternating structures within the pelvic region. (Sarkar, Goyal, & Samuel, 2021) MET therapy can also encourage self-regulating influences to reduce pain within the pelvic area, resulting in a greater range of motion. (Chaitow, 2009)
MET Treatment Reducing Muscle Weakness
MET therapy can also be part of a personalized health plan that can help restore muscle strength in the core and stabilize muscle within the pelvis. The positive effects of the combination of MET therapy and exercise, it can be more effective in reducing pain while improving physical function. (Hu et al., 2020) This allows the pelvis to realign itself and help stretch the shortened muscles. MET therapy can help restore low extremity function and improve a person’s quality of life. (Danazumi et al., 2021) MET therapy is an excellent way to stretch out tired muscles and restore pelvic function, as it can make individuals more mindful of their bodies while reducing the chances of pelvic pain associated with musculoskeletal disorders reoccurring again in the lower extremities.
Danazumi, M. S., Yakasai, A. M., Ibrahim, A. A., Shehu, U. T., & Ibrahim, S. U. (2021). Effect of integrated neuromuscular inhibition technique compared with positional release technique in the management of piriformis syndrome. J Osteopath Med, 121(8), 693-703. doi.org/10.1515/jom-2020-0327
Grinberg, K., Sela, Y., & Nissanholtz-Gannot, R. (2020). New Insights about Chronic Pelvic Pain Syndrome (CPPS). Int J Environ Res Public Health, 17(9). doi.org/10.3390/ijerph17093005
Grinberg, K., Weissman-Fogel, I., Lowenstein, L., Abramov, L., & Granot, M. (2019). How Does Myofascial Physical Therapy Attenuate Pain in Chronic Pelvic Pain Syndrome? Pain Res Manag, 2019, 6091257. doi.org/10.1155/2019/6091257
Hu, X., Ma, M., Zhao, X., Sun, W., Liu, Y., Zheng, Z., & Xu, L. (2020). Effects of exercise therapy for pregnancy-related low back pain and pelvic pain: A protocol for systematic review and meta-analysis. Medicine (Baltimore), 99(3), e17318. doi.org/10.1097/MD.0000000000017318
Kale, A., Basol, G., Topcu, A. C., Gundogdu, E. C., Usta, T., & Demirhan, R. (2021). Intrapelvic Nerve Entrapment Syndrome Caused by a Variation of the Intrapelvic Piriformis Muscle and Abnormal Varicose Vessels: A Case Report. Int Neurourol J, 25(2), 177-180. doi.org/10.5213/inj.2040232.116
Lee, D. W., Lim, C. H., Han, J. Y., & Kim, W. M. (2016). Chronic pelvic pain arising from dysfunctional stabilizing muscles of the hip joint and pelvis. The Korean Journal of Pain, 29(4), 274-276. doi.org/10.3344/kjp.2016.29.4.274
Sarkar, M., Goyal, M., & Samuel, A. J. (2021). Comparing the Effectiveness of the Muscle Energy Technique and Kinesiotaping in Mechanical Sacroiliac Joint Dysfunction: A Non-blinded, Two-Group, Pretest-Posttest Randomized Clinical Trial Protocol. Asian Spine Journal, 15(1), 54-63. doi.org/10.31616/asj.2019.0300
How do non-surgical treatments compare with traditional surgical treatments to improve mobility for individuals with hamstring injuries? The hamstrings are muscles in the lower extremities that provide mobility to the legs and stabilize the pelvis. Many athletes rely on their hamstrings to perform strenuous actions such as sprinting, jumping, squatting, and kicking during sporting events. However, the hamstrings are also very susceptible to injury. Athletes who repeatedly overstretch their hamstrings can experience muscle strain until microscopic tears form, which is common. Similarly, individuals who sit for long periods can also experience hamstring issues. When individuals are not physically active, their hamstrings can become weak and shortened, leading to symptoms such as muscle pain, trigger points, and strain on the accessory muscles. Hamstring injuries can also cause other issues that affect the lower body extremities. This article will explore how hamstring injuries affect mobility and how non-surgical treatments help people regain mobility. We work with certified medical providers who use our patients’ valuable information to treat individuals suffering from hamstring injuries and inform them about non-surgical treatments to regain mobility. We encourage patients to ask essential questions and seek education from our associated medical providers about their condition. Dr. Jimenez, D.C., provides this information as an educational service. Disclaimer
Hamstring Injuries Implementing Other Issues
Do you experience stiffness in the back of your thighs when warming up before exercising? Are you feeling radiating pain from the side of your hips and glutes due to prolonged sitting? Or do you tend to limp, affecting your gait and walking? Many people are unaware they are overexerting their hamstrings, which can cause pain. Those who engage in sports or work sedentary jobs may over or underuse their hamstrings, affecting their flexibility and mobility to the lower extremities. According to research studies, hamstring injuries are the most common non-contact muscle injuries caused by two mechanisms of injuries: stretch-type and sprint-type. Sprint-type injuries associated with hamstrings occur when the muscles are overexerted due to maximal or near-maximal action, causing muscle fatigue. To that point, hamstring injuries can also affect a person’s walking mobility.
Running without properly warming up the hamstring muscle can cause muscle fatigue. Stretch-type injuries associated with the hamstring muscles involve combination movements that include extreme hip flexion and knee extension. These injuries can also mimic sciatica, leading people to believe their sciatic nerve is acting up. However, treatments available can help reduce the pain associated with hamstring injuries and lengthen the shortened muscle to reduce pain.
Best Lower Body Stretches To Increase Flexibility-Video
If you want to reduce the pain associated with hamstring injuries, incorporating RICE can help prevent it from becoming chronic. This involves gently stretching the affected muscle to avoid cramps and pain while increasing flexibility. Hamstring injuries can also be linked to other chronic issues, which can cause inflammation in the surrounding muscles. Studies show that conditions like piriformis syndrome can cause nerve entrapment in the hamstrings, resulting in radiating pain down the leg that mimics low back pain and sciatica. As previously mentioned, hamstring injuries can limit mobility and be linked to chronic conditions. Thankfully, non-surgical treatments can help reduce pain and provide relief. Check out the video above to learn different stretches that can help reduce pain in the lower body and increase flexibility.
Treatments To Restore Mobility
If rest, ice, compression, and gentle stretching do not provide relief, incorporating treatments for hamstring injuries to restore mobility can benefit many individuals. Seeking the help of a pain specialist, such as a massage therapist or chiropractor, to create a customized plan/program is recommended. There are various approaches that pain specialists can use to regain mobility and treat hamstring injuries.
MET Therapy
Many chiropractors and massage therapists incorporate MET (muscle energy techniques) therapy to gently stretch out the shortened hamstring muscle and help restore joint mobility in the lower extremities. In “Clinical Applications of Neuromuscular Techniques,” written by Leon Chaitow, N.D., D.O., and Judith Walker DeLany, L.M.T., stated that MET is crucial in stretching and strengthening the hamstring muscles through isometric contraction. At the same time, additional research studies reveal that the MET technique allows the hamstrings to have a greater increase in hip flexion ranges. MET therapy also helps strengthen the accessory muscles surrounding the hamstrings to restore mobility.
Spinal Decompression
If hamstring injuries are caused by nerve entrapment, then trying out spinal decompression can help restore mobility to the hips and lower extremities. According to “The Ultimate Spinal Decompression,” written by Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C., stated that spinal decompression is safe and gentle on the spine as it provides gentle traction on the spinal disc to reduce pain and increase disc height. When hamstring injuries are associated with nerve entrapment, it could result from a herniated disc that aggravates the nerve root and causes referred pain to the hamstrings. Using gentle traction on the spine can help alleviate the pain caused by the aggravating nerve and reduce pain in the hamstrings. Many individuals can incorporate these treatments to reduce hamstring injuries and regain their mobility back to their legs.
References
Chaitow, L., & Delany, J. (2002). Clinical application of neuromuscular techniques. Vol. 2, The lower body. Churchill Livingstone.
As one of the most load-bearing joints in the body, the hips nearly affect every movement. If the hip joint is involved in a vehicle crash, the space in the joint/hip capsule can fill with fluid, causing joint effusion or swelling, inflammation, dull-immobilizing pain, and stiffness. Hip pain is a common injury symptom reported after a vehicle crash. This pain can range from mild to severe and may be short-term or last for months. No matter the level of pain being experienced, action must be taken quickly to avoid long-term damage. Individuals need high-quality, patient-focused care from experienced specialists as soon as possible to get on the road to recovery.
Vehicle Crash Hip Injury
The hip joints must be healthy and work as effectively as possible to stay active. Arthritis, hip fractures, bursitis, tendonitis, injuries from falls, and automobile collisions are the most common causes of chronic hip pain. Depending upon the type of injury, individuals may experience pain symptoms in the thigh, groin, inside of the hip joint, or buttocks.
Associated Injuries
The most common injuries that cause pain in the hip after a collision include:
A hip ligament sprain or strain is caused by overstretched or torn ligaments.
These tissues attach bones to other bones and provide stability to the joints.
These injuries may only require rest and ice to heal, depending on the severity.
Chiropractic, decompression, and physical massage therapies may be necessary for realignment and to keep muscles flexible and relaxed.
Bursitis
Bursitis is an inflammation of the bursa, or the fluid-filled sac providing cushioning/material between bones and muscles.
It is one of the main causes of hip pain after an automobile collision and requires immediate medical attention.
Tendonitis
Tendonitis is a type of injury that affects soft tissues like tendons and ligaments, as opposed to bone and muscle.
Tendonitis can result in chronic pain and various discomfort symptoms in and around the hip area if left untreated.
Hip Labral Tear
A hip labral tear is a type of joint damage in which the soft tissue/labrum that covers the hip’s socket gets torn.
The tissue ensures that the thighbone head moves smoothly within the joint.
Damage to the labrum can lead to severe pain symptoms and affect mobility.
Hip Dislocation
A hip dislocation means the femur ball has popped out of the socket, causing the upper leg bone to slide out of place.
Hip dislocations can cause avascular necrosis, which is the death of bone tissue from a blockage in the blood supply.
Hip Fractures
The hip bones can be broken down into three parts:
Ilium
Pubis
Ischium
A hip fracture, or broken hip, occurs whenever a break, crack, or crush happens to any one of these parts of the hip.
Acetabular Fracture
An acetabular fracture is a break or a crack outside the hip socket that holds the hip and thigh bones together.
A fracture to this body part is not as common because of the location.
Significant force and impact are often necessary to cause this type of fracture.
Symptoms
If any of the following symptoms after a vehicle crash are experienced, it could be a hip injury and should be examined by a medical professional. These include:
Soreness or tenderness at the site of injury.
Bruising.
Swelling.
Difficulty moving the hip/s.
Intense pain when walking.
Limping.
Loss of muscle strength.
Abdominal pain.
Knee pain.
Groin pain.
Treatment and Rehabilitation
A doctor or specialist should always evaluate hip problems and pain symptoms. With the help of a physical examination and diagnostics like X-rays, CT Scans, or an MRI, a physician can diagnose and recommend treatment options. Treatment after a vehicle crash depends on the severity of the damage. For example, hip fractures often require immediate surgery, while other injuries may only necessitate medication, rest, and rehabilitation. Possible treatment plans include:
Rest
Pain, muscle relaxants, and anti-inflammatory medication.
Surgery – after surgery, a physical therapist can help stretch and work on muscles around the hip to gain mobility and flexibility for a complete recovery.
Total hip replacement
Our team collaborates with the necessary specialists to provide the complete care needed to experience full recovery and healing for long-term relief. The team will work together to form a comprehensive treatment plan to strengthen the hip muscles for better support and increased range of motion.
Movement as Medicine
References
Cooper, Joseph, et al. “Hip dislocations and concurrent injuries in motor vehicle collisions.” Injury vol. 49,7 (2018): 1297-1301. doi:10.1016/j.injury.2018.04.023
Fadl, Shaimaa A, and Claire K Sandstrom. “Pattern Recognition: A Mechanism-based Approach to Injury Detection after Motor Vehicle Collisions.” Radiographics: a review publication of the Radiological Society of North America, Inc vol. 39,3 (2019): 857-876. doi:10.1148/rg.2019180063
Frank, C J et al. “Acetabular fractures.” The Nebraska medical journal vol. 80,5 (1995): 118-23.
Masiewicz, Spencer, et al. “Posterior Hip Dislocation.” StatPearls, StatPearls Publishing, 22 April 2023.
Monma, H, and T Sugita. “Is the mechanism of traumatic posterior dislocation of the hip a brake pedal injury rather than a dashboard injury?.” Injury vol. 32,3 (2001): 221-2. doi:10.1016/s0020-1383(00)00183-2
Patel, Vijal, et al. “The association between knee airbag deployment and knee-thigh-hip fracture injury risk in motor vehicle collisions: A matched cohort study.” Accident; Analysis and Prevention vol. 50 (2013): 964-7. doi:10.1016/j.aap.2012.07.023
The hips play a crucial role in maintaining stability and mobility in the body. However, incorrect actions can lead to misalignment and pain in the hip muscles, causing discomfort and affecting other muscles and joints. This article focuses on the hip flexor muscles and how assessing them with MET therapy can reduce pain and restore hip mobility. We utilize and incorporate valuable information about our patients to certified medical providers using MET therapy to relieve chronic muscle pain associated with the hip flexor muscles. We encourage and refer patients to associated medical providers based on their findings while supporting that education is a remarkable and fantastic way to ask our providers the essential questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., comprises this information as an educational service. Disclaimer
What Are The Hip Flexor Muscles?
Do you have any pain in your hips? Does shifting your weight from one side to the other help relieve the pain? Do you feel pain shooting down from your hips to your legs? These symptoms may be due to pain in your hip flexor muscles. Research studies reveal that these muscles support other muscle groups like the trunk and legs, allowing for proper muscle activity when lifting your legs straight during functional tests for the hips and pelvis. The hip flexors in your hips consist of six muscles that aid in stability and mobility:
Psoas Major
Iliacus
Rectus Femoris
Sartorius
Adductor Longus
Tensor Fasciae Latae
Additional studies have revealed that the hip flexor muscles are crucial in supporting the lower back and maintaining stability. These six muscles aid in hip movements such as deep flexion, adduction, and external rotation, among other functions. The relationship between the hip flexors and the lumbar spine is particularly strong. However, if these muscles become tight, it can negatively affect performance and lead to other issues.
Hip Pain Associated With The Musculoskeletal System
Hip pain can be caused by tight hip flexor muscles, which can be affected by various factors such as health issues, injuries, or environmental factors. Research studies have shown that lower extremity injuries can reduce performance and cause pain-like symptoms associated with the musculoskeletal system. Tight hip flexors can be caused by prolonged sitting, incorrect lifting, or repetitive actions, leading to stretched or shortened muscles and the development of nodules. This can contribute to musculoskeletal disorders and uneven hips. Various treatments are available to realign the body and strengthen the hip flexor muscles.
Non-Surgical Solution: Chiropractic Care- Video
Do you struggle with instability while walking or find yourself leaning more on one leg than the other? Perhaps you experience constant hip pain. Misalignment in the hips caused by environmental factors can lead to instability and pain-like symptoms associated with tight hip flexor muscles. These issues can cause musculoskeletal disorders that overlap and result in spinal subluxation. Research studies mentioned that it could be difficult to diagnose hip pain because it often presents as referred pain from the lumbar spine or knee joint. This means uneven or tight hips could cause low back or knee pain. Treatments are available to reduce hip pain and gently stretch flexor muscles. The video above demonstrates how chiropractic care can offer non-surgical solutions to realign the body and relieve stress in the surrounding muscles.
Assessing The Hip Flexors With MET Therapy
If you are experiencing stiffness or pain in your hips due to tight hip flexors, you can improve your mobility and prevent future issues in several ways. Studies have revealed that physical therapy involving RICE (rest, ice, compression, and elevation) can help restore muscle strength and range of motion. Soft tissue treatment combined with physical therapy can also be effective in restoring hip mobility. In their book “Clinical Application of Neuromuscular Techniques,” Dr. Judith Walker DeLany, L.M.T., and Dr. Leon Chaitow, N.D., D.O. explain that Muscle Energy Techniques (MET) can gently stretch the hip flexor muscles and restore mobility and range of motion in the hip joint. MET therapy can lengthen tight hip flexor muscles, reduce referred pain, and improve the hip’s function.
Conclusion
When the hips and the muscles around them start to cause pain that spreads to the rest of the body, it can lead to uncomfortable symptoms that cause people to shift their weight to compensate for the pain. This can happen because of environmental factors like sitting for too long or overstretching the muscles, which makes the hip flexors tight and can lead to pain in the hips and lower back. However, physical therapy combined with muscle energy techniques (MET) can help relieve the pain and realign the hips with the body. These treatments let the body naturally heal the affected muscles so that people can be pain-free.
References
Ahuja, Vanita, et al. “Chronic Hip Pain in Adults: Current Knowledge and Future Prospective.” Journal of Anaesthesiology, Clinical Pharmacology, 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC8022067/.
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Konrad, Andreas, et al. “The Influence of Stretching the Hip Flexor Muscles on Performance Parameters. A Systematic Review with Meta-Analysis.” International Journal of Environmental Research and Public Health, 17 Feb. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC7922112/.
Mills, Matthew, et al. “Effect of Restricted Hip Flexor Muscle Length on Hip Extensor Muscle Activity and Lower Extremity Biomechanics in College-Aged Female Soccer Players.” International Journal of Sports Physical Therapy, Dec. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4675195/.
Tyler, Timothy F, et al. “Rehabilitation of Soft Tissue Injuries of the Hip and Pelvis.” International Journal of Sports Physical Therapy, Nov. 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4223288/.
Yamane, Masahiro, et al. “Understanding the Muscle Activity Pattern of the Hip Flexors during Straight Leg Raising in Healthy Subjects.” Progress in Rehabilitation Medicine, 16 Feb. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC7365227.
The thigh muscles provide mobility and stability to the hips and upper body. They allow for leg extension and flexion while also stabilizing the pelvis. The adductors and hamstrings are two muscle groups that work together to enable running, jumping, squatting, and sprinting. However, overuse of these muscles can lead to musculoskeletal pain, which can cause discomfort and misalignment in the body. This article will focus on the hamstring and adductor muscles, the impact of muscle pain and strain on these muscles, and how MET therapy can help. We utilize and incorporate valuable information about our patients to certified medical providers using MET therapy to relieve chronic muscle pain associated with the hamstrings and the adductor muscles. We encourage and refer patients to associated medical providers based on their findings while supporting that education is a remarkable and fantastic way to ask our providers the essential questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., comprises this information as an educational service. Disclaimer
Hamstrings & Adductor Muscles
Do you feel pain in your upper thigh? Does walking or running cause you problems? Are you experiencing pain in your knees when you stretch your legs? These issues may be related to the hamstrings and adductor muscles in your thighs. These muscles provide stability and mobility to your thighs and lower extremities. Studies reveal that the hamstring muscles are a group of three individual muscles that play a crucial role in daily activities. Their main functions include:
Hip extension and knee flexion.
Allowing you to perform a variety of movements, such as standing and sprinting.
Jumping.
The hamstrings and adductors play important roles in a person’s gait cycle and in controlling pelvic posture. The hamstrings help extend the hip and flex the knee, while the adductor muscles stabilize the hips and pelvis. Research studies show that the adductor muscles come from the pelvis and stop at the femur in the legs. They are crucial for stabilizing the pelvis and maintaining balance in the lower limbs during walking. However, these muscles are prone to injuries despite their significant roles in lower extremity function.
Muscle Pain & Strain On The Hamstring-Adductors
Injuries to the hamstrings and adductor muscles can result from several factors. Overstretching the adductor muscles may lead to high hamstring pain, while athletes may experience limping if they pop their hamstrings. Studies reveal that eccentric actions on these muscles can cause extreme joint positions, making the muscle fibers vulnerable to strain-related injuries. Repetitive movements can develop small nodules known as trigger points that cause radiating pain to the hamstrings and adductor muscles. Additional studies reveal that a lack of mechanical advantage can make these muscles susceptible to strain. Fortunately, various treatments are available to alleviate muscle pain and strain in the hamstrings and adductors.
Why Choose Chiropractic?- Video
Do you have muscle pain in your hamstrings or adductor muscles? Does it cause you to limp or feel tightness in your hamstrings? These issues are related to muscle pain affecting these muscles, which work together to provide stability and mobility to the lower extremities. Environmental factors or repetitive actions can lead to overlapping risk factors, causing misalignment and dysfunction in the body. This can lead to muscle disability and difficulty walking. Fortunately, chiropractic care and soft tissue treatments like MET therapy can help reduce pain and re-mobilize the joint back to functionality. The video above explains how chiropractic care uses manual manipulation to reduce spine subluxation while stretching and strengthening the muscles surrounding the joints.
MET Therapy Assessing The Hamstrings & Adductors
If you’re experiencing muscle pain and strain in your hamstrings and adductor muscles, treatments available can help. According to a book by Leon Chaitow and Judith Walker DeLany, called “Clinical Application of Neuromuscular Techniques,” pain specialists use muscle energy techniques (MET) can be used to stretch the affected muscles and reduce pain in that area. Using MET, pain specialists can also help restore mobility and flexibility to your thigh and lower body extremities. This treatment can be very helpful in relieving pain and restoring stability to your body.
Conclusion
The hamstrings and adductor muscles work together to provide stability and mobility to the thighs and lower extremities. While they have similar and different functions, both are crucial for standing, running, and walking. However, injuries can occur when these muscles are overstretched or damaged due to repetitive actions, resulting in misalignment in the body. Fortunately, soft tissue treatments such as MET therapy or chiropractic care can help realign the body, stretch out the muscle tissues, and restore mobility and stability to these muscles. This can help individuals walk without experiencing any pain.
References
Afonso, José, et al. “The Hamstrings: Anatomic and Physiologic Variations and Their Potential Relationships with Injury Risk.” Frontiers in Physiology, 7 July 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8294189/.
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Jeno, Susan H, and Gary S Schindler. “Anatomy, Bony Pelvis and Lower Limb: Thigh Adductor Magnus Muscle.” In: StatPearls [Internet]. Treasure Island (FL), 1 Aug. 2022, www.ncbi.nlm.nih.gov/books/NBK534842/.
Rodgers, Cooper D, and Avais Raja. “Anatomy, Bony Pelvis and Lower Limb, Hamstring Muscle.” In: StatPearls [Internet]. Treasure Island (FL), 29 Jan. 2022, www.ncbi.nlm.nih.gov/books/NBK546688/.
Tyler, Timothy F, et al. “Groin Injuries in Sports Medicine.” Sports Health, May 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC3445110/.
A joint is where two bones meet. The two sacroiliac or SI joints connect the spine, pelvis, and hips. This strong joint balances and transmits stress from the upper body to the pelvis and legs. The joints can suffer a sprain causing pain and discomfort symptoms. There can also be the feeling of tightness wrapping around the waist and dull aching across the low back as the surrounding muscles tighten up as a form of protection, also known as muscle guarding. A correct diagnosis is vital to avoid any potentially serious complications. Chiropractors are experts on neuromusculoskeletal problems and can treat, heal, and strengthen the body through various MET, mobilization, and manipulation techniques.
Sacroiliac Sprain
The main function is to balance the upper and lower body forces. The sacroiliac joints are surrounded by muscle, connective tissue, nerves designed to withstand large stresses and a complex system of ligaments, further strengthening the joints.
Injury Causes
Sacroiliac sprains can be caused by direct trauma to the pelvis from a fall or automobile collision or jobs and sports that involve a lot of bending and twisting. However, sometimes there is no distinct cause. Common causes include:
Repetitive microtrauma is excessive/repetitive movements like prolonged twisting, bending, or lifting at work, home, physical activities, and sports.
The joint can be pushed out of alignment.
Muscular imbalance or weakness in the muscles surrounding the sacroiliac joints can cause problems to develop over time, presenting little or no symptoms.
The tissues around a sacroiliac joint also can be stretched or torn.
Trauma such as a fall or road traffic accidents
Problems with the hips, knees, and feet can generate increased pressure on the joint, which can become painful over time due to repetitive strain.
Pregnancy hormones released to promote pelvis relaxation can increase the risk of SI sprain injury.
Excessive stress on the joint can cause microscopic damage to the ligaments surrounding the joint. The joint then becomes inflamed and presents with pain and sensations of discomfort. The body responds by contracting the muscles to prevent further damage. However, the muscle spasms may not stop, resulting in more pain. Referred pain is common from the muscles that go into spasm, with the most affected being the piriformis, gluteal/buttock, and psoas muscles.
Signs and Symptoms
Tenderness over the affected joint and area.
Pain symptoms on one or both sides above the joints and into the buttocks.
Standing or working with increased weight on one leg increases pain symptoms.
Pain after lifting or twisting that develops a little while later.
Pain travels to the back of the leg, front of the thigh, and the groin.
Pain gets worse when sitting and bending forward.
Lying down eases the symptoms.
Most cases report no loss of strength, tingling, or numbing sensations.
Chiropractic Treatment
Chiropractic treatment will relieve the pain symptoms, but there are stages of treatment, each with specific goals before moving to the next.
The objective of the initial stage is to decrease pain and inflammation.
The second stage is stabilizing and restoring proper musculoskeletal function.
Rehabilitation and targeted stretches and exercises will be introduced as the treatment continues.
In the maintenance stage, there should be no pain, and the individual should be able to perform normal daily activities and return to normal life.
Recovery time for a sacroiliac sprain can be 4-6 weeks but can take months to heal completely.
Chiropractic Approach for Pain Relief
References
BIDWELL, A M. “Treatment of sacroiliac sprain by manipulation.” The Medical World vol. 65,1 (1947): 14-6.
Evans, P. “Sacroiliac sprain.” American family physician vol. 48,8 (1993): 1388; author replies 1390.
LeBlanc, K E. “Sacroiliac sprain: an overlooked cause of back pain.” American family physician vol. 46,5 (1992): 1459-63.
Sun, Chao, et al. “Cost and outcome analyses on the timing of first independent medical evaluation in patients with a work-related lumbosacral sprain.” Journal of Occupational and environmental medicine vol. 49,11 (2007): 1264-8. doi:10.1097/JOM.0b013e318156ecdb
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