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.
Pain in different body areas can excruciate the host as it can affect other regions. In the body, pain can affect the muscles, tissues, organs, and skeletal joints through environmental factors that affect the body’s systems. For example, the gut system provides the body with overall health and wellness by regulating homeostasis and metabolism, which can be affected by common factors like stress or unhealthy eating habits that can cause joint inflammation due to overproducing harmful gut bacteria. Or how about poor posture affecting the organs in the pelvic region and causing the lower back and neck muscles to have a dull ache in the body. Today’s article looks at how pelvic pain affects the somato-visceral reflexes in the body and how there are treatments for relieving pelvic pain. We refer patients to certified providers specializing in chiropractic treatments that help those with pelvic pain. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.
Somatovisceral Reflexes & Pelvic Pain
Have you experienced pain in your lower back or pelvic regions from sitting too long? Have you experienced bladder dysfunction that is causing you to urinate frequently? Or are you suffering from muscle cramps in the pelvic area? Studies have revealed that pelvic pain can be a chronic, persistent pain associated with co-morbidities like IBS (irritable bowel syndrome), neurological disorders, or low back pain. Pelvic pain is challenging to diagnose since it is multifactorial and shares various nerve roots that send signals to the brain. For example, individuals that suffer from pelvic pain will complain about the somatovisceral convergence affecting their reproductive organs and connective tissues. Other issues like prolonged sitting and poor posture can also affect the lumbosacral nerve root as it is being compressed, causing low back pain and pelvic organ dysfunction.
The somato-visceral reflexes of the pelvic muscles can become overstretched and compress the surrounding nerve roots like the sciatic nerve and the lumbosacral nerve, causing issues of sciatica or lower back pain. Studies have also revealed that individuals who suffer from spinal cord injuries can disrupt the somatic lumbosacral nerve pathway that is responsible for coordinating bladder function to the pelvic region. These pathways can also produce different autonomic reflex responses to the various organs and somatic afferents. For example, if a female is experiencing pain in her hips or thighs from hyper-sensitive nerve roots, the brain will register that as pain in her reproductive system. Or, if the pelvic muscles are hypersensitive to the touch, something might be affecting the genital regions.
An Overview Of Pelvic Pain- Video
Have you experienced muscle tenderness located in the pelvic region? Have stressful events caused changes in the reproductive system? Have you experienced pelvic pain that is associated with low back pain? You might be experiencing these systems due to pelvic pain and associated co-morbidities. The video above gives an overview of pelvic pain and how it affects the body. Research studies have revealed that the characteristic of mechanically induced pelvic pain and organic dysfunction that correlates to lower sacral nerve root compression results from low back disorders. The environmental factors that can cause low back conditions include:
Obesity
Heavy lifting
Muscle strain
Poor posture
Herniated disc
Treatments For Pelvic Pain
Various treatments can help relieve these overlapping risk profiles associated with pelvic pain and low back pain that are causing the issue and strengthen the weak muscle affected. Exercising can help support the hip and thigh muscles to prevent muscle strain on the low back and pelvic muscles with the combination of chiropractic therapy to provide beneficial pain relief. Chiropractic therapy on the lumbar spine can help alleviate pelvic pain and lumbosacral nerve root irritation affecting the pelvic region. The effects of chiropractic therapy help sustain the caudal flexion of the lumbar spine and release the muscle that aggravates the lumbosacral nerve root that is running along the pelvic region.
Conclusion
Pain affecting the pelvic region can be due to co-morbidities affecting different areas in the body. With pelvic pain being multifactoral, it can be a challenge to diagnose since it shares various nerve roots signaling to the brain. This causes many individuals to complain about somatovisceral convergence that can affect their reproductive organs and connective tissues in the pelvic region. Other issues like low back pain associated with prolonged sitting and poor posture can cause pelvic pain too. Treatments like chiropractic therapy and exercising can help strengthen the low back and pelvic muscles to alleviate painful symptoms that are causing underlying issues and discomfort in the body.
References
Browning, J E. “Mechanically Induced Pelvic Pain and Organic Dysfunction in a Patient without Low Back Pain.” Journal of Manipulative and Physiological Therapeutics, U.S. National Library of Medicine, Sept. 1990, pubmed.ncbi.nlm.nih.gov/2212886/.
Browning, J E. “Chiropractic distractive decompression in treating pelvic pain and multiple system pelvic organic dysfunction.” Journal of manipulative and physiological therapeutics vol. 12,4 (1989): 265-74. pubmed.ncbi.nlm.nih.gov/2527938/
CM;, Spitznagle TM;Robinson. “Myofascial Pelvic Pain.” Obstetrics and Gynecology Clinics of North America, U.S. National Library of Medicine, 9 June 2014, pubmed.ncbi.nlm.nih.gov/25155122/.
Craggs, Michael D. “Pelvic Somato-Visceral Reflexes after Spinal Cord Injury: Measures of Functional Loss and Partial Preservation.” Progress in Brain Research, U.S. National Library of Medicine, 2006, pubmed.ncbi.nlm.nih.gov/16198702/.
Dydyk, Alexander M, and Nishant Gupta. “Chronic Pelvic Pain – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 11 Nov. 2021, www.ncbi.nlm.nih.gov/books/NBK554585/.
The lower half helps stabilize the body and provides movement from the legs and rotation in the hips. The lower abdominal organs help control bowel movement while the muscles allow movement by regulating internal abdominal pressure. Combined with the back muscles, the lower abdomen can keep the body stable while protecting the lumbar section of the spine. When external factors begin to affect the lower back or disrupt the lower abdominal organs, it can trigger different symptoms that correspond to other sections of the body, like knee or leg pain being associated with menstrual cramping in the lower abdominals or even having pelvic pain that is an associated mediator to having constipation. Today’s article looks at pelvic pain, how it affects the lower abdominals, and ways to treat pelvic dysfunction in the body. We refer patients to certified, skilled providers specializing in chiropractic treatments that help those suffering from pelvic pain. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is critical for asking insightful questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.
How Does Pelvic Pain Occur?
Have you suffered from frequent urination or irregular periods? Have you felt excruciating pain when bending down? Or feeling muscle weakness in the lower extremities of the body? Many of these symptoms are correlated to pelvic pain and can trigger different symptoms affecting the body’s lower half. Research studies have mentioned that pelvic pain in its chronic form is a non-cyclic pain located in the pelvis, and the multiple causations can make it difficult to source where the pain is coming from. The overlapping profiles of pelvic pain can be traced through the numerous nerve pathways that are connected to the spine that can become aggravated and become the mediators for pelvic pain. For example, a person having low back pain might experience uncontrollable urinary discharge in their pelvic region. This could be due to the lower sacral nerve root being impaired and causing an overlap of the profiles resulting from mechanical legions to the lumbar spine, thus increasing the risk associated with the pelvis.
How Does It Affect The Lower Abdominals?
The pelvic region ensures that the body’s lower half is stable and protects the lower abdominal organs from disruptive factors like pelvic pain. Research studies have shown that pelvic pain is a relatively common pain associated with comorbidities affecting the body. Some of the various associated symptoms of pelvic pain can cause a correlation to disturbances of the bladder and sexual function in both sexes while also triggering abdominal and low back pain. Additional research studies have found that chronic pelvic pain can cause a correlated issue with PBS or painful bladder syndrome. What PBS does is that it can make a person have a frequent need to urinate and can cause the pelvic muscles to become tense and sensitive. This coincidentally causes the lower sacral nerves to be aggravated and become a mediator for the genital region to be hypersensitive.
Pelvic Pain Overview-Video
Are you feeling stiffness or tenderness in the groin region? How about going to the bathroom constantly? Or have you been experiencing low back pain? Many of these symptoms correlate to pelvic pain and other symptoms associated with the body. The video above overviews pelvic pain and how it affects the body’s lower extremities. The pelvic region consists of lower sacral nerve roots connected to several different nerve pathways that correspond to the primary nerves and provide an extensive neurological connection to the other areas in the pelvis. When mediators cause an increased risk in the pelvic region, the pelvic splanchnic nerves start to trigger muscle dysfunction in the lower abdominal organs. This causes numerous combinations of symptoms and disorders that causes overlapping of profiles in the body. The lower sacral nerve that is aggravated in the pelvic region could be the causation of pelvic and leg pain.
Treatments For Pelvic Dysfunction
Since the pelvic region has many nerve roots that are intertwined and connect to the major nerves in the spinal cord, it can become aggravated by accompanying the lower lumbar and upper sacral nerve roots to be impaired. Research studies have found that pelvic pain can cause an overlap in risk profiles that involves either the visceral or somatic system and the encompassed structures that help the nervous system form a causal relationship to the spine and lower extremities. When the nerve roots become irritated and affect the pelvic region, treatments like chiropractic therapy and physical therapy can help relieve the pelvic area and even help alleviate other symptoms. Physical therapy helps strengthen the hip and abdominal muscles from becoming weak and can reduce overlapping pathologies. Chiropractic therapy can help manipulate the L-1 through 5 vertebrae in the lumbar region of the spine, causing low back pain and bladder dysfunction. Research studies have mentioned that spinal manipulation can help reduce lower sacral nerve root compression triggering low back pain associated with leg pain. This overlap of risk profiles may cause pelvic pain affecting the body and causing organ dysfunction.
Conclusion
The lower half of the body consists of the lower abdominal organs and the pelvic region that allows bowel movement and keeps the body stable when in motion. When external factors begin to affect the lower back or the lower abdominal organs, it can cause a triggering effect on different sections of the body. Pelvic pain can affect the internal organs in the lower abdominal and pelvic region and cause comorbidities affecting the body’s lower back and bladder function. Treatments that help strengthen the hips and abdominal muscles or manipulate the spine to reduce the encased nerves trapped in the pelvic muscles will provide relief to the body’s lower extremities and improve functionality.
References
Browning, J E. “Chiropractic Distractive Decompression in Treating Pelvic Pain and Multiple System Pelvic Organic Dysfunction.” Journal of Manipulative and Physiological Therapeutics, U.S. National Library of Medicine, Aug. 1989, pubmed.ncbi.nlm.nih.gov/2527938/.
Dydyk, Alexander M, and Nishant Gupta. “Chronic Pelvic Pain – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 11 Nov. 2011, www.ncbi.nlm.nih.gov/books/NBK554585/.
Grinberg, Keren, et al. “New Insights about Chronic Pelvic Pain Syndrome (CPPS).” International Journal of Environmental Research and Public Health, MDPI, 26 Apr. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7246747/.
Hwang, Sarah K. “Advances in the Treatment of Chronic Pelvic Pain: A Multidisciplinary Approach to Treatment.” Missouri Medicine, Journal of the Missouri State Medical Association, 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC6143566/.
Lee, Dae Wook, et al. “Chronic Pelvic Pain Arising from Dysfunctional Stabilizing Muscles of the Hip Joint and Pelvis.” The Korean Journal of Pain, The Korean Pain Society, Oct. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5061646/.
The body is held up by skeletal joints that keep the body upright and provide everyday movements for the body to go anywhere at any time. The musculoskeletal system provides the muscles, tissues, and ligaments that encase the skeletal joints protecting them from unknown factors that can cause harm to the body. The internal organs also have a purpose in the body as they help provide the nutrients and necessary hormones to the muscles and joints that need these nutrients to function. When environmental factors affect the body, either internal or external, it can cause the body to become dysfunctional and even cause unwanted symptoms that affect the internal organs that correspond to the muscles suffering. Today’s article looks at pelvic pain, how gut disorders are associated with pelvic pain, and how viscerosomatic pain affects the pelvis. We refer patients to certified, skilled providers specializing in osteopathic and gut treatments that help those with gut disorders and pelvic pain issues. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is critical for asking insightful questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.
What Is Pelvic Pain?
Have you been experiencing gut issues that are affecting your pelvic region? Has your gut been feeling inflammatory effects? Have you noticed that you need to go to the bathroom more frequently than usual? Many of these symptoms are some of the signs that are associated with pelvic pain. Research studies have defined pelvic pain as disabling, chronic, and persistent pain that commonly affects women. Pelvic pain can range from acute to chronic depending on how severe the pain affects the pelvic region of the body. Additional research studies have mentioned that pelvic pain in its chronic form can become a multifactorial disorder that can cause pain in the gastrointestinal, pelvic musculoskeletal, or nervous system, making the immune, neurological, and endocrine metabolism dysfunctional. When pelvic pain begins to affect the gastrointestinal system, it can lead to various gut disorders that can cause the pain to become worse if it is not treated.
How Do Gut Disorders Associate Pelvic Pain?
Research studies have mentioned that since pelvic pain is a multifactorial disorder, it can cause pain to arise in the internal organs in the gastrointestinal system. When pelvic pain starts to affect the gastrointestinal system, it can cause the development of gut disorders to affect the body further. When gut disorders co-exist with pelvic pain, it can cause an enhancement to the overall pain symptoms that are becoming the result of viscerosomatic dysfunction through the cross-organ sensitization mechanisms. Additional information studies have mentioned that gut disorders like IBS (irritable bowel syndrome) can cause changes in thermal/visceral pain sensitivity that overlap in the lower body’s pelvic region, further enhancing rectal/thermal pain. This can cause a person to become miserable and even affect their quality of life since they are suffering from so much pain.
Visceral Afferent Nerves Being Affected By Pelvic Pain-Video
Have you experienced gut issues like IBS (irritable bowel syndrome), inflammation, or IBD (inflammatory bowel disease)? Have you felt pain in your pelvic region constantly? Has the pain-affected certain areas in your body, not just your pelvis? If you have these symptoms, it might be due to your visceral nerves being involved. The video above explains what the visceral afferent nerves from the pelvic region are doing to keep the body functioning in the lower extremities. The visceral afferent nerves become aggravated by environmental factors affecting the body, including the gut system. Symptoms of inflammation and gut disorders from persistent aspects of many forms of stress or trauma can cause visceral pain to affect the body, thus causing pelvic pain, gut issues, lower back pain, and other body pains.
How Viscerosomatic Pain Affects The Pelvis
The body’s viscerosomatic pain can be complex since the organs also affect the corresponding muscles. The way the pain is described in the body from viscerosomatic pain ranges from dull to excruciating pain. Research studies have mentioned that the burden of viscerosomatic pain emanates from the internal thoracic, pelvic, and abdominal organs associated with the muscles. For visceral pain to affect the pelvic region, research studies have shown that the nociceptive pain from the pelvic area is usually visceral from the results from the pelvic organs that are poorly localized and can overlap with the somatic sensory tracts that are located in the spinal cord. When this happens, it can cause significant discomfort to the pelvic organs in the body and affect the individual with excruciating painful symptoms.
Conclusion
The body provides everyday movements held by the skeletal joints that help the body go anywhere. While the musculoskeletal system and the internal organs help give the muscles, tissues, ligaments, and nutrients the body needs to function. When environmental factors affect the body, it can lead to various issues that cause gut disorders and even pain in the pelvic region, known as visceral pain. Visceral pain is a complex disorder since the affected organs also affect the corresponding muscles. For visceral pain to affect the pelvic area, it can lead to dull excruciating pain in the pelvic organs and affect the individual. Visceral pain can also overlap the sensory somatic tracts in the spinal cord, causing unbearable painful symptoms to the body while inflammatory issues in the gut system are developing. When people realize that the pain is affecting them, they can start to find treatments from their specialized providers to help alleviate their pain.
References
Dydyk, Alexander M, and Nishant Gupta. “Chronic Pelvic Pain – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 11 Nov. 2021, www.ncbi.nlm.nih.gov/books/NBK554585/.
Grinberg, Keren, et al. “New Insights about Chronic Pelvic Pain Syndrome (CPPS).” International Journal of Environmental Research and Public Health, MDPI, 26 Apr. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7246747/.
Origoni, Massimo, et al. “Neurobiological Mechanisms of Pelvic Pain.” BioMed Research International, Hindawi Publishing Corporation, 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4119661.
Udoji, Mercy A, and Timothy J Ness. “New Directions in the Treatment of Pelvic Pain.” Pain Management, U.S. National Library of Medicine, Sept. 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3979473/.
Verne, G Nicholas, et al. “Viscerosomatic Facilitation in a Subset of IBS Patients, an Effect Mediated by N-Methyl-D-Aspartate Receptors.” The Journal of Pain, U.S. National Library of Medicine, Sept. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3489925/.
Yuan, Tian, and Beverley Greenwood-Van Meerveld. “Abdominal and Pelvic Pain: Current Challenges and Future Opportunities.” Frontiers in Pain Research (Lausanne, Switzerland), Frontiers Media S.A., 4 Feb. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8915637/.
The body is a marvelous functional machine that requires constantly moving worldwide. The body can do everyday movements from the head to the feet and be in weird positions without feeling pain. However, ordinary factors like natural aging, wear and tear, and issues affect the body over time. When these factors start to affect the body, they can cause unwanted symptoms that can inflict pain on specific areas around the body. Some areas that suffer pain include the hips, lower back, neck, the body’s internal systems, and the spine, causing the individual to be miserable. Luckily many treatments do relieve pain in the body and help dampen the effects of the unwanted symptoms that are hindering the individual. Today’s article focuses on hip pain, its symptoms, and how decompression therapy can help many individuals suffering from hip pain. By referring patients to qualified and skilled providers specializing in spinal decompression therapy. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions, please call Dr. Jimenez at 915-850-0900.
What Is Hip Pain?
Are you feeling stiffness from your lower back and hips? Do your hips hurt after falling due to playing sports? How about pain from the lower back to the hips down to the feet? You might be experiencing hip pain. Research studies have stated that hip pain can be associated with many factors that can cause many individuals to be in distress, impair their daily activities, and affect their quality of life. Hip pain can be associated with simple movements that are damaged, like sitting and standing, which can be hard after a while. Other associations that hip pain can occur can be lower back pain, neuropathies, herniation, or chronic pain. According to research studies, hip pain is considered a musculoskeletal disorder. It shows that posterior hip pain in adults is caused by osteoarthritis or traumatic causes like sacral stress fractures that can affect the hips. This musculoskeletal disorder can become a problem for many older adults suffering from hip issues.
The Symptoms
Research studies have found that hip pain is a musculoskeletal complaint affecting young and old adults. Since hip pain is associated with various chronic issues, it can cause many individuals to be miserable and be in constant pain. For adults, hip pain can be one of the issues for those suffering from osteoarthritis in the anterior hip region. As research shows, in the posterior hip region, hip pain can be associated with chronic conditions like piriformis syndrome and lumbar radiculopathy that are centralized in the lower back. Other symptoms that hip pain cause on its own do associate with other chronic conditions, including:
Are you experiencing discomfort from your hips while sitting or standing? How about sharp, throbbing pain coming from your lower back and affecting your hips and legs? Do you feel tenderness and swelling on your joints? These symptoms are various forms of hip pain, and lumbar traction can help lower hip pain symptoms. The video above mentions how to prepare for lumbar traction therapy and how it can alleviate symptoms caused by hip pain. Lumbar traction helps compressed disc in the lumbar region of the spine to be restored to its original state and even takes the pressure off the sciatic nerve and other nerve roots that are causing hip pain to the body. Utilizing traction therapy increases the disc height and allows the lumbar spinal discs to be rehydrated again. Suppose you want to learn more about lumbar traction or decompression and how it can benefit you? In that case, this link will explain what decompression does for the lumbar area in the spine and provide relief from hip pain and its associates.
How Decompression Therapy Helps With Hip Pain
Since hip pain is associated with various other conditions that can affect the body, the most common condition that the body has suffered from is low back pain. There are ways to treat hip and low back pain; some individuals utilize heat and ice to neutralize the pain to go away, and others use chiropractic therapy to get the joints to realign themselves. One of the treatments used to relieve hip and low back pain is decompression therapy. Research studies have found that decompression therapy is safe and effective in helping to improve the blood circulation to the hips to provide relief to the hips. Since hip pain is associated with low back pain, decompression allows the herniated discs to be taken off the nerves surrounding the hips and provide pain relief. Other research studies show that traction is used to create negative gravity pressure to help reduce the pressure that is causing pain to the soft tissues and the nerve roots. This negative gravity allows the spine to separate and create more height for the disc to rehydrate while relieving the individual.
Conclusion
Overall the body is a marvelous machine that has the ability to move without pain. When issues start to affect the body, like the hips and lower back, it can cause the individual to suffer from various forms of pain. Since hip pain is associated with low back pain, it can lead to other chronic issues like sciatica or osteoarthritis, affecting the joints and causing them to swell. Treatments like decompression or traction therapy are used to alleviate the pain caused by the hips or lower back. When people incorporate decompression or traction into their wellness journey, they relax a bit as they are laid down and have their spine stretched slowly. This will cause them relief and take the pressure off the nerve roots that are sending pain signals to the brain. This ensures them that they can take back their lives pain-free.
References
Ahuja, Vanita, et al. “Chronic Hip Pain in Adults: Current Knowledge and Future Prospective.” Journal of Anaesthesiology, Clinical Pharmacology, Wolters Kluwer – Medknow, 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC8022067/.
Battaglia, Patrick J, et al. “Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging.” Journal of Chiropractic Medicine, Elsevier, Dec. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5106442/.
Choi, Jioun, et al. “Influences of Spinal Decompression Therapy and General Traction Therapy on the Pain, Disability, and Straight Leg Raising of Patients with Intervertebral Disc Herniation.” Journal of Physical Therapy Science, The Society of Physical Therapy Science, Feb. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4339166/.
Lee, Yun Jong, et al. “Causes of Chronic Hip Pain Undiagnosed or Misdiagnosed by Primary Physicians in Young Adult Patients: A Retrospective Descriptive Study.” Journal of Korean Medical Science, The Korean Academy of Medical Sciences, 11 Dec. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6300658/.
Wilson, John J, and Masaru Furukawa. “Evaluation of the Patient with Hip Pain.” American Family Physician, U.S. National Library of Medicine, 1 Jan. 2014, pubmed.ncbi.nlm.nih.gov/24444505/.
Healthy hips are necessary for standing, sitting, walking, running, bending, twisting, lifting, etc. Hip problems can seriously interfere with everyday activities. Out of alignment hips don’t just cause pain and soreness in the hip area but can radiate to other body areas. When the hip joint is out of alignment, the rest of the body has to start compensating for the misalignment, which can cause chronic pain in the back and/or legs.
Out of Alignment Hips
Discomfort and soreness begin as occasional but can quickly become regular. Individuals may also begin to limp when they walk, have a reduced range of motion in the hips, and pain that escalates with physical activity and improves with immobility/rest. Out of alignment hips can be caused by:
Lifting incorrectly
Repetitively carrying heavy loads on one side of the body places uneven pressure on the pelvis, causing an imbalance.
Performing repetitive motions that begin to stress the joint
If the legs are different lengths, this can cause the hips to go out of alignment. Using a foot wedge/foot orthotic in the shoe can remedy the situation.
Functional Leg Length Discrepancy
Functional leg length discrepancy is a common cause of hip misalignment, meaning that leg length is equal, but the individual is doing something to cause the hips to go out of alignment. It usually involves posture, standing, walking, sitting, lifting, and carrying improperly or awkwardly and repetitively could create functional leg length discrepancy.
Scoliosis
Scoliosis is only one cause of hip misalignment. It is not likely that an individual has scoliosis if they are an adult and have not previously been diagnosed with the condition. If a child has what looks like a misaligned hip, it is recommended to take them to get tested for scoliosis. Most children with the disorder will outgrow it, but they need to be monitored by a medical professional.
One of the most prominent signs that it is a hip problem is the presence of groin pain. Groin pain can radiate downward toward the buttocks, front of the thighs, and knees. The hip joint is located behind the groin; pain usually means the hip is the root cause.
Chiropractic Decompression
A chiropractic examination can identify uneven hips. Chiropractic and motorized spinal decompression can reset the hips to their proper position. A chiropractor will be able to rebalance the hips and help avoid invasive surgical treatments and long-term rehabilitation.
DRX9000 90 Seconds Spinal Decompression
References
Battaglia, Patrick J et al. “Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging.” Journal of chiropractic medicine vol. 15,4 (2016): 281-293. doi:10.1016/j.jcm.2016.08.004
Jones HR, Burns TM, Aminoff MJ, Pomeroy SL. Pain. Chapter: Diagnosis of Low Back, Buttock, and Hip Pain. Netter Collection of Medical Illustrations: Spinal Cord and Peripheral Motor and Sensory Systems, Section 8, 201-224.
Khamis, Sam, and Eli Carmeli. “A new concept for measuring leg length discrepancy.” Journal of orthopedics vol. 14,2 276-280. 27 Mar. 2017, doi:10.1016/j.jor.2017.03.008
Miyagi, Masayuki, et al. “Hip-spine syndrome: cross-sectional-study of spinal alignment in patients with coxalgia.” Hip international: the journal of clinical and experimental research on hip pathology and therapy vol. 29,1 (2019): 21-25. doi:10.1177/1120700018803236
Nunes, Guilherme S et al. “Acute Effects of Hip Mobilization With Movement Technique on Pain and Biomechanics in Females With Patellofemoral Pain: A Randomized, Placebo-Controlled Trial.” Journal of sport rehabilitation vol. 29,6 707-715. 18 Oct. 2019, doi:10.1123/jsr.2018-0497
The hips are highly active joints. Hip sprains are rare but do occur. A hip sprain is caused by tearing or stretching the ligaments that surround the hip and join the bones to each other. This is different from a hip strain, which is an injury to the muscles and is generally caused by over-use of the hip flexor muscles and tendons, causing them to tear. Hip sprains usually happen after a fall or a sudden twisting motion, which can occur during sports or an accident.
Individuals involved in sports that require quick stops, body shifting, and sudden direction changes, like soccer, football, basketball, tennis, volleyball, etc., have an increased risk. Most hip sprains can be effectively treated with conservative treatments like self-massage, rest, ice, and nonsteroid anti-inflammatory medications. For more severe cases, physical therapy and chiropractic can treat the condition.
Hip Sprain Symptoms
Tenderness in the hip increases when lifting the thigh.
Cramping sensation/s in the muscles of the upper leg.
Swelling in the hip or thigh
Bruising in the hip or thigh.
Sudden pain in the hip or pelvis.
Sharp pain in the hip or pelvis.
Pain that worsens when walking, running, or stretching the hip muscles.
Loss of strength in the front of the groin.
Tugging or pulling sensation.
Limping.
Diagnosis
The doctor or chiropractor will:
Look into medical history.
Inquire about symptoms.
Inquire about activities that could cause symptoms.
Perform a physical examination.
Ask the individual to perform a variety of movements to determine what type of injury has been sustained.
Pain in one or both hips might not have anything to do with the hips but a pinched nerve root in the lower back.
Sciatica can develop when certain nerve roots in the lower back are irritated or compressed, causing symptoms to travel down the sciatic nerve and radiate around the pelvis and leg.
X-rays can help rule out hip stress fractures, which can have similar symptoms.
MRI or CT scans are used to see if any soft tissue damage has occurred.
Hip Sprain Treatment
Treatment usually begins with over-the-counter pain medications and anti-inflammatories to reduce swelling and relieve pain.
Resting the hip will help prevent further damage.
Applying ice will help prevent tissue damage and reduce swelling.
It is recommended to use an ice pack several times a day for the first 48 hours after an injury.
Once the swelling goes down, a chiropractor and physical therapy team will create a personalized treatment plan that includes:
Adjustments.
Exercise therapy.
Posture training.
Stretching.
Massage.
Treatment/Rehabilitation Objectives
Reduce inflammation.
Relax muscle spasms.
Strengthen weakened muscles.
Improve joint mobility.
Individuals will be shown how to prevent the risk of sprains in the future. This includes:
Avoiding exercising when the body is tired
Wearing proper footwear and protective equipment
Warming up properly before exercise/physical activities.
Depending on the severity of the sprain, surgery could be the last resort to repair the ruptured or torn ligaments.
Body Composition
Realistic Goals
Not seeing results after putting in the work through exercise and diet can be frustrating. Setting realistic goals can help when results are not showing.
Realistic Fat Loss
Do not expect actual fat loss without being in a caloric deficit.
The body needs to use more energy than the amount of food/energy taken in; otherwise, excess energy/food gets stored, primarily as adipose tissue.
There are caloric deficit variations, but most doctors, dieticians, trainers, and fitness experts agree that a caloric deficit of around 500 calories a day that equals to about 3,500 calories a week will result in a pound of fat loss per week.
One pound of fat a week lost might seem slow, but the one pound of fat is a real pound removed.
The long-term goal is not to fall back into unhealthy habits and develop and maintain new healthy ones.
References
Brantingham JW, Globe GA, Cassa TK, et al. A single-group pretest posttest design using full kinetic chain manipulative therapy with rehabilitation in the treatment of 18 patients with hip osteoarthritis. Journal of Manipulative and Physiological Therapy 2012; 33(6): 445-57.
Kamali, Fahimeh and Esmaeil Shokri. The effect of two manipulative therapy techniques and their outcome in patients with the sacroiliac joint syndrome. Journal of Bodywork and Movement Therapies. 2012; 16: 29-35.
McMorland G, Suter E, Casha S, du Plessis SJ, Hurlbert RJ. Manipulation or microdiscectomy for sciatica? A prospective randomized clinical study. Journal of Manipulative and Physiological Therapeutics. 2010; 33(8): 576-584.
Tibor, Lisa M, and Jon K Sekiya. “Differential diagnosis of pain around the hip joint.” Arthroscopy: the journal of arthroscopic & related surgery: official publication of the Arthroscopy Association of North America and the International Arthroscopy Association vol. 24,12 (2008): 1407-21. doi:10.1016/j.arthro.2008.06.019
The body is a connected whole and more than just separate parts and regions. When back pain presents, it might not be the back muscles or spine but could be tense, tight hips, and hamstrings causing low back pain. How it happens, how to stretch and loosen up, and target these areas could help alleviate the pain.
The Hips and Hamstrings
When the hip flexors and hamstrings become tense, the tightness can alter the pelvic alignment. This affects spinal alignment leading to discomfort and low back pain. The hip flexors are a group of muscles around the front of the hips, and they activate when moving the leg and knee upward. The hamstrings are the muscles in the back of the thighs that allow for flexion of the knees and hip extension. Muscle tightness in the hips and/or hip joint stiffness can also contribute to low back pain. Not being able to rotate, flex, or extend the hip forward or backward can affect:
Walking
Running
Swinging
Twisting movements
This increases mechanical strain on the lower back.
Losing the ability to function through the entire length of motion can also indicate muscle weakness and a lack of joint movement where the joint around the muscle becomes stiff. This can be caused by:
A lack of movement
Arthritis
Age-related changes
Stretching and Treatment
Stretching exercises can be the first line of treatment. It is recommended to start with gentle stretches targeting these areas. What works best for the individual is the stretch they are comfortable repeating enough to make a difference. Warming up the muscles first will generate the best results. An easy place to begin is a gentle forward fold stretch.
Stand up straight, or sit with the legs extended out in front.
Then, reach with the fingers toward the toes. Don’t worry if you can’t reach them.
If the stretching does not bring relief, it is recommended to progress to a personalized treatment and stretching program with a chiropractor or physical therapist. Chiropractic and physical therapy can relieve the problems without medication, injections, or surgery and provide lifelong techniques for maintaining optimal flexibility, mobility, and strength. The hands-on treatment loosens and relieves the tense tightness, reinforcing the flexibility and range of motion. Treatment includes:
Joint mobilization to the hips and spine.
Soft tissue mobilization.
A personalized strengthening program with stretches and exercises that target the specific muscles.
Health coaching.
Anti-inflammatory diet recommendations.
Body Composition
Monounsaturated Fats
Monounsaturated fat is considered healthy fat. This type of fat makes up a significant component of the Mediterranean diet. Studies have shown monounsaturated fats like extra-virgin olive oil can help prevent adverse events related to cardiovascular disease. A meta-analysis evaluating diets high in monounsaturated fats indicated a significant reduction in:
Triglycerides
Bodyweight
Systolic blood pressure in individuals with type II diabetes.
A significant increase in HDL or good cholesterol.
Another study showed the protective effects of monounsaturated fatty acids reduced the risk factors associated with metabolic syndrome and cardiovascular disease. Monounsaturated fats can have a positive impact on overall health. Monounsaturated fat sources include:
Olive, peanut, and canola oil
Avocados
Almonds
Pecans
Hazelnuts
Sesame and pumpkin seeds
References
Estruch, Ramón et al. “Retraction and Republication: Primary Prevention of Cardiovascular Disease with a Mediterranean Diet. N Engl J Med 2013;368:1279-90.” The New England journal of medicine vol. 378,25 (2018): 2441-2442. doi:10.1056/NEJMc1806491
Gillingham, Leah G et al. “Dietary monounsaturated fatty acids are protective against metabolic syndrome and cardiovascular disease risk factors.” Lipids vol. 46,3 (2011): 209-28. doi:10.1007/s11745-010-3524-y
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