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.
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
Scoliosis causes the spinal curvature to go sideways and can cause various symptoms. One of the most common symptoms is scoliosis hip pain. This happens because the spine’s curvature can pull the hips out of alignment, causing one side to be raised higher than the other. A result of this is one hip begins to take on more weight. This overloads the hip causing strain, soreness, aches, and pain, especially after standing or walking.
Scoliosis Hip Pain
Idiopathic scoliosis typically occurs in children, but often there are no pain symptoms. This type of scoliosis can go on unnoticed and undiagnosed for years even until adulthood. When the spine stops growing, even a small scoliosis curve can cause hip pain. The hip pain varies but generally presents with:
Sharp pain.
Throbbing pain.
Pain that increases with activity like walking, running, standing for a long time.
Stiffness with combined pain after sitting or lying down for a long time.
The type of scoliosis – degenerative or idiopathic.
Bodyweight. Individuals that are obese are more likely to have severe hip pain because of the added weight.
Activity level. Physical activity can cause the pain to worsen.
Lifestyle.
It varies from person to person.
The Higher Hip
When scoliosis has progressed enough, the curvature and uneven hips are pretty apparent. However, only around 10% of scoliosis cases get this far. If the curvature is minimal, which is usually the case, trying to determine which hip is higher usually requires medical assistance.
The hip that presents with pain is generally the one taking on more weight.
This causes the muscles to fatigue faster and places added stress on that hip joint.
A way to tell which hip is higher stand on bare feet in front of a mirror holding a piece of yarn, or string with both hands.
Place the heel of each hand on the corresponding hip bone.
The string will be tilted if the hips are uneven or will be straight if they are not.
Adult Scoliosis
Hip pain caused by scoliosis is most common in adults. However, it is not the only cause of hip pain. Unless diagnosed with scoliosis as a child, individuals may be suffering from de novo scoliosis or degenerative scoliosis.
De Novo/Degenerative Scoliosis
As the body ages, the spinal discs between the vertebrae begin to wear down. The worn-down discs can cause the spine to develop a sideways curve, that can pull the hips out of alignment. Studies are showing that this type of scoliosis is widespread. Loss of bone density can be a contributor to scoliosis in older adults. Bone density loss from menopause means women are more susceptible than men. Past the age of 70, both men and women lose on average, the same amount of bone density. There are effective integrative, natural treatment therapies that incorporate:
Exercises
Nutrition
Posture correction
Chiropractic
Physical therapy
Scoliosis Hip Exercises
For uneven hips, there are exercises to help relieve pain and strengthen weak muscles.
Hip Stretch
Lie on the back with both legs straight out.
Lift the right leg
Using the hands pull the knee toward you, keeping the foot pointed up.
Pull the knee to your chest as far as you can without causing discomfort or pain.
With the right hand, reach toward the left foot, touching if possible.
Return to the original position.
With the left hand, reach toward the right foot.
Repeat 6 to 8 times.
Chiropractic
If misaligned and uneven hips are causing pain, chiropractic care for scoliosis is recommended. Spine and hip realignments help relieve pain, stretch the muscles, and corrects posture. One study showed that multi-approach chiropractic for adult scoliosis was found to be beneficial even two years after treatment was finished. Injury Medical Chiropractic and Functional Medicine Clinic can help with recommending nutrition and lifestyle tips. Instead of just treating symptoms, our team helps manage the cause.
Body Composition
Body Analysis for Disease Prevention
Early identification of disease is imperative for developing the proper treatment plan. Testing can help improve long-term health outcomes. Testing is made easy with the data being easily implemented into patient management software. A comprehensive printout is ready for engaging and educating patients in understanding health risk management and reduction. In 60 seconds, an InBody Test will generate easy-to-understand, accurate, and objective measurements to evaluate potential disease risk. Medical providers can use the InBody to:
Monitor muscle, and visceral fat to provide an accurate measure of health risk.
Monitor muscle distribution to determine specific health risks related to diseases.
Identify fluid imbalances associated with certain diseases.
Track changes for effective long-term risk identification and reduction.
APT is short for anterior pelvic tilt. APT is when the pelvis tilts more down than forward, which can cause strain on the surrounding muscles and the spine to hold the torso up. The body’s own anatomical structure causing the condition and/or part of a bad habit that an individual has grown accustomed to. This can be from injury/s, back, and/or hip pain causing an individual to take on awkward postures to compensate for the discomfort and try and avoid it. However, these unhealthy postures cause their own set of musculoskeletal problems. Addressing this form of poor posture can help reduce and alleviate low back and hip pain and prevent further injuries. Chiropractic can pinpoint an anterior pelvic tilt and fix it.
Anterior Pelvic Tilt
What happens is the pelvis becomes tilted or rotated forward. Place the hands, specifically the fingertips, on the hips. There are bone ridges. These are the iliac crests. If they’re facing more toward the ground than directly forward, this could be an anterior pelvic tilt. It usually happens when the hip flexors become tight and pull the pelvis down. Another contributor is the glute and hamstring muscles have weakened and are not strong enough to counteract the forward pulling. This can be caused by sitting for long periods, poor posture, and for women who wear high heels regularly. These contribute to tightening the hip flexors and the glutes, hamstrings, and core muscles.
An anterior pelvic tilt causes an increase in the curve of the lower back. It can feel like the hip flexors are tightening up. It typically affects the lower back at the lowest two levels, which are L4-5 and L5-S1. There can be long-term issues if an anterior pelvic tilt is left untreated. The spine becomes more vulnerable to disc issues that can include:
An anterior pelvic tilt is a repairable condition. Several exercises can help loosen/relax the hip flexors and strengthen the core and posterior muscle chain. This in addition to walking and reducing wearing high heels regularly. A few exercises for anterior pelvic tilt.
The Tail Tuck
This is literally trying to tilt the tailbone forward, like tucking in an imaginary tail. This can be done for 10-12 reps and up to 3 times.
Plank
Core-strengthening exercises can help with all types of back and hip problems. If possible, do the exercises in front of a mirror to ensure no arching of the back or the butt sticking out. If it is too difficult on the hands, go to the elbows. If there are wrist or shoulder issues, planks can be done on a raised surface, like a table or couch. Hold as long as possible, maintaining proper form. Start with 10-30 seconds and build up to minutes.
Strengthening the Glutes
It is recommended to strengthen the glute muscles. This can be done with exercises like clams or side-stepping with resistance bands. For clams, lie on the side and raise each leg up and down 10-12 times, up to 3 sets. For side-stepping, place resistance bands around the ankle/shin area and step to the side for 8-10 steps. Then go the other direction for the same number of steps. Repeat up to 3 sets.
Hip Flexor Stretch
Lunge forward while standing or lunge and kneel with the other leg on the ground. Then move the torso back a little and engage the core to stretch the hip flexors in the front of the thigh/pelvis area. Hold for 30 seconds, then release. Repeat 3-5 times per leg.
Lifestyle
These exercises can help, but if there is no progress around a month, contact a qualified chiropractor or physical therapist for further instruction and supervision. Also, if any neurological symptoms present like:
Sciatica
Shooting pain
Numbness
Tingling
Weakness
See a doctor as soon as possible.
Fixing posture-related problems require individuals to learn to be posture aware along with making some lifestyle adjustments. One way to do these exercises is to tack them onto a workout. Also, set reminders on a calendar to get up, stretch, and move around if sitting most of the day.
Body Composition Health
Difference between Processed sugar and Natural sugar
There are different types of sugar. There are natural sugars that are found in:
Fruits
Vegetables
Nuts
Whole grains
Beans
All sugar is broken down into glucose. However, foods that contain natural sugar are also rich in nutrients, including:
Vitamins
Minerals
Fiber
Protein
All which the body requires for optimal health.
Natural sugar does not lead to excess sugar intake; it happens with processed sugar. Processed sugar is extracted from sugarcane or sugar beet and is normally found as sucrose. This is present in cakes, cookies, cereal, and beverages. Processed sugar is also hidden in foods that are not sweet, like:
Microwave meals
Spaghetti sauce
Low-fat yogurt
Ketchup
Sports drinks
Foods that contain processed sugar are an energy source, but they contain little or no nutrients and can cause blood sugar levels to spike. In addition, consuming too much sugar is linked to an increased risk of:
Diabetes
Accelerated aging
Weight gain
Research has found that added sugar contributes to around 17% of the total calorie intake for adults. The recommended daily amount of calories from added sugar is 10%.
References
Azaïs-Braesco, Véronique et al. “A review of total & added sugar intakes and dietary sources in Europe.” Nutrition journal vol. 16,1 6. 21 Jan. 2017, doi:10.1186/s12937-016-0225-2
The pelvis is designed to bear and distribute the weight of the body along with regular everyday movement. It is built to properly distribute weight between the upper and lower body that utilizes the core muscles, ligaments, and joints creating a complex pelvic girdle that helps the body function properly. The bones of the pelvis house and protect organs like the:
Reproductive system
Bladder
Below the digestive tract
When pain in the pelvis presents, daily physical activities can become difficult to get through. Chiropractic treatment combined with lifestyle adjustments can bring pain relief and strengthen the pelvis muscles/bones to maintain optimal function.
Causes of Pelvic Pain
When pain presents there can be a variety of underlying causes contributing to it. Certain causes are more serious than others. This is why seeking professional medical guidance is highly recommended for the best outcomes. Possible causes include:
These are a few causes that can contribute to mechanical changes and imbalances within the pelvis anatomy. If the pain is thought to be caused by an internal organ issue with nausea, fever, vomiting, or severe pain contact a healthcare provider immediately.
Chiropractic Relief
The pelvis can be thought of as a direct continuation of the spine. The lowest fused five vertebrae are known as the sacrum and are part of the pelvic girdle complex. Individuals dealing with pelvic pain typically experience the sensation within the joints themselves. These are the pubic symphysis and/or sacroiliac joints. These joints interact with the entire skeletal system. Learning how they operate can help bring relief and recovery. This is where a chiropractor can help.
Chiropractors are experts in total body alignment, restoring balance to the pelvis and spine. Plus through the treatment, they help increase the body’s natural ability to heal itself. When the lower back or pelvis is out of alignment the entire body along with its systems can be thrown off balance causing dysfunction. Chiropractic promotes and increases balance with pelvic adjustments and diverse therapies that include:
A professional chiropractor is one of the best options for the management and alleviation of pelvis pain. Pelvis misalignment can impede nerve energy and adequate blood flow. Chiropractic restoration strengthens and maintains optimal long-lasting results. Whether the pelvic pain comes from an injury, pregnancy, or pelvic shift/imbalance, a chiropractic provider can help address and alleviate the pain.
Body Composition
Lifestyle Adjustments for Optimal Kidney Health
The kidneys are small organs that work twenty-four-seven to filter blood and flush waste. In one day the kidneys pump more than 400 gallons of recycled blood throughout the body. When the kidneys do not function properly the body can be engulfed with waste. This is why it is vital to keep them healthy. Individuals usually don’t realize how an unhealthy lifestyle can harm/injure the kidneys. Chronic kidney disease slowly progresses over years, and it is not reversible. Incorporating some basic healthy lifestyle adjustments can lower the risk of developing kidney-related diseases. Here are a few lifestyle adjustments that can keep the kidneys healthy.
Drinking plenty of water
An adequate supply of water in the kidneys flushes out sodium, urea, and toxins helping avoid kidney stones. The goal is to drink eight 8-ounce glasses of water every day. Everyone’s water levels are different but body composition analysis can calculate what a normal level should be.
Healthy foods maintain a healthy body
Poor diet and visceral fat gain have been linked to chronic kidney disease. Reducing visceral fat can be achieved by eating a restricted caloric diet of vegetables, fruit, and lean protein, as well as cutting back on processed foods.
Be cautious consuming supplements, antibiotics, and over the counter medications
Regular use of common medications and supplements can cause kidney damage and disease. Consult with a doctor before taking medications and supplements if there is kidney function impairment.
Fitness and activity
Individuals need to participate in regular cardiovascular and weight-resistance physical activity/exercise. High blood sugar levels have been shown to stress the kidneys. Building adequate muscle mass helps control blood sugar.
Smoking and kidney health issues
Smoking narrows the blood vessels in the kidneys. This reduces proper blood flow and accelerates kidney malfunction.
Disclaimer
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900 Licensed in Texas & New Mexico
Kim DH, Cho D, Dickman CA, Kim I, et al. Surgical Anatomy & Techniques to the Spine. 2nd Ed. Saunders, Elsevier, Inc. Philadelphia, PA.
Lirette LS, Chaiban G, Tolba R, Eissa H. Coccydynia: An Overview of the Anatomy, Etiology, and Treatment of Coccyx Pain. Ochsner J. 2014 Spring;14(1): 84-87.
The number of individuals experiencing hip along with back pain is increasing and could benefit from chiropractic hip realignment. Chiropractic treatment is the recommended first-line option for hip pain and other issues related to misaligned hips. It is non-invasive and allows the body to heal naturally.
Shifted Hips
Hips that fall out of proper alignment have the potential to cause a variety of health issues in the body. The hips support a great deal of the body�s weight and facilitate substantial movement. The hips need to be properly balanced to allow for optimal mobility without compensation from the lower back and legs. A shift in the hips can occur from:
Shifted hips can cause pain in the low back, hips, and legs. This occurs from an altered gait and range of motion in this region. However, the hip joints, pelvic bones, muscles, and ligaments can all contribute to hip shifting and pain. Hip issues can also cause sciatica.
Hip Function
The hips do not receive as much attention until aches and pain start to present. Our hips are involved in nearly everything we do, providing numerous functions. It is no wonder they can cause tremendous pain when they’re out of alignment. The hips:
Keep the body upright
Bear the body’s weight
Allow for smooth:
Walking
Kicking
Running
Jumping
Sitting
Hip Adjustment
How to know if a hip adjustment is necessary? If there is any type of discomfort, soreness, and especially pain, achiropractor is the best medical professional to perform an examination and recommend if an adjustment is necessary or could just need ice/heat and rest.
However, if the source is being caused by another condition or injury the chiropractor will recommend the proper health care professional/specialist that can treat the issue. Hip pain can also be brought on from a different part of the body having its own issues. One of the most common types of hip pain is actually from a hernia or sciatica.
Chiropractic Hip Realignment
Chiropractic techniques focus on rebalancing the body, especially when realigning the hips. Manual manipulation and mobilization treatment techniques can improve flexibility, strength, and positioning to promote optimal balance and hip realignment.
A combination of adjustment techniques can be performed on the hip and spinal joints. Massage treatment can be incorporated into the treatment plan to loosen tight muscles, as the hips are realigned and are able to move freely. The holistic nature of chiropractic doesn’t just treat just the symptoms but identifies and treats the root cause. If the pain continues or worsens then the possibility for hip surgery could be recommended.
Complex Treatment
Working on imbalanced hips is not as straightforward as adjusting the low back. This is because there are a variety of arteries, nerves, joints, muscles, and other tissue structures that need to be considered during hip realignment. A chiropractor will use a careful combination of techniques when treating an imbalanced hip due to the complex nature of the area. In addition to chiropractic adjustments, chiropractors will suggest ways to improve hip mobility at home. This includes:
Stretches
Posture work
Exercises
These will help prevent the hips from shifting out of alignment. Treating pain at its source is what chiropractors do. Chiropractic hip realignment along with the realignment of the spine will allow the body to move freely, maintain balance and strength.
Hip Labral Tear Rehabilitation
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Okuzu, Yaichiro et al. �Hip-Spine Syndrome: Acetabular Anteversion Angle Is Associated with Anterior Pelvic Tilt and Lumbar Hyperlordosis in Patients with Acetabular Dysplasia: A Retrospective Study.��JB & JS open access�vol. 4,1 e0025. 29 Jan. 2019, doi:10.2106/JBJS.OA.18.00025
Osteonecrosis is a condition that causes the death of bone tissue from temporary or permanent loss of blood supply to the affected area. It is commonly known asAvascular necrosis and can lead to miniature/tiny breaks in the bone and the bone/s eventually collapsing. Specifically, it affects the upper part of the femur or femoral head and surrounding joints.
It can occur in any bone however, osteonecrosis typically affects the hip/s. Pain associated with osteonecrosis of the hip can be localized to the center of the groin, thigh, or buttock. Because of the hip joint’s close proximity to the sciatic nerve, misdiagnosis for sciatica is common.
Mimicking Sciatica Symptoms
Unfortunately, many health care providers can misdiagnose osteonecrosis hip pain as sciatica. Whatever the cause of the hip injury, most individuals with hip pathology report pain in the groin, upper thigh, and buttocks.
That is why a trained medical professional that knows the differences in the symptoms of each condition can make all the difference in making a proper diagnosis. And a proper diagnosis leads to proper and complete treatment of whichever condition it may be. With osteonecrosis, misdiagnosis often delays the proper treatment and continues to progress. Common symptoms of sciatica:
Leg pain is the primary symptom can be mild to severe
Low back pain is secondary can be mild to severe
Nerve-related symptoms
Numbness
Tingling
Shooting pain
Pins-and-needles sensation
Muscle weakness
Hip pain especially flexion and internal rotation of the hip.
Leg or foot weakness
Osteonecrosis Symptoms and Similarities
For many, there are no symptoms in the early stages of osteonecrosis. As the condition worsens, the affected joint could present pain symptoms only when weight is placed on it. Eventually, individuals begin to feel the pain even when lying down. Pain can be mild to severe with a gradual development. Other symptoms that mimick sciatica:
Walking Inability
Walking gait is complicated with both conditions which is a major cause behind the misdiagnosis.
Limping
Individuals often limp with osteonecrosis of the hip and spinal disc problems. This is another reason that the condition is misdiagnosed as a spinal disc problem or nerve root compression of the sciatic nerve.
Hip Pain
The tributaries/veins of the sciatic nerve also supply the hip area and often cause confusion between the two conditions.
Differences
Despite all of the similarities. There are differences in both conditions.
Nature of The Pain
With sciatica, the pain is related to the nervous system. Movement can complicate the pain. While rest helps to reduce the pain.
With Osteonecrosis the pain is geared toward the muscular. Rest does not help reduce the pain. In fact, the pain increases at night.
Location
Sciatica pain can radiate through the whole leg from the low back to the toe.
Osteonecrosis pain is confined to the hip joint, groin, and radiates to the knee joint only. Osteonecrosis pain does not radiate below the knee joint.
Restricted Movement
Osteonecrosis of the hip joint, means the movements involving the hip joint are restricted. Individuals cannot rotate the leg to the right and left. Individuals cannot bend or fold from the hip.
With sciatica, the rotation of the leg is not affected. Movements involving stretching the sciatic nerve can cause relief or pain.
Walking Gait Differences
Gait is the way an individual stands and walks.
Osteonecrosis of the hip joint causes individuals to not be able to open the hip joint properly or to step properly.
With sciatica, an individual tends to lean on their side to relax the compression on the nerve.
Risk Factors
More than 20,000 people enter hospitals for the treatment of osteonecrosis of the hip yearly. Other than the hip, areas of the body likely to be affected are the shoulder, knee, hand, and foot. The condition can occur for a variety of reasons. A few of these include:
Fracture – a broken bone can interrupt the blood flow to other sections of the bone.
Dislocation of bone or joint/s
Alcoholism
Trauma
Radiation damage
Steroid use
Some individuals can have more than one condition or injury that contributes to hip flexor pain. An example is that it is possible to have both hip osteoarthritis and hip impingement. Without proper treatment, the condition can worsen, causing joint or hip pain from the degradation of the bone.
Anyone can be affected, but osteonecrosis is most common in individuals aged 30 to 50. Treatment options include a total replacement of the hip known as arthroplasty. And if it is sciatica then chiropractic treatment is a first-line treatment protocol. However, a chiropractor can make the distinction between the two and treat sciatica or refer the patient to the proper specialist.
Lower Back Pain Relief
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The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Li, Wen-Long et al. �Exploring the Risk Factors for the Misdiagnosis of Osteonecrosis of Femoral Head: A Case-Control Study.��Orthopaedic surgery, 10.1111/os.12821. 16 Oct. 2020, doi:10.1111/os.12821
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