The skeletal joints can keep the body upright and stabilized while protecting the internal organs. The skeletal joints also are at risk of factors (normal and traumatic) that can impact the body, thus potentially causing painful symptoms to affect different body areas. Hip pain is among the most common complaints for many individuals, especially the elderly. To that point, when the body suffers from hip pain, it may involve pelvic pain and associated symptoms that mimic other issues within the body. Today’s article examines the causes of hip and pelvic pain, the symptoms related to hip and pelvic pain, and how chiropractic care may relieve hip and pelvic pain. We refer patients to certified providers specializing in osteopathic treatments to help many individuals with hip and 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
Do you experience stiffness located on your low back or hips? What about sciatic nerve pain that travels down your legs? Or have you been experiencing cramping around the pelvic regions of your body? Experiencing these symptoms may be the potential cause that you might be dealing with hip and pelvic pain. Even though hip pain is often associated with older individuals, it can affect many individuals of different ages. Studies reveal that the pathologies outside the hips may be the cause and referred pain, making diagnosing hip pain difficult. Hip pain causes could be overused joints and soft tissues that support the hips due to repetitive motions, strain from the multiple muscles that support the hips, or arthritic symptoms. Studies reveal that individuals who work in a desk job will potentially develop low back pain due to prolonged sitting, thus becoming associated with excessive mobility of the lumbar spine and decreased hip joint mobility.
Individuals with hip pain could risk developing pelvic pain associated with the overuse of joints and soft tissues. Now how pelvic pain correlates with hip pain, and what’s the causation? Studies reveal that the stabilizing muscles (iliopsoas, pectineus, obturator externus, gluteus minimus, and piriformis muscles) are overworked and become consequent hip and joint destabilization. This causes the affected muscles to become tired and weak and triggers sciatic nerve compression along the piriformis muscle. Pelvic pain associated with hip pain may cause dysfunctional musculoskeletal symptoms along the lower abdominals, hips, and lumbosacral back.
The Associated Symptoms Of Hip & Pelvic Pain
The factors involved with hip and pelvic pain could potentially have associated symptoms that might affect the body’s lower extremities. One of the most prominent symptoms of hip pain is groin pain, which could possibly be involved with pelvic pain since the ligaments and muscles that encompass the hips and groin may be weak and overused. Sometimes various underlying causes do contribute to hip and pelvic pain, causing associated symptoms that may confuse the individual in pain. Hip and pelvic pain may refer to low back and sciatic nerve pain since the lower spine and hips are close together; thus, pinpointing where the true source of pain is in the body’s lower half makes it confusing. Some of the symptoms associated with hip and pelvic pain include:
Low back pain
Sacroiliac joint dysfunction
Sciatic nerve pain
The 3 Common Causes Of Hip Pain-Video
Have you been dealing with muscle stiffness around or along your hips and lower back? Do you have bladder issues? Or have you experienced muscle weakness in the lower extremities of your body? Some of these symptoms could be associated with hip and pelvic pain. The video above explains the three common causes of hip pain, and interestingly, one of the causes of hip pain could potentially involve the lower back. Studies reveal that since the low back and hips are close to each other, alterations in the lumbopelvic region could potentially be involved with low back pain. Some of the issues associated with the alterations in the lumbopelvic area include:
Limited range of motion on hip rotation
Stiff joint capsules
Fortunately, hip and pelvic pain management may help alleviate referred pain issues through chiropractic care.
Chiropractic Relief For Hip & Pelvic Pain
Individuals dealing with hip and pelvic pain may find relief through chiropractic care. The pelvis is a direct continuation of the spine as the sacrum (the five lowest fused vertebrae) and the pelvic girdle complex interact with the joints from the lower skeletal system. If there is pain in the lower body and the individual is unsure whether it is their back or hips, their first course of action is to visit their primary doctor or a chiropractor. Afterward, they will review the individual’s medical history while performing a series of physical exams like various movements to make an accurate diagnosis. Once the pain diagnosis is identified, chiropractors utilize total body alignment by restoring balance in the pelvis and the spine through manipulation. When the spine and hips suffer from a subluxation, it can cause unnecessary strain on the surrounding muscles around the spine and hips. To that point, realigning the spine from a chiropractic adjustment could reduce or eliminate the excessive stress affecting the surrounding muscles. Chiropractic care can also promote various therapies that increase balance along the hips and pelvic region, which include:
Physical activities/Exercise therapy
Whether the pain is located in the hips, low back, or pelvic regions, chiropractic care can help restore, address, and alleviate the pain while maintaining optimal long-lasting results.
The skeletal joints can help keep the body upright and stabilized while protecting the internal organs from normal and traumatic factors. When these factors begin to cause an impact on the body, the skeletal joints are at risk of developing pain along the musculoskeletal structure. Hip and pelvic pain have an overlapping relationship as they are amongst the most common complaints for many individuals. To that point, pain from the hips or the pelvic may mimic other issues associated with chronic disorders. Incorporating treatments like chiropractic care can help alleviate, address, and restore the body through spinal manipulation. This allows individuals to be pain-free and help restore balance in their joints.
Harris-Hayes, Marcie, et al. “Relationship between the Hip and Low Back Pain in Athletes Who Participate in Rotation-Related Sports.” Journal of Sport Rehabilitation, U.S. National Library of Medicine, Feb. 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC2699456/.
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/.
Nishimura, Takaaki, and Ryo Miyachi. “Relationship between Low Back Pain and Lumbar and Hip Joint Movement in Desk Workers.” Journal of Physical Therapy Science, The Society of Physical Therapy Science, Oct. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7590845/.
A pinched nerve in the hip can cause numbness, tingliness, weakness, and pain. A pinched/compressed nerve creates pressure that can result from a bone structural issue like hip misalignment or the nerve getting overly stretched, stuck, twisted, or kinked. The pressure obstructs the neural pathways and decreases neural activity. This causes pain. If discomfort or pain is present, chiropractic, physical rehabilitation, rest, exercise, and ice and heat can release and reset the nerve and help prevent re-injury.
Pinched Nerve In The Hip
A pinched or compressed nerve results from pressure being applied to the nerve. A pinched nerve in the hip often causes pain in the groin region, radiating down the inner thigh to the knee. The pain can feel like a dull ache or a sharp, burning pain. Individuals also report tightness, numbness, or a tingling sensation in the buttocks. The most common causes include:
Sitting for too long without moving around.
Misaligned bone or cartilage.
Different causes require different treatment approaches. For example, an obese individual could require chiropractic adjustments, specific exercises/stretches, and diet adjustments to address the whole body. The recommended treatment plans can vary but usually include:
Physical therapeutic massage.
Manipulative therapies of the joints and muscles.
Mobilization of the joints.
Soft tissue treatments.
Walking and activity can worsen the pain when the hip presents with pain. This can cause the rest of the body to compensate by shifting the weight to the healthy side, which can cause even more pain in the back or legs or cause another injury. Regular chiropractic hip adjustments will improve posture, maintaining muscle and skeleton alignment that will prevent pinching nerves in the hip.
Chiropractic Hip Treatment
Ahuja, Vanita, et al. “Chronic hip pain in adults: Current knowledge and future prospective.” Journal of anaesthesiology, clinical pharmacology vol. 36,4 (2020): 450-457. doi:10.4103/joacp.JOACP_170_19
Christmas, Colleen, et al. “How common is hip pain among older adults? Results from the Third National Health and Nutrition Examination Survey.” The Journal of family practice vol. 51,4 (2002): 345-8.
“Free Communications: Case Reports: Hip.” Journal of Athletic Training vol. 38,2 Suppl (2003): S.73–S.74.
The hips in the lower extremities of the body help stabilize the weight of the upper half while providing movement to the lower half. The hips also allow the body to twist, turn, and bend back and forth. The hip joints connect to the inside of the pelvic bone, while the pelvic bone is connected to the sacroiliac joint, which connects to the spine. When natural wear and tear affects the joints as the body ages, issues like hip pain and osteoarthritis associated with low back pain occur, causing various symptoms to arise in the body. Today’s article looks at osteoarthritis, how it impacts the hips, and how to manage hip osteoarthritis. We refer patients to certified providers specializing in musculoskeletal therapies to help those with hip pain and osteoarthritis. 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
Have you been experiencing pain in your hips or lower back? How about muscle stiffness near the groin? Do symptoms associated with sciatica seem to flare up near your hips and the back of your leg? Many of these symptoms are signs that you could be at risk of developing osteoarthritis near your hips. While arthritis refers to inflammation of the body’s joints, osteoarthritis is a type of arthritis that causes degeneration of the joint cartilage, triggering joint pain and functionality loss. Even though there are several hundred types of arthritis, osteoarthritis is one of the most common types that many people, especially older adults, are affected by. As the body becomes older naturally through age, the repairs from an injury begin to slow down, and the cartilage (the connective tissue that protects the bones from each other) will start to thin out, triggering bone rubbing together, causing inflammation to occur, bone spurs, and inevitable pain. Osteoarthritis is often associated with old age and is multifactorial as factors that can increase the risk of developing osteoarthritis include:
How Does It Impact The Hips?
Since osteoarthritis affects the joints, how does it cause an impact on the hips? When health issues affect the body, it can cause painful symptoms to gradually worsen and become a risk of developing hip pain. Studies reveal that hip pain is common in all adults and activity levels in the anterior, lateral, or posterior regions near the hips.
Anterior hip pain: Causes referred pain (pain felt in one part of the body but is actually in a different location) associated with internal organ systems.
Lateral hip pain: Causes wear-and-tear pain on the soft muscle tissues on the sides of the hips.
Posterior hip pain: Causes referred pain associated with the lumbar spinal pathology like sciatic nerve entrapment correlating with a deep gluteal syndrome.
All these issues affecting the hips overlap with various issues associated with osteoarthritis. When hip pain originates from osteoarthritis, factors like minimal physical activity or slight movements while resting in bed can worsen due to the hip joints having limited or restricted movement. Studies reveal that hip pain is associated with simple movement impairments that make it difficult to diagnose due to referred pain from the spine, knees, or even the groin area.
How does hip osteoarthritis correlate with groin pain? Studies reveal that when a person is dealing with hip osteoarthritis, groin and buttock pain are slightly more common. The hip joint is behind the groin muscle, which is why groin pain overlaps with hip pain as the root. Hip and groin pain could also be involved with radiating pain down toward the knees in the body.
Exercises For Hip Osteoarthritis- Video
Are you experiencing bladder issues? How about stiffness near or around your hips and groin area? Do issues like low back and sciatica pain? Experiencing these issues could be signs of hip osteoarthritis affecting your lower body. Studies reveal that hip osteoarthritis is a significant source of morbidity, pain, gait abnormalities, and functional impairments potentially involved with other issues. Fortunately, there are ways to manage hip osteoarthritis, as the video above shows eight great exercises for hip osteoarthritis. Certain exercise moves for individuals with hip osteoarthritis can help strengthen the surrounding muscles around the joints while increasing joint mobility to reduce pain and stiffness. Exercising can also be beneficial to the individual as it can provide:
Increase blood circulation
Provides energy boost
Promotes muscle endurance
Other available therapies help manage hip osteoarthritis while alleviating associated symptoms affecting the body.
Managing Hip Osteoarthritis Pain
Many individuals suffering from hip osteoarthritis try to find ways to relieve the pain. While they can’t do anything to prevent wear and tear on the joints completely, there are ways to slow down the process and manage hip osteoarthritis in the body. Small changes like incorporating food can dampen inflammatory effects on the joints while providing nutrients to the body. An exercise regime can help strengthen the weak muscles supporting the joints while increasing mobility and range of motion. Treatments like spinal traction and chiropractic care relieve pain and stiffness from joint disorders like osteoarthritis. Chiropractic care provides spinal manipulation on the back and joints to be adjusted. While spinal traction helps the compressed discs lay off the pressure on the surrounding nerves associated with hip pain. Incorporating any of these can help slow the progression of hip osteoarthritis and bring back mobility to the hips.
The hips provide stability to the upper and lower parts of the body. While supporting the weight of the upper half and movement to the lower half, the hips can succumb to wear and tear in the body. When the hip joints begin to wear and tear slowly, it can lead to the progression of hip osteoarthritis, where the cartilage of the joints begins to cause the bones to rub against each other, triggering inflammation. Hip osteoarthritis makes diagnosing difficult because the referred pain from the spine, knees, or groin area overlaps the symptoms. All is not lost, as there are available treatments to manage hip osteoarthritis that can help slow the progress of this disorder and bring back the mobility of the lower half of the body.
Khan, A M, et al. “Hip Osteoarthritis: Where Is the Pain?” Annals of the Royal College of Surgeons of England, U.S. National Library of Medicine, Mar. 2004, pubmed.ncbi.nlm.nih.gov/15005931/.
Kim, Chan, et al. “Association of Hip Pain with Radiographic Evidence of Hip Osteoarthritis: Diagnostic Test Study.” BMJ (Clinical Research Ed.), BMJ Publishing Group Ltd., 2 Dec. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4667842/.
Sen, Rouhin, and John A Hurley. “Osteoarthritis – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 1 May 2022, www.ncbi.nlm.nih.gov/books/NBK482326/.
The muscles in our body help us be active when we want to be, rest and repair after activities, and continue to provide everyday movements that help keep the body functioning correctly. For athletes and the general population, physical training and eating healthy foods help deliver fuel to not only the internal organs but also help support the muscles, ligaments, and skeletal joints from injuries. As many individuals start to think about their health and wellness, many factors tend to pop up that can cause them to halt their health and wellness journey. Issues like stress, accidents, traumatic events, and lifestyle habits can affect the body and, over time, can become the risk of developing into chronic problems. An example would be where a person is experiencing hip pain associated with piriformis syndrome. Today’s article looks at piriformis syndrome, how it can cause more than hip pain, and how there are available treatments for piriformis syndrome. We refer patients to certified providers specializing in musculoskeletal therapies to help those with piriformis syndrome. 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
Have you been experiencing pain radiating from the buttock down to your legs? Does it hurt when you are sitting down? Or are you feeling tingling sensations and numbness on your butt and thighs? Some of these symptoms might be signs that you might be experiencing piriformis syndrome. Research studies have defined piriformis syndrome as a clinical condition where everyday stress affecting the body causes the piriformis muscle (the small muscle deep in the buttock region) to become tight and irritates the sciatic nerve. When that sciatic nerve becomes aggravated, it can become the risk of developing into sciatica. Many individuals don’t realize that the sciatic nerve also gets affected when their piriformis muscles in the buttock region become overused and tight through strenuous activities. This is due to the belief that any unusual traumatic abnormality in the piriformis muscle will be associated with sciatica symptoms. However, when a person is experiencing buttock pain that travels down the leg caused by the affected piriformis muscle, many will rule out some of the more common causes of sciatica like nerve root impingement triggered by disc herniation.
Surprisingly, three primary causing factors can be associated with piriformis syndrome. The first causing factor is myofascial trigger points may be the results of referred pain (pain or discomfort from another body location). The second causing factor is nerve entrapment against the greater sciatic foramen passing through the various piriformis muscles. And finally, the third causing factor is sacroiliac joint dysfunction due to piriformis muscle spasm. Studies reveal that the piriformis muscle helps stabilize the sacroiliac joint; when the small muscle starts to become irritated, it causes pain in the buttock region. But how does sacroiliac dysfunction relates to piriformis syndrome? Well, since low back pain is associated with sacroiliac dysfunction, the pain will often radiate down to the knee and the groin muscles while becoming a risk of developing piriformis syndrome.
Piriformis Syndrome Causes More Than Hip Pain?
Due to its broad size in the greater sciatic foramen, the piriformis muscle can become overused and tight, thus becoming piriformis syndrome. Piriformis syndrome can also become a risk to the numerous vessels and nerves that exit out in the pelvis region and may become compressed, causing more than just hip pain. Studies reveal that piriformis syndrome may be masquerading as ischiofemoral impingement triggering extra-articular hip pain by entrapping the quadratus femoris muscle causing groin pain. Another cause that piriformis syndrome is associated with is chronic pelvic pain. How does chronic pelvic pain correlate with piriformis syndrome? Chronic pelvic pain is a non-cyclic pain localized in the pelvis, potentially involving the surrounding muscles like the piriformis muscle supporting the irritated hip joint and pelvis region. Piriformis syndrome could also be an overlapping condition risk of developing other health issues like fibromyalgia in many people. Some conditions have common symptoms associated with piriformis syndrome, including:
Pain while sitting
Discomfort while exercising
The Difference Between Sciatica & Piriformis Syndrome-Video
Have you found it challenging to be comfortable while sitting down doing leisure activities? How about radiating pain that travels down your leg? Or do your hips feel tight and stiff? Experiencing these symptoms means that you might suffer from piriformis syndrome. The video above explains the difference between piriformis syndrome and sciatica. Studies reveal that piriformis syndrome is classically defined as sciatic pain; however, it is not sciatica. Sciatica is caused by compressed sciatic nerve due to herniated disc in the lumbar spine. In contrast, piriformis syndrome is caused when a traumatic injury or an underlying condition causes the piriformis muscle to spasm and aggravate the sciatic nerve. Various factors like prolonged sitting, repetitive movements that involve the legs, and even extensive stair climbing can cause the piriformis muscle to be easily damaged or injured, causing piriformis syndrome. Fortunately, there are ways to alleviate sciatic nerve pain and improve piriformis syndrome.
Treatments Available For Piriformis Syndrome
Many treatments are accessible to manage the pain and discomfort caused by piriformis syndrome for suffering individuals. Some people take over-the-counter medicine to decrease the pain, while others utilize a hot/cold pack on the affected area to relieve discomfort. The symptoms associated with piriformis syndrome usually go away without any additional treatment; however, if the pain or discomfort is still there, many people might benefit from alternative options for treatment, like chiropractic care, physical therapy, or even spinal decompression. Whether it is through gentle stretching, spinal manipulation, or decompression, these treatments are for anyone dealing with piriformis syndrome and its associated symptoms. Physical therapy can help decrease the painful symptoms associated with piriformis syndrome through gentle stretches that help return a person’s range of motion. Chiropractic care incorporates spinal adjustments and manual manipulations to treat various injuries or conditions. Spinal decompression uses traction to gently pull on the spine to release the aggravated nerve from causing pain. The relief can gradually restore a person’s natural health while managing its associated symptoms with various treatments available for individuals with piriformis syndrome.
Piriformis syndrome is a condition where everyday stress affects the piriformis muscle in the buttock region to become irritated and tight while aggravating the sciatic nerve. Many think traumatic abnormalities affecting their piriformis muscle will be associated with sciatica symptoms. However, sciatica is due to nerve root compression triggered by disc herniation. Piriformis syndrome is where that small muscle is overused from various factors that cause more than hip and butt pain. Some overlapping conditions associated with piriformis syndrome can become mediators for groin and pelvic pain. Fortunately, chiropractic care, physical therapy, and decompression can help restore the body gradually by managing piriformis syndrome and its associated symptoms.
Ro, Tae Hoon, and Lance Edmonds. “Diagnosis and Management of Piriformis Syndrome: A Rare Anatomic Variant Analyzed by Magnetic Resonance Imaging.” Journal of Clinical Imaging Science, Medknow Publications & Media Pvt Ltd, 21 Feb. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC5843966/.
A viscerosomatic response or VSR is when the internal organs are going through some distress, illness, or injury, causing pain symptoms. An example is the right shoulder presenting with pain when the gall bladder is inflamed. The pain signals are transmitted through the spinal cord, and the muscles in the area could spasm, creating sensitivity or pain when touched. However, viscerosomatic pain is often not worsened or changed by bending, reaching, or twisting in different directions causing musculoskeletal/MSK pain. Without a thorough exam, it’s easy to confuse a VSR with an MSK or basic back ache. Individuals may sometimes feel visceral pain more through emotional symptoms like anger, anguish, or sadness than physical discomfort. Causation varies for everybody and can overlap with underlying conditions.
The visceral organs’ pain receptors are not as tightly packed or evenly spread out, which makes finding the pain’s source challenging to pinpoint. The most common causes include:
A process of the body’s white blood cells protecting the body from infections, bacteria, and viruses. In autoimmune diseases, the immune system reacts as if normal tissues are infected or have changed and attacks them causing damage. But in some conditions, like arthritis, the body’s immune system triggers inflammation despite no infections, bacteria, or viruses. When inflammation activates, chemicals from the body’s white blood cells enter the blood or tissues to protect the body raising the blood flow to the injured or infected area. Symptoms include:
Chemicals can cause fluid to leak into the tissues.
The symptoms depend on which organs are affected. Examples include:
Inflammation of the heart/myocarditis can cause shortness of breath and/or fluid buildup.
Inflammation of the tiny tubes in the respiratory system can cause shortness of breath.
Inflammation of the kidneys/nephritis can cause high blood pressure and/or kidney failure.
Decreased blood circulation can strain areas of the body. The body pulls oxygen into the lungs that enter the blood. It travels throughout the body through blood vessels, veins, and arteries. If circulation becomes obstructed or gets stopped, a severe problem called ischemia can develop. This means areas of the body are not getting enough blood and enough oxygen. Ischemia usually originates from a buildup, blockage in the arteries, or a blood clot. Atherosclerosisis plaque, a hard, sticky substance made mostly of fat that collects in the arteries. It builds up slowly over time and can harden and narrow the arteries slowing down blood flow because the blood has less space to circulate.
Swelling occurs when excess fluids are trapped in the body’s tissues, which can cause the affected organs to enlarge and stretch. Swelling can be internal or external. Internal swelling is usually caused by:
Menstrual cramps are throbbing, aching cramps experienced in the lower stomach just before and during a woman’s monthly period. They can range from mild to severe but are common and can strike right before and/or during the menstrual cycle. Some women can experience dysmenorrhea. Symptoms include:
Aching in the stomach
Pressure in the stomach
Pain in the hips, low back, and inner thighs.
Severe cramp symptoms can include:
Cysts and Tumors
Cysts and/or tumors in the pelvic or abdomen region can cause distress, irritation, inflammation, swelling, and pain viscerosomatic and musculoskeletal.
Chiropractic Causation Diagnosis
There is a connection between the spinal nerves and internal organ function. Internal organs connect to the brain through the spinal cord and nerve ganglia plexuses. The organs cannot function properly if the transmitted signals are interrupted or blocked. A chiropractor uses manual and mechanized manipulation to realign the spine. Chiropractic treatment diagnoses causation, restores joint function, eliminates pain, and prevents further injury, preventing degeneration and slowing disease processes in bone, muscle, and organs.
Bath M, Owens J. Physiology, Viscerosomatic Reflexes. [Updated 2022 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK559218/
Berrueta, Lisbeth, et al. “Stretching Impacts Inflammation Resolution in Connective Tissue.” Journal of cellular physiology vol. 231,7 (2016): 1621-7. doi:10.1002/jcp.25263
Carver AC, Foley KM. Types of Pain. In: Kufe DW, Pollock RE, Weichselbaum RR, et al., editors. Holland-Frei Cancer Medicine. 6th edition. Hamilton (ON): BC Decker; 2003. Available from: www.ncbi.nlm.nih.gov/books/NBK12991/
Sikandar, Shafaq, and Anthony H Dickenson. “Visceral pain: the ins and outs, the ups and downs.” Current opinion in supportive and palliative care vol. 6,1 (2012): 17-26. doi:10.1097/SPC.0b013e32834f6ec9
Claudication is muscle pain that presents when the body is active and stops when the body is at rest, also known as intermittent claudication. Individuals typically report dull aching, cramping, tingling, and/or numbness. Vascular claudication is caused by circulatory problems like poor blood circulation and peripheral artery disease. Still, spinal conditions can also cause neurogenic claudication caused by problems with the spine and nervous system.
Sciatica is the usual suspect when thigh, hip, buttock, calf, or total leg pain or other sensations are present; however, it could be spinal stenosis with neurogenic claudication. Spinal stenosis is sometimes called pseudo claudication, a narrowing of the space around the low back, which can put pressure on the spinal cord directly and compress the blood vessels around the spine, cutting off oxygen-carrying blood. Pain can start in the lower back and circulate down the legs and cause weakness, tingling, or numbness in the legs and feet. The most common areas of spinal compression include:
The foramen are the openings on the sides of the spine where nerves exit and connect to the peripheral nervous system.
The narrowing can occur in any of these areas, with the most common cause being lumbar spinal stenosis brought on by lumbar degenerative disease.
The most common symptoms of neurogenic claudication include:
Pain in the lower extremities, including the buttocks, thighs, and calf, only manifests with activities like walking or standing around.
Pain that shows up equally on both sides.
There is no pain when sitting or not walking around.
Radiculopathy or nerve pain that radiates down an affected limb. Sciatica is a typical example.
However, the symptoms of claudication and radiculopathy are different.
Claudication will be felt all along the length of the nerve.
Radiculopathy pain is more localized to the buttock, thighs, and calves and can get worse with activity and is generally present even when at rest.
Non-surgical treatment of neurogenic claudication includes medication to help control pain, chiropractic manual therapy, non-surgical spinal decompression, physical rehabilitation therapy, and steroid shots to reduce inflammation. A doctor will recommend stretching, strengthening exercises, and types of activities to help improve the body’s ability to support itself. This could include swimming, walking, and stationary cycling. However, conservative treatment might not be an option for individuals with more severe cases. If conservative treatment options don’t work, surgery could be recommended. A healthcare provider can help explain treatment options. Successful outcomes have been seen in cases that are diagnosed and treated early.
Non-Surgical Spinal Decompression Chiropractor
Colak, Ahmet, et al. “A less invasive surgical approach in the lumbar lateral recess stenosis: a direct approach to the medial wall of the pedicle.” The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 17,12 (2008): 1745-51. doi:10.1007/s00586-008-0801-z
Munakomi S, Foris LA, Varacallo M. Spinal Stenosis And Neurogenic Claudication. [Updated 2022 Feb 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK430872/
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
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.
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.
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.
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/.
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.
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.
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.
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
With a growing belly and changes in connective tissue, many pregnant women are unable to stay comfortable. A pregnancy chiropractor is safe and effective in helping manage pain in the back, hips, legs, joints and establish pelvic balance. This can provide the baby with space to grow and move throughout the pregnancy and lead to faster, easier labor and delivery. Relief and better symptom management are possible with a pregnancy chiropractor.
Chiropractic Is Safe During Pregnancy
Before engaging in any treatment during pregnancy, consult a doctor. For the most part, non-invasive chiropractic is considered safe for healthy, low-risk pregnancies and even higher-risk pregnancies once cleared by a doctor. Because pregnant women cannot take medications or undergo other invasive treatment options for pain, chiropractic treatment is recommended for sore, tight muscles, irritability, and pain management.
How A Pregnancy Chiropractor Can Help
What a chiropractor can offer includes:
Restore pelvic balance.
Improve mechanics for standing, sitting, and walking that could otherwise cause pain.
Pain management through therapeutic massage and adjustments.
Optimize the pelvic position to allow for an easier birth; evidence indicates a shorter labor time thanks to an optimal pelvic position.
The pregnancy chiropractor begins with an initial consultation. Here the patient asks questions, discusses any concerns, along with a full assessment of medical history. They will suggest various treatment options to restore the body to its optimal balance. The chiropractor will continually monitor the patient to tailor the treatments to their specific needs and achieve the most relief.
Impact of Breastfeeding and Body Composition
It turns out that breastfeeding and weight loss are showing that there could be a relationship. A study suggested that breastfeeding could eliminate weight gain during six months. These findings are corroborated by another study comparing body fat loss between exclusively breastfeeding and mixed feeding mothers. The researchers found that exclusively breastfeeding promotes more significant body fat loss than mixed feeding among mothers during the first 12 weeks after childbirth. A weight loss of approximately about a pound per week between 4 and 14 weeks after delivery in overweight, lactating women who were exclusively breastfeeding showed no adverse effect on the growth and development of their newborns.
Bernard, Maria, and Peter Tuchin. “Chiropractic Management of Pregnancy-Related Lumbopelvic Pain: A Case Study.” Journal of chiropractic medicine vol. 15,2 (2016): 129-33. doi:10.1016/j.jcm.2016.04.003
Borggren, Cara L. “Pregnancy and chiropractic: a narrative review of the literature.” Journal of chiropractic medicine vol. 6,2 (2007): 70-4. doi:10.1016/j.jcme.2007.04.004
Weis, Carol Ann et al. “Chiropractic Care for Adults With Pregnancy-Related Low Back, Pelvic Girdle Pain, or Combination Pain: A Systematic Review.” Journal of manipulative and physiological therapeutics vol. 43,7 (2020): 714-731. doi:10.1016/j.jmpt.2020.05.005
A Trendelenburg gait is an abnormal walking gait resulting from a defective or weakened hip abductor.The gluteal musculature is the primary musculature that includes the gluteus medius and gluteus minimus muscles. Weakness in these muscles causes sagging/dropping of the pelvis on the opposite side while walking. There will be a noticeable side-to-side motion if the glutes are too weak to support the body’s weight when walking. It can look as though the individual is limping or missing a step. Individuals can minimize the effects with foot orthotics, core strengthening, chiropractic, and physical therapy.
Trendelenburg Gait Causes
This gait often results from straining the hip abductor muscles during physical activity. Exercises specifically for the glutes done improperly are a common cause. When improper exercise form is the cause, the abnormal gait usually goes away as muscle inflammation fades. The gait can also present after total hip replacement surgery, as the procedure requires incisions in the gluteus medius muscle. This can weaken the muscle causing an abnormal gait. Weakness in these muscles can also be caused by:
Nerve damage or dysfunction in the nerves that run through the gluteal minimus and medius muscles.
Osteoarthritis is a type of arthritis that occurs when joint cartilage starts to wear down.
Muscular dystrophy is a condition that causes the muscles and bones to become weak over time.
Poliomyelitisis a condition associated with polio that weakens the muscles.
Stance – The other leg stays still and maintains balance.
The main symptom of Trendelenburg gait can be seen when one leg swings forward and the hip drops down and move outward. This is because the hip abductor of the other leg is too weak to support the weight. Individuals may lean back or to the side slightly when walking to maintain balance, or they may lift the foot higher off the ground with each step to avoid losing balance or tripping as the pelvis shifts unevenly.
Abnormal hip movement during a swing of one or both legs can give a doctor enough evidence to diagnose a Trendelenburg gait. A doctor will observe the individual’s walk in front and behind to get a detailed view. A doctor will also use the Trendelenburg test to diagnose the condition. The doctor will instruct the individual to lift one leg for 30 seconds. If the individual cannot keep the hips parallel with the ground while lifting, it could indicate Trendelenburg gait. X-rays of the hip will be used to identify any causes of weakness in the gluteus minimus or medius.
Treatment options will depend on the severity and cause of the gait.
If the gait is causing pain, over-the-counter nonsteroidal anti-inflammatory NSAIDs, like ibuprofen or acetaminophen, will help ease symptoms.
In severe cases, a doctor may prescribe cortisone injections to help reduce pain.
A doctor could also recommend using a foot orthotic in one or both shoes to compensate the hip abductor muscle weakness.
Chiropractic, Physical Therapy, and Exercise
Chiropractic and physical therapy can help adjust, realign, and strengthen the muscles to regain control of the Trendelenburg gait. The chiropractor or physical therapist will move the legs in various directions to help the joints become more accustomed to moving in certain directions and increase muscle strength and resistance. Exercises that can strengthen the hip abductor muscles include:
Lie on the side and extend the leg straight out.
Lie on the floor and move one leg up, over the other, and back in the opposite direction.
Step sideways and onto an elevated surface, then back down again.
Talk with a doctor or chiropractor before beginning any new exercise routine so they can recommend specific exercises and educate on proper form.
If left untreated, moderate-to-severe cases of Trendelenburg gait can become debilitating, leading to severe complications. These include:
Pain, stiffness, or grinding in the hips.
Loss of range of motion in the hips and gait.
Losing the ability to walk, which could require the use of a walker or wheelchair.
Trendelenburg gait is treatable with special shoes, orthotics, and exercises designed to strengthen the hip abductor muscles. Chiropractic and physical therapy can help limit the condition’s impact on the body’s health, the ability to walk, and reduce the risk of complications.
The bright and tangy fruits are packed with vitamins and unique plant compounds known as polyphenols that can help lower blood pressure naturally.
However, it’s important to note that grapefruit and grapefruit juice could interact with certain prescription medications.
Beans and Lentils
Foods high in magnesium, potassium, and fiber can help maintain healthy blood pressure.
This is where beans and legumes come in, as they are high in fiber, potassium, and magnesium.
Individuals that swapped beans and lentils noticed a lower blood pressure, whether or not they had been diagnosed with hypertension.
These seeds are packed with potassium, magnesium, and arginine.
Arginine is an amino acid used to make nitric oxide, which helps the blood vessels relax and dilate, allowing lower blood pressure.
A study found that postmenopausal women who took 3 grams of pumpkin seed oil daily for six weeks saw a significant decrease in their systolic blood pressure.
Garlic contains nitric oxide, which has been shown to relax blood vessels.
Kyolic garlic, in particular, has been shown to help with arterial stiffness and can improve cholesterol levels.
Feyh, Andrew et al. “Role of Dietary Components in Modulating Hypertension.” Journal of Clinical & experimental cardiology vol. 7,4 (2016): 433. doi:10.4172/2155-9880.1000433
Individuals involved in slip and fall accidents lead to around 9 million emergency room visits a year. Recovering from a severe injury suffered in a slip and fall accident requires extensive medical care and physical rehabilitation. Older adults are susceptible to slip and fall injuries. According to the CDC, falls are the leading cause of nonfatal injuries of older adults and are a common hazard in nursing homes, where between half of the residents fall each year. The most common injuries sustained include:
Cuts and Abrasions
Cuts and abrasions can be minor to severe. Leg and arm abrasions are the most common, followed by wounds to the head and hips. These injuries require superficial treatment and possibly stitches. However, if the impact of the fall is severe, cuts and abrasions can overlap more severe injuries like concussions and broken bones.
Soft Tissue Injuries
Soft tissue injuries often do not get noticed, so individuals don’t realize they have a mild tissue injury until days or weeks after the fall.Soft tissue injuries can range from minor ankle and/or wrist sprains to severe tears in tendons and ligaments.Left untreated, these injuries can lead to chronic pain conditions making the body more vulnerable to further injuries.Even when individuals feel fine after a slip and fall accident, they are recommended to seek medical care or consult an injury specialist as soft tissue injuries don’t often produce immediate symptoms.
Sprains and Strains
A slip and fall accidents often happen as a result of taking an uneven or awkward step. Individuals also often react with their hands in front to try to cushion the fall. Both the awkward step and pushing the hands out can cause the wrist or ankle to tear, causing a sprain or a strain. The ligaments do not circulate a lot of blood, meaning that healing and recovery can take a significant amount of time.
A fall can result in stressful forces on the bones of the body. In slip and fall accidents, hip, wrist, and ankle fractures are the most common bones that get broken. The older an individual is, the more likely they will break a bone from a slip and fall accident.
More than 95% of broken hips are caused by falls, according to the CDC.Hip fractures often require surgery that can include implantation of an artificial hip and hospitalization for about a week, followed by extensive physical therapy and rehabilitation.
Knee injuries can result from a slip and fall, especially if the knee gets rotated the wrong way or twisted. Knees are made up of bone and ligaments, meaning it could take a long to heal and recover. Dislocation of the patella is also a possibility that could require knee reconstruction.
Neck and Shoulder Injuries
Shoulder and neck injuries can be the result of landing on the shoulder or neck. They can also occur from overexertion when trying to right oneself during a fall. Neck injuries can range from:
Shoulder injuries can result in:
Even the most minor neck and shoulder injuries can require surgery and rehabilitation.
Back and Spinal Cord Injuries
Severe impact on the body in a slip and fall accident can cause slipped or herniated discs and fractured vertebrae, causing significant pain and limiting mobility. An injury to the spinal cord can lead to temporary paralysis, permanent paralysis, neurologic and sensory impairments. According to the Mayo Clinic, falls cause more than a quarter of spinal cord injuries and the majority of spinal injuries among adults 65 and older.
Traumatic Brain Injuries
Traumatic brain injuries occur when an individual hits their head on a hard surface during a fall. Traumatic brain injuries can range from:
A chiropractor will review imaging scans, medical history, and current symptoms to determine the best form of treatment. Inflammation is common and is the body’s defense to protect the injured area by slowing down the blood flow in that area to allow the body’s internal defenses to repair the injury. Sometimes the body overreacts to the problem and produces far more inflammation than is needed. Depending on the severity of the injury, various massage, manipulation techniques, and tools will be utilized to help the body heal itself.
Recovery and Swelling
Recovery is an essential part of individuals involved in physical training programs and after injury. A significant sign that the body has undergone intense physical exertion and requires recovery is swelling. Swelling occurs for several reasons and is the body’s response to tiny, microscopic muscle tears that arise from intense use. It is possible to see this swelling in body composition results. Recovery is about giving the body a chance to:
Recover from the swelling to resume normal physical activities.
Courtney, T K et al. “Occupational slip, trip, and fall-related injuries–can the contribution of slipperiness be isolated?.” Ergonomics vol. 44,13 (2001): 1118-37. doi:10.1080/00140130110085538
Kannus, Pekka et al. “Prevention of falls and consequent injuries in elderly people.” Lancet (London, England) vol. 366,9500 (2005): 1885-93. doi:10.1016/S0140-6736(05)67604-0
Reuben, David B et al. “The Strategies to Reduce Injuries and Develop Confidence in Elders Intervention: Falls Risk Factor Assessment and Management, Patient Engagement, and Nurse Co-management.” Journal of the American Geriatrics Society vol. 65,12 (2017): 2733-2739. doi:10.1111/jgs.15121
Rosen, Tony et al. “Slipping and tripping: fall injuries in adults associated with rugs and carpets.” Journal of injury & violence research vol. 5,1 (2013): 61-9. doi:10.5249/jivr.v5i1.177
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:
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.
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.
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:
Scoliosis Hip Exercises
For uneven hips, there are exercises to help relieve pain and strengthen weak muscles.
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.
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 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.
The latissimus dorsi or lats are the large flat muscles on each side covering the width of the middle and lower back. They connect the bone of the upper arm to the spine and the hip. When pain presents in these muscles, it is typically caused by:
Repetitive overuse in a job or doing a task/chore that requires constant
A result of poor technique in sports or similar physical activities.
Chiropractic treatment, along with exercises, can help prevent and relieve this pain.
Symptoms of lat pain
The objective is to diagnose whether the pain is located in the latissimus dorsi or other muscles in the shoulders or back. If the latissimus dorsi is injured, an individual might feel pain in several areas, these include:
Lower, middle, and upper back
Back of the shoulders
The base of the shoulder blade
Inside of the arms, extending down to the fingers
In certain cases, the pain will present without warning and can be felt in the surrounding muscles. This type of pain often gets worse when the individual:
Extends their hands forward and out in front
Raises their hands above their head
Tosses or throws an object
Damage or injury to the latissimus dorsi
Tissue damage or injury can cause other symptoms to present. These include:
If the source of the back pain cannot be identified, or if it is accompanied by:
Consult a doctor as these could be symptoms of a more serious condition.
Uses and Causes
The lat muscles are used in everyday activities. These include:
Picking up objects like grocery bags
Opening heavy doors
Chest expansion for breathing
Pushing against the armrests of a chair to stand up
Using handrails to climb stairs
For sports or working out, the lats are used in:
Weightlifting exercises using the upper body
Common causes of pain include:
Overusing the muscles
Using poor techniques
Exercising without warming up
Risk of injury
Individuals that are at risk of developing this injury include those that:
Are continually reaching overhead
Regularly chop wood
Perform regular shoveling
Move furniture or other heavy objects
Regularly practice poor posture
Tearing the latissimus dorsi is possible, especially for athletes. Some athletes with increased risk include:
Exercises that can help bring relief
Certain exercises can alleviate the aches, pain, and strengthen the lat muscles to prevent and/or worsen the injury. It is recommended to consult a doctor, sports chiropractor, or personal trainer before beginning a therapeutic exercise regimen. This is to ensure that the exercises are right for the individual and their condition and that they use the correct form. Here are two exercises that can help reduce the pain. The doctor, chiropractor, or trainer will recommend the frequency the individual should perform the exercises.
This pose is known as the superman pose. To perform:
Lay facedown on the floor
Extend the legs so they are straight
Stretch arms away from the body, so they are in front of the head
Bend the knees like for a sit-up with the heels close to the buttocks
Keeping the hands and feet in place
Lift the pelvis upward
Slowly lower back to the floor
Individuals can prevent lat pain with lifestyle adjustments. These include:
Using proper technique and posture during work, sports, and exercise
Staying aware to not overuse the muscles
Warming up and cooling down thoroughly before and after a workout, sports, physical activities
Applying ice and heat before and after work, sports, and physical activities
Physical therapy massage
Nutrition and Recovery Advantage
Two important steps to achieve optimal health include:
Having a proper protein intake is important for muscle adaptability or the way muscles adapt to stress during exercise and/or strength training. This is also important to stimulate muscle protein synthesisafter exercising and/or strength training. To ensure the body is getting the strength and hypertrophy improvement from exercise and strength training, it is recommended to eat around 25g of high-quality protein after workout sessions.
For those doing aerobic and strength training, maximize recovery time between workout sessions. This is because strength and aerobic fitness health gains are low when the two only have a separation of 6 hours or less. Twenty-four hours between sessions is recommended especially if the priority is endurance performance.
Anderson, S. E., Hertel, R., Johnston, J. O., Stauffer, E., Leinweber, E., & Steinbach, L. S. (2005, November). Latissimus dorsi tendinosis and tear: imaging features of a pseudotumor of the upper limb in five patients. American Journal of Roentgenology, 185(5), 1145–1151 www.ajronline.org/doi/abs/10.2214/AJR.04.1247
Donohue, Benjamin F et al. “Sports Injuries to the Latissimus Dorsi and Teres Major.” The American journal of sports medicine vol. 45,10 (2017): 2428-2435. doi:10.1177/0363546516676062http://journals.sagepub.com/doi/abs/10.1177/0363546516676062?journalCode=ajsb
Henseler, J. F., Nagels, J., Nelissen, R. G. H. H., & de Groot, J. H. (2014, April). Does the latissimus dorsi tendon transfer for massive rotator cuff tears remain active postoperatively and restore active external rotation? Journal of Shoulder and Elbow Surgery, 23(4), 553–560 www.jshoulderelbow.org/article/S1058-2746(13)00399-6/fulltext%20
George, Michael S, and Michael Khazzam. “Latissimus Dorsi Tendon Rupture.” The Journal of the American Academy of Orthopaedic Surgeons vol. 27,4 (2019): 113-118. doi:10.5435/JAAOS-D-17-00581
Lehman, Gregory J et al. “Variations in muscle activation levels during traditional latissimus dorsi weight training exercises: An experimental study.” Dynamic medicine: DM vol. 3,1 4. 30 Jun. 2004, doi:10.1186/1476-5918-3-4
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.
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.
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:
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:
All sugar is broken down into glucose. However, foods that contain natural sugar are also rich in nutrients, including:
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:
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:
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%.
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:
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.
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.
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.
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.
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