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Anterior Pelvic Tilt Downward Posture Hip and Back Pain

Anterior Pelvic Tilt Downward Posture Hip and Back Pain

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.

Anterior Pelvic Tilt Downward Posture Hip and Back Pain

 

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:

  • Compressed degenerative disc
  • Disc tears, aka annular tears
  • Disc bulges
  • Herniation

Exercises

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

Centers for Disease Control and Prevention (CDC). (May 2020) “Acute Low Back Pain” https://www.cdc.gov/acute-pain/low-back-pain/index.html

National Institute of Neurological Disorders and Stroke. (March 2020) “Low Back Pain Fact Sheet” https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Low-Back-Pain-Fact-Sheet

Orlando Health. (2019) “Bad Posture Often to Blame for Chronic Pain and Health Issues, But Survey Finds Too Few Americans Are Concerned” https://www.orlandohealth.com/content-hub/bad-posture-often-to-blame-for-chronic-pain-and-health-issues

Pelvic Pain and Chiropractic Relief

Pelvic Pain and Chiropractic Relief

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.

11860 Vista Del Sol, Ste. 128 Pelvic Pain and Chiropractic Relief

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:

11860 Vista Del Sol, Ste. 128 Pelvic Pain and Chiropractic Relief

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.

11860 Vista Del Sol, Ste. 128 Pelvic Pain and Chiropractic Relief

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:

  • Manual adjustments
  • Mobilization
  • Therapeutic Massage
  • Physical activity/exercise training
  • Neutral spine training
  • Health coaching
  • Nutrition
  • Body Composition Analysis

Restoring Pelvic Balance

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

References

Harvard University. (07/2013)  
“Fight Kidney Disease with a Better Diet, weight loss and smoking cessation.” https://www.health.harvard.edu/diseases-and-conditions/fight-kidney-disease-with-a-better-diet-weight-loss-and-smoking-cessation

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.

Mayo Clinic, 10.12.20, “Kidney Infection” (08/2020)  https://www.mayoclinic.org/diseases-conditions/kidney-infection/diagnosis-treatment/drc-20353393

The University of Michigan Medicine. (06/2019) “ Upper and Middle Back Pain” https://www.uofmhealth.org/health-library/aba5320#:~:text=In%20most%20cases%2C%20upper%20and,muscle%20or%20group%20of%20muscles

Hip Realignment for Imbalanced Hips with Chiropractic

Hip Realignment for Imbalanced Hips with Chiropractic

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:
  • A sedentary lifestyle can cause anterior pelvic shifts
  • Repetitive/Overuse injury/s
  • Sports injury/s
  • Work/Personal injuries
  • Arthritis
  • Osteoporosis
  • Pinched nerve/s
  • Trauma
11860 Vista Del Sol, Ste. 128 Hip Realignment for Imbalanced Hips with Chiropractic
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:
  1. Walking
  2. Kicking
  3. Running
  4. Jumping
  5. Sitting
hips

Hip Adjustment

How to know if a hip adjustment is necessary? If there is any type of discomfort, soreness, and especially pain, a chiropractor 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.
11860 Vista Del Sol, Ste. 128 Hip Realignment for Imbalanced Hips with Chiropractic

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
Hip Issues Could Be Source of Lower Back Pain

Hip Issues Could Be Source of Lower Back Pain

Back discomfort and pain could be caused by hip issues and could be resolved with hip replacement. According to a recent study, a total hip replacement solved back pain in four out of five individuals dealing with spinal discomfort and pain. When the hip/s are stiff or cannot move normally, this places added pressure on the spine. Studies show that low back pain was resolved in 82% of individuals after a total hip replacement known as total hip arthroplasty or THA. The body is designed as a fluid chain with fluid motion connecting the neck all the way down to the toes. When a region like the hip tightens/stiffens, it generates added stress/pressure on the other areas of the body, which in this case happens to be the lower spine. Individuals with mild arthritis of the spine are able to experience increased pain reduction than individuals with severe arthritis. An insight into the relationship between the hips and low back that can lead to accurate diagnoses and optimal treatment plans.  
11860 Vista Del Sol, Ste. 128 Hip Issues Could Be Source of Lower Back Pain
 

Hip Issues

The hip/s move with the lower back during activities like walking, sitting, bending, etc. Tight muscles, normal wear-and-tear, and osteoarthritis can reduce hip movement, forcing the lower back to make awkward and poor posture causing adjustments. Individuals usually relieve the painful position by increasing the curve of their lower back. If an individual has severe arthritis of the hip, they put a lot of stress and pressure on the low back that often results in low back pain. Advanced hip osteoarthritis is the breakdown of joint cartilage and the most common type of arthritis. Individuals with this type experience low back pain 50% of the time, and even higher depending on the individual’s condition. 80% to 90% of individuals with hip or knee arthritis, unfortunately, develop low back arthritis. There is not yet a clear reason as to why this occurs. It is theorized that some osteoarthritis risk factors like obesity and high-impact/force activities can be modified with lifestyle adjustments. Other risk factors that include injury, trauma, age, and congenital conditions like hip dysplasia, cannot be avoided. Hip osteoarthritis isn�t the only hip issue that can also cause lower back pain. Other hip issues.

Sacroiliac joint dysfunction

The sacroiliac joint connects the sacrum to the pelvis. It is a shock absorber between the upper body, the pelvis and can stiffen with time. Sacroiliac joint pain affects around 15% to 25% of individuals with low back pain. It worsens when climbing stairs, getting up from a seated position or running. Symptoms include:
  • Low back pain
  • Pain in buttock/s
  • Groin pain
  • Stiffness
  • Instability

Piriformis syndrome

About 200,000 individuals each year are affected with piriformis syndrome and is often misdiagnosed as symptoms resemble sciatica. What happens is the piriformis muscle, which connects the sacrum to the top of the femur, tightens/irritates the sciatic nerve. Symptoms are often mistaken for sciatica with pain in the buttocks, numbness, and tingling that travels down the back of the leg and into the feet.  
11860 Vista Del Sol, Ste. 128 Hip Issues Could Be Source of Lower Back Pain
 

Diagnosis

A doctor or chiropractor will use a combination of diagnostic tools. This typically includes a physical exam, X-rays with other specific tests to help identify the source of pain. What typically happens is a patient will undergo a hip and lumbar spine X-ray, but the thoracic spine, pelvis, and hip areas are missed. Getting the middle segment is critical to see how the spine and hips are working together. It is critical to understand the hip-spine connection. All spine patients should have X-rays of the hips to make sure any problems don’t go undetected. The overlap of symptoms with these two areas could be overlooked. If necessary a diagnostic injection into the hip joint can help precisely locate the pain source. This can be done at the clinic or doctor’s office using ultrasound or X-ray to guide the needle. If no pain relief results from the injection, hip replacement is still not considered because the pain could be coming from the spine. A critical part of the diagnosis is not just imaging. One of the most important parts is getting a thorough history of symptoms. X-rays and MRI show what the problem could be, however, the symptoms could coming from another area.

Treatment Options

Before total hip replacement is considered there are nonsurgical approaches to be considered. All diagnoses should start with conservative treatment. Physical therapy, chiropractic, gait training, and core strengthening can optimize the spine to better manage hip issues and arthritis. Conservative therapies could also include:
  • Weight loss
  • Activity modification like walking instead of running
  • Anti-inflammatory medication
  • Cortisone injections
Total hip replacement is the last option for individuals experiencing pain, difficulty walking, and limited mobility. The procedure removes the damaged cartilage and bone from the hip joint. This includes the head of the thighbone along with the socket where it fits and replaces it with artificial parts.  
 

Conclusion

Get a second opinion. Individuals are encouraged to educate themselves as much as possible on the condition. The hip and spine is a complex relationship. The most important information for patients is that they understand along with their doctor where the pain is coming from, the hip, spine, or both.

Reduce Plantar Fasciitis Foot Pain

 

 

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*
Back Pain or Hip Pain? Getting to the Root of the Problem El Paso, TX.

Back Pain or Hip Pain? Getting to the Root of the Problem El Paso, TX.

Pain in the low back, hips, and other areas of the lower body, the source isn�t always easy to pinpoint.

Pain may originate in the lumbar spine (low back) the hip or both.

It�s important that a doctor identify the source of the problem, in order to create the correct treatment plan.

Because the hips and lower spine are located so close it can be easy to mistake back pain for hip pain the other way around.

Most low back pain and hip pain share a common cause:

Normal wear and tear on the body due to aging or triggered by overuse injuries (possibly referred to as degeneration or degenerative changes).

  • Lumbar sprains
  • Strains
  • Osteoarthritis
  • Herniated discs

Are common degenerative culprits behind low back and hip pain.

 

11860 Vista Del Sol, Ste. 128 Back Pain or Hip Pain? Getting to the Root of the Problem El Paso, TX.

 

Symptoms that the Hip Is the Root

One of the biggest symptoms that pain is caused by a problem in the hip is groin pain.

The hip joint is located behind the groin, which is why groin pain typically means the hip is the root.

In some cases, the groin pain will radiate downward toward the knee.

Another symptom that the hip is the source is pain around or over the hip joint.

Hip problems can also refer pain to the low back.

This is what causes the confusion over where the true source of the pain.

Hip-related pain is most often caused by osteoarthritis in the hip.

Osteoarthritis in the hip can cause pain in the:

  • Buttocks
  • Front of the thighs
  • Knees

Limping when walking and a reduced range of motion in the hips, along with pain that worsens with activity and improves with rest.

Osteoarthritis is the most common cause, hip pain can also come from:

  1. Piriformis syndrome will cause dull, mild pain in the low back, buttocks and can radiate down the leg.
  2. Hip pain attributed to avascular necrosis will be severe and constant.
  3. Sacroiliac joint pain could be attributed to the hip and the low back because the sacroiliac joints connect the sacrum in the spine to the hip bones.

11860 Vista Del Sol, Ste. 128 Back Pain or Hip Pain? Getting to the Root of the Problem El Paso, TX.

Symptoms that the Spine Is the Root

Where groin pain is a sign that the pain is linked to the hip when the pain is above the waistline and travels down the body usually indicates a low back issue.

Among the most common degenerative conditions that affect the lumbar spine are:

  • Herniated discs
  • Spinal stenosis
  • Spondylolisthesis

Pain is caused by irritating the low back nerves, which result in pain shooting down the leg/s and:

  • Weakness
  • Numbness
  • Reduced range of motion

Arthritis of the spine brings on pain usually when first getting out of bed or rising up after sitting.

It usually improves after beginning to move.

Spinal stenosis or nerve pressure compression pain worsens with prolonged standing or walking, while relief comes with sitting.

Getting to the Root

When there is pain in the lower body and are not sure whether it’s the back or hip, the first course of action is to visit your doctor or a chiropractor.

They will review your medical history and perform a series of physical exams, such as various movements to get an idea of what is going on.

Your primary doctor may refer you to a doctor/chiropractor who specializes in hip or spinal conditions to make an accurate diagnosis.

The doctor will ask you to describe the:

  • Pain
  • Location
  • When it worsens
  • When it’s relieved
  • What the pain feels like (e.g., sharp, dull).

The doctor may have you perform various movements to observe your biomechanics.

The goal is to determine what movements trigger the pain.

One such maneuver called the Flexion Abduction External Rotation (FABER) test helps determine if the pain is sourced in the hip and possible sacroiliac joint problems.

For this test, you lie on your back while flexing and rotating the hips.

The doctor will also palpate (press) on the pain area.

The doctor may order image scans, like x-ray, MRI that can reveal the root of the spine or hip problem.

The Source

Treating Back Pain and Hip Pain

Once the pain is identified whether the hip or low back, your doctor will work with you to create a treatment plan.

This regimen includes a specially designed physical therapy program to teach:

  • Movements
  • Stretches
  • Physical therapy

To help alleviate symptoms and prevent their return.

Once the nature of the pain is determined, your doctor may recommend lifestyle changes:

For both spine and hip pain, surgery is rarely necessary and only utilized as the last-resort option.


 

Labrum Tear Hip Treatment El Paso, TX Chiropractor

 

 

Andrew Hutchinson turned into chiropractic care and Crossfit rehab after suffering a high ankle sprain and a hip labrum tear for which he moved through with surgery to repair it. After being bedridden for weeks so as to correctly recuperate, Andrew Hutchinson transitioned to chiropractic care and Crossfit rehab to regain his strength, freedom, and flexibility before returning to perform. Although he has suffered other sports accidents, Andrew Hutchinson continues to trust in chiropractic care and Crossfit rehab to keep his spine properly aligned and maintain overall health and wellbeing.

Labrum tears in athletes may occur from a single event or recurring trauma. Running may lead to labrum tears as a result of labrum being used more for weight-bearing and taking excessive forces while at the end-range motion of the leg. Sporting activities are likely causes, especially the ones that require frequent hip rotation or pivoting to some wealthy femur as in ballet or hockey. Continuous hip rotation places increased pressure on the capsular tissue and injury to the iliofemoral ligament. This then causes hip instability placing increased stress on the labrum and resulting in a cool labrum tear.


 

What’s Afoot

Muscle imbalances in the hip, such as tight hip flexors, can cause low back pain � or at least contribute to it. When the hip flexor muscles are too tight, it causes what is known as an anterior pelvic tilt. In other words, the muscles cause an anterior pull on the pelvis. This affect posture and throws the entire lower body out of alignment. It can also affect the knees and feet if left untreated.

 

VasyliMedical The Effect of Weak Hip Abduction

 

 

NCBI Resources

Hip flexors can become too tight if the person sits for extended periods of time or engages in activities like cycling and jogging. A chiropractor can guide you through exercises that will help release the tight muscles and stop the micro spams that occur as a result. They will also assess your knees, feet, and ankles to ensure that the issue has not through them out of alignment as well. Correcting the cause of the problem will often correct the associated issues and resolve the pain allowing you to return to your normal activities.

 

Hip Injury Prevention for Athletes El Paso, Texas

Hip Injury Prevention for Athletes El Paso, Texas

Athletes both recreational and fully competitive can be impacted by injuries to the muscles and ligaments around the hip.

 

These injuries interfere with performance levels and sometimes end participation completely.

�Excessive pronation along with shoes with poor shock absorption has been found to be an underlying cause for various leg/hip injuries.

Custom made Orthotics improve the biomechanics of the feet and reduce the extent of pronation helping to prevent sport-related leg/foot injuries.

 

11860 Vista Del Sol, Ste. 128 Hip Injury Prevention for Athletes El Paso, Texas

Over Foot Pronation

Research has determined that athletes with more foot pronation have a higher probability of sustaining a leg injury, including iliotibial band syndrome that comes from excessive tightness of the hip muscles.

People involved in sports or recreational activities lower their likelihood of developing traumatic and overuse hip injuries through chiropractic treatment and using custom foot orthotics.

  1. The amount of pronation during standing and while running at a standard speed is determined by measuring the angles of the footprints.
  2. Athletes with more pronation have a higher likelihood of an overuse injury.
  3. Standing (static) and running (dynamic) prints show the amount of pronation and is a predictor of developing an overuse injury.
  4. Athletic performance and injury prevention involve regularly checking the alignment of patients� feet in the standing position.

Hip Injuries & The Hamstring

Many hip injuries develop from poor biomechanics and improper movement, especially when running.

Smooth muscle coordination provides balance and support for the pelvis and is needed for optimum sports performance.

This includes:

  • Hamstring muscles
  • Hip abductor muscles
  • Tensor fascia lata or the iliotibial band

When there is an issue with the feet and ankles, abnormal motion like over-rotating the entire leg is the perfect set-up for pulls, sprains, and strains.

50% of standing consists of heel strike and maximum pronation.

 

The hamstring muscles function to control the knee and ankle when the heel strikes and absorb the impact.

The theory behind orthotic support is that orthotics help the hamstrings control the position of the calcaneus and knee, so there is less stress on the hip and pelvis.

 

11860 Vista Del Sol, Ste. 128 Hip Injury Prevention for Athletes El Paso, Texas

 

Hip Injuries & Over-Pronation

Orthotics can correct excessive pronation and treatment of hip problems. These are some of the problems/pathologies that can develop.

Hip and pelvis pathologies:

  • Anterior pelvic tilt
  • Hip adductor muscle strain
  • Hip flexor muscle strain
  • Hip joint capsulitis
  • Iliotibial band syndrome
  • Piriformis muscle strain
  • Tensor fascia lata strain
These conditions develop in athletes who push their body’s to the limit going for optimal performances.

Conclusion

Overpronation and poor shock absorption contribute to leg injuries � from:

  • Foot
  • Lower leg
  • Knee
  • Thigh
  • Hip

These conditions can be prevented with custom-made orthotics.

  1. Foot biomechanics evaluation is a must
  2. To avoid hip injuries, athletes need regular evaluations of foot alignment and function
  3. Wear well-designed and solid-constructed shoes

Chiropractors can prevent arch breakdown and foot problems with custom orthotics, and also treat numerous injuries to the lower extremities, especially the hips.


 

Excessive Foot Pronation can Affect *FOOT POSTURE & MOBILITY* | El Paso, TX (2019)

 

 

The following video discusses how excessive foot pronation can ultimately affect foot posture and mobility. Several factors can affect foot posture and mobility, such as excessive foot pronation. Excessive foot pronation is most prevalent among the general population, therefore, it is considered to be one of the most common factors for abnormal foot posture and mobility, which can lead to a variety of health issues like overuse injuries. Excessive foot pronation and even supination can ultimately affect overall health and wellness.

Hip Labrum tears in athletes can occur from a single event or recurring trauma. Running may cause labrum tears due to the labrum being utilized more for weight-bearing and taking excess forces while at the end-range motion of the leg. Sporting activities are probable causes, specifically those that require frequent hip rotation or pivoting to a loaded femur as in ballet or hockey. Constant hip rotation places increased strain on the capsular tissue and harm to the iliofemoral ligament. This subsequently causes hip instability putting increased stress on the labrum and causing a hip labrum tear.


 

What’s Afoot

Chiropractic�seeks to find the cause of the conditions it is used to treat, including pain, instead of just treating symptoms. Because of this, the chiropractor will work to find the cause of the pain, in this case, overpronation and overpronation, and correct it � or the effects of the condition � in addition to treating the back pain.

Overpronation and oversupination can cause a variety of injuries and conditions that affect not only the feet and ankles, but also the knees,�hips, and back as well. Some of the more common injuries and conditions include:

  • Flat feet or posterior tibial tendon dysfunction
  • Ankle Sprains
  • Achilles tendinitis
  • Arch pain
  • Plantar fasciitis
  • Corns
  • Shin splints
  • Heel pain
  • Tight calves
  • Calluses
  • Knee pain
  • Patellar tendonitis
  • Tight hip flexors
  • Back pain
  • Sciatica
  • Herniated disks

 

 

VasyliMedical Management of Patello-femoral pain


 

NCBI Resources

Muscle imbalances in the hip, such as tight hip flexors, can cause low back pain � or at least contribute to it. When the hip flexor muscles are too tight, it causes what is known as an anterior pelvic tilt.�Hip flexors�can become too tight if the person sits for extended periods of time or engages in activities like cycling and jogging. A chiropractor can guide you through exercises that will help release the tight muscles and stop the micro spams that occur as a result.

 

How Chiropractic Helps to Overcome Hip Pain El Paso, TX.

How Chiropractic Helps to Overcome Hip Pain El Paso, TX.

Although hip pain is most often associated with older individuals, in reality, it can affect people from all age groups. The hips are complex joints, which means there are many things that can go wrong in the hips�complications that can lead to pain and discomfort in the hip area. Whatever your age, when hip pain strikes you naturally want to know if there is a way to make it better or eliminate it altogether. Fortunately, chiropractic offers effective methods for addressing hip pain.

Causes of Hip Pain?

There are a surprising number of ways that hip pain can develop. It may show up at one or both sides of your hips, or on the front of your hip. It can also show up on the back of one or both hips. Where the pain develops can serve as an indicator of what is actually causing the pain. Your chiropractor will look closely at your condition to determine the cause, which may be attributed to the following:

Osteoarthritis

The cartilage that surrounds your joints can begin to wear down over time. The degeneration of cartilage around joints is known as osteoarthritis. Many times, osteoarthritis can develop due to normal wear and tear, which is why the condition is so often associated with aging. However, it is possible for younger individuals to develop osteoarthritis as well.

Transient Osteoarthritis

Both middle-aged men and pregnant women can suffer from transient osteoarthritis. It is a painful condition, but fortunately, it is reversible with proper treatment.

11860 Vista Del Sol, Ste. 128 How Chiropractic Helps to Overcome Hip Pain El Paso, TX.

Bursitis

Bursa are sacs filled with fluid found in your joints, including the hips. The bursa are supposed to provide cushioning to your joints and lessen the friction created as your joints move. However, the bursa can become inflamed, which can lead to pain each time the joint is used.

Muscle Strain

There are a multitude of muscles that support the hips and make it possible for them to function. If one or more of those muscles is strained, it can lead to pain. Muscle strain is common in active individuals.

Overuse

Any joint and the soft tissues that support it can be overused. Overuse is common in individuals who perform repetitive motions, such as having to do the same motion hundreds of times a day for particular job activity.

Chiropractic Can Help

Studies have shown that chiropractic can increase mobility and lessen the pain when patients are experiencing hip pain. Treatment can be quite effective for many hip conditions, including all of those listed above. Since chiropractic steers clear of unnecessary medications and surgery, it is non-invasive and can be used regularly with minimal risk of side effects. Even if the condition you suffer from is not completely eliminated by treatment, it can make your symptoms much more tolerable by reducing pain and improving mobility.

Some common treatments for hip pain in chiropractic include:

Adjustments

By realigning your spine, adjustments can reduce or eliminate strain that may be placed on your hips. Regular adjustments can help ensure that your body maintains alignment and minimizes the amount of unnecessary strain might be impacting your hip area.

Exercises

Sometimes the best long-term solution to hip pain is to strengthen the muscles surrounding the hips. Your chiropractor can give you personalized exercises based on your body�s needs to help you get stronger so that your body supports your hips day in and day out.

Stretches

Hip pain can lead to loss of mobility. Appropriate stretches can help you regain some of that mobility.

Contact Us & Schedule An Appointment for Hip Pain Relief

If you would like to learn more about how chiropractic can help with your hip pain, please contact us. Our team is ready and waiting to answer your questions.


 

Labrum Tear Hip Treatment El Paso, TX Chiropractor

 

 

Andrew Hutchinson turned into chiropractic care and Crossfit rehab after suffering a high ankle sprain and a hip labrum tear for which he moved through with surgery to repair it. After being bedridden for weeks so as to correctly recuperate, Andrew Hutchinson transitioned to chiropractic care and Crossfit rehab to regain his strength, freedom, and flexibility before returning to perform. Although he has suffered other sports accidents, Andrew Hutchinson continues to trust in chiropractic care and Crossfit rehab to keep his spine properly aligned and maintain overall health and wellbeing.

Labrum rips in athletes may occur from a single event or recurring trauma. Running may lead to labrum tears as a result of labrum being used more for weight-bearing and taking excessive forces while at the end-range motion of the leg. Sporting activities are likely causes, especially the ones that require frequent hip rotation or pivoting to some wealthy femur as in ballet or hockey. Continuous hip rotation places increased pressure on the capsular tissue and injury to the iliofemoral ligament. This then causes hip instability placing increased stress on the labrum and resulting in a cool labrum tear.


 

Hip Weakness

Muscle imbalances in the hip, such as tight hip flexors, can cause low back pain � or at least contribute to it. When the hip flexor muscles are too tight, it causes what is known as an anterior pelvic tilt.�Hip flexors�can become too tight if the person sits for extended periods of time or engages in activities like cycling and jogging. A chiropractor can guide you through exercises that will help release the tight muscles and stop the micro spams that occur as a result.

 

VasyliMedical The Effect of Weak Hip Abduction


 

NCBI Resources

Treating your hip is successful when the focus is on restoring the balance and function of the entire body. This starts from the ground up with the feet along with a chiropractic examination that determines the root cause, which in turn helps in making an informed decision on a treatment plan. This instead of merely reducing the pain and inflammation in the irritated areas.

 

 

Custom Orthotics Can Help Alleviate Hip Pain El Paso, Texas

Custom Orthotics Can Help Alleviate Hip Pain El Paso, Texas

The hip joint is the body�s largest ball-and-socket joint that allows for fluid movement during running, walking, and more.

There is a cushion of cartilage that helps prevent friction when the hip bone moves.

 

11860 Vista Del Sol, Ste. 128 Custom Orthotics Can Help Alleviate Hip Pain El Paso, Texas

 

The hip is durable, but with age and use, this cushion can wear down or sustain an injury. So can the muscles, tendons, and bones surrounding the hip, caused by several conditions. These include:

  • Arthritis, Avascular necrosis (or osteonecrosis)
  • Certain cancers
  • Bursitis
  • Hip fractures
  • Hip labral tear
  • Muscle or tendon strain
  • Tendinitis

Treating your hip is successful when the focus is on restoring the balance and function of the entire body. This starts from the ground up with the feet along with a chiropractic examination that determines the root cause, which in turn helps in making an informed decision on a treatment plan. This instead of merely reducing the pain and inflammation in the irritated areas.

Symptoms of Hip Pain

Depending on the condition that’s causing your hip pain, you might feel the discomfort in:

  • Inside of the hip joint
  • Outside of the hip joint
  • Groin
  • Buttocks
  • Thigh

Treatment

Chiropractic and custom orthotics can help alleviate hip pain with adjustments, icing/heating and resting the affected joint.

Your chiropractor can help you set up a stretching and strengthening exercise regimen that will improve your hip�s function and reduce your pain.


 

Benefits of Using Custom *Foot Orthotics* | El Paso, TX (2019)

 

 

Functional custom foot orthotics understand the anatomy of the foot. By supporting the 3 arches of the foot, functional custom foot orthotics can help promote proper posture to prevent a variety of health issues, including neck pain and back pain. Over the counter, inserts may create more harm than good. Functional custom foot orthotics can also help maintain overall health and wellness. Because every person is unique, functional custom foot orthotics can help balance a person’s unique body structure and function. Dr. Alex Jimenez can help provide functional custom foot orthotics to patients who need to improve their overall health and wellness.

 

11860 Vista Del Sol, Ste. 128 Custom Orthotics Can Help Alleviate Hip Pain El Paso, Texas

 


Custom Orthotics

When there are problems with the feet, it can cause problems through the legs and all the way to the spine. This can cause the ankle to pronate, meaning it rolls inward. This alters the way the�bones of the foot line up which extends through the tibia, or shin bone. This can cause a condition called knock knees and it can change the way the entire body is aligned. This puts the body out of balance, destabilizing the spine, and can even cause the pelvis to tilt to one side or the other.

 

Take2_PB_Happyhour


 

Weak Hip Abduction

Muscle imbalances in the hip, such as tight hip flexors, can cause low back pain � or at least contribute to it. When the hip flexor muscles are too tight, it causes what is known as an anterior pelvic tilt. Hip flexors�can become too tight if the person sits for extended periods of time or engages in activities like cycling and jogging. A chiropractor can guide you through exercises that will help release the tight muscles and stop the micro spams that occur as a result.

 

VasyliMedical The Effect of Weak Hip Abduction


 

NCBI Resources

If the health issue originates in the hip joint itself, common painful symptoms may often include groin pain on the affected side, which can occasionally radiate down the inner region of the thigh into the front of the leg. The painful symptoms can also travel to the knee, making healthcare professionals and patients believe their pain is associated with a knee problem rather than a hip problem

 

 

Diagnosis of Hip Complaints: Arthritis & Neoplasms Part II | El Paso, TX.

Diagnosis of Hip Complaints: Arthritis & Neoplasms Part II | El Paso, TX.

Ischemic Osteonecrosis

diagnosis hip arthritis and neoplasms el paso, tx.

 

  • Ischemic Osteonecrosis (More accurate term) aka avascular necrosis AVN: this term describes subarticular (subchondral) bone death
  • Intramedullary bone infarct: depicts osteonecrosis within the medullary cavity of the bone (above x-ray image)
  • Causes: m/c: trauma, systemic corticosteroids, diabetes, vasculitis in SLE. The list is long. Other vital causes: Sickle cell disease, Gaucher disease, alcohol, caisson disease, SCFE, LCP, etc.
  • Pathology: ischemia and bone infarct with resultant devitalized center surrounded by ischemia and edema with normal bone on the outer periphery (MRI double line sign)
  • Sub-articular necrotic bone eventually collapses and fragments leading to progressive bone and cartilage destruction and rapidly progressing DJD
  • Early Dx often missed but crucial to prevent severe DJD

M/C Sites

diagnosis hip arthritis and neoplasms el paso, tx.

 

  • Hips, shoulders, talus, scaphoid bone. Many peripheral idiopathic AVN sites are known by their eponyms (e.g., Kienbock aka AVN of the lunate bone, Preisier aka scaphoid AVN)
  • Radiography is insensitive to early AVN and may only present as subtle osteopenia
  • Some of the early appreciable rad features are increased patchy bone sclerosis followed by sub-articular bone collapse or “crescent sign” signifying stage-3 on Ficat classification (above)
  • Earliest detection and early intervention can be achieved by MRI (most sensitive modality)
  • If MRI contraindicated or unavailable, 2nd most sensitive modality is radionuclide bone scan (scintigraphy)
  • X-ray and CT scanning are of equal value

Coronal MRI Slice

diagnosis hip arthritis and neoplasms el paso, tx.

 

  • Fluid sensitive, sensitive coronal MRI slice revealing bill ischemic osteonecrosis of the femoral head
  • MRI findings: l

Tc99-MMDP Radionuclide Bone

diagnosis hip arthritis and neoplasms el paso, tx.

 

  • Bone scan reveals a central area of photopenia (cold spot) d/t necrotic fragment surrounded by increased osteoblastic activity as increased uptake of Tc-99 MDP in the right hip
  • The patient is a 30-year-old female with breast cancer and chemotherapy treatment who suddenly presented with right hip pain

Radiographic Progression of AVN

diagnosis hip arthritis and neoplasms el paso, tx.

 

  • Later stages present with articular collapse, subarticular cysts, increased patchy sclerosis and complete flattening of the femoral head with resultant severe DJD. Rx: THA

Management

diagnosis hip arthritis and neoplasms el paso, tx.

 

  • Early imaging Dx with MRI or bone scintigraphy is essential
  • Referral to the Orthopedic surgeon
  • Core decompression (above) can be used to revascularize the affected bone during earlier stages but produces mixed results
  • Delayed changes of AVN: THA as IN severe DJD cases

B/L THA

diagnosis hip arthritis and neoplasms el paso, tx.

 

  • B/L THA in the patient with ischemic osteonecrosis of the right and later left hip
  • When B/L hip AVN is present, typically consider systemic causes (corticosteroids, diabetes)

Inflammatory Arthritis Affecting the Hip

diagnosis hip arthritis and neoplasms el paso, tx.

 

  • Consider common systemic inflammatory condition such as RA and AS/EnA
  • Hip RA may develop in 30% of patients with RA
  • Key features to DDx inflammatory arthritis vs. DJD is symmetrical/uniform aka concentric joint loss often leading to axial migration and Protrusion Acetabule in advanced cases
  • Key element between RA vs. AS: the presence of RA bone erosion w/o productive bone changes or enthesitis in AS d/t inflammatory subperiosteal bone proliferation, whiskering/fluffy periostitis (collar-type enthesitis circumferentially affecting head-neck junction)
  • Dx: Hx, PE, labs: CRP, RH, anti-CCP Ab (RA)
  • CRP, HLA-B27, RF- (AS)

Septic Arthritis

diagnosis hip arthritis and neoplasms el paso, tx.

 

  • Gonococcal infections, iatrogenic causes, I.V. drug use, and some others
  • Routes:�hematogenous, adjacent spread, direct inoculation (e.g., iatrogenic)
  • Clinically: pain and reduced ROM presented as monoarthritis, generalized signs/symptoms. CBC, ESR, CRP changes. ARthrocentesis and culture are crucial
  • M/C pathogen Staph. Aureus & Neisseria Gonorrhea
  • 1st step: radiography, often unrewarding in the early stage. Later (4-10 days) indistinctness of the white cortical line at the femoral articular epiphysis, loss of joint space, effusion as a widening of the medial joint area (Waldenstrom sign)
  • MRI – best at early DX: T1, T2, STIR, T1+C may help with early. Early I.V. antibiotics crucial to prevent rapid joint destruction

Slipped Capital Femoral Epiphysis (SCFE)

diagnosis hip arthritis and neoplasms el paso, tx.

 

  • Important to diagnose but easily missed potentially leading to Ischemic Osteonecrosis of the femoral head aka AVN
  • Presents typically in overweight children (more often boys), age over eight years. Greater incidence in African-American boys
  • 1st step: radiography, especially look for a widened physeal growth plate (so-called pre-slip). Later, slip and disturbed Klein’s line (above image). MRI – best modality for early Dx and early intervention
  • The frog lateral view often demonstrates the medial slip better than the AP view

Clinically Limping Child or Adolescent

diagnosis hip arthritis and neoplasms el paso, tx.

 

  • M>F (10-18 years). African-Americans are at greater risk. 20% of cases of SCFE are B/L. Complications: AVN >>DJD
  • Radiography:�AP pelvis, spot, and frog leg may reveal slippage as Klein line failed to cross through the lateral aspect of the femoral head
  • Additional features: physis may appear widened
  • MRI w/o gad, is required for the earliest Dx and prevention of complications (AVN)

Normal and Abnormal Klein Line

diagnosis hip arthritis and neoplasms el paso, tx.

 

  • Consistent with SCFE. The physis is also widened. Dx: SCFE
  • Urgent referral to the Pediatric Orthopedic surgeon

Subtle Changes in Left Hip

diagnosis hip arthritis and neoplasms el paso, tx.

 

  • Note suspected subtle changes in the left hip that may require MR examination to confirm the Dx
  • Delay in care may result in major complications

Perthes’ Disease

diagnosis hip arthritis and neoplasms el paso, tx.

 

  • aka Legg-Calves-Perthes Disease (LCP)
  • Refers to Osteochondritis of the femoral head with osteonecrosis likely d/t disturbed vascularization of the femoral head
  • Presents typically in children (more often boys) aged under eight years as atraumatic “limping child.” 15% may have B/L Perthe’s
  • Imaging steps: 1st step x-radiography, followed by MRI especially in stage 1 (early) w/o x-ray abnormalities
  • Unspecific signs: joint effusion with Waldenstrome sign+ (>2-mm increase in medial joint space compared to the opposite side). Past approach: Fluoroscopic Arthrography (replaced by MRI)
  • Pathologic-Radiologic Correlation: in well-established cases, the femoral head characteristically becomes sclerotic, flattened and fragmented due to avascular necrosis (AVN). Later on, an occasional Coxa Magna changes may develop (>10% femoral head enlargement)
  • Management: symptoms control, bracing. Boys at younger ate show better prognosis d/t more immaturity and better chances of bone/cartilage repair mechanisms. In advanced cases, operative care: osteotomy, hip arthroplasty in adulthood if advanced DJD develops

Common Neoplasms & Other Conditions Affecting Hip/Pelvis

diagnosis hip arthritis and neoplasms el paso, tx.

 

  • M/C hip & pelvis neoplasms in adults: bone metastasis ( above far left), 2nd m/c Multiple Myeloma (M/C primary bone malignancy in adults). Tips: remember Red Marrow distribution. Less frequent: Chondrosarcoma
  • Paget’s disease of bone (above-bottom left image) is m/c detected in the pelvis and Femurs
  • Children and young adults ‘limping child’ benign neoplasms: Fibrous Dysplasia (above middle image), Solitary Bone Cyst (21%), Osteoid Osteoma, Chondroblastoma. Malignant pediatric neoplasms: m/c Ewing Sarcoma (above middle right and bottom images) vs. Osteosarcoma. >2y.o-consider Neuroblastoma
  • Imaging: 1st step: radiography followed by MRI are most appropriate.
  • If Mets are suspected: Tc99 bone scintigraphy is most sensitive

Multiple Myeloma

diagnosis hip arthritis and neoplasms el paso, tx.

 

  • Multiple Myeloma in a 75-y.o male (AP pelvis view)
  • Chondrosarcoma in a 60-y.o male (axial and coronal reconstructed CT+C slices in the bone window)

 

Hip Pelvis Arthritis & Neoplasms

What is Metastatic Bone Disease?

What is Metastatic Bone Disease?

Cancer which develops in specific organs of the human body, including the lungs, breast, or prostate, among others, can sometimes spread into the bone, causing what is known as�metastatic bone disease, or MBD. Approximately more than 1.2 million new cancer cases are diagnosed every year, where about 50 percent can spread,�or metastasize, to the bones.

Through medical advancements, patients diagnosed with several different types of cancers, especially lung, breast, and prostate cancer, can live longer. However, primary cancers in more patients go through bone metastases, where they disperse�to the bone. Meanwhile, other types of cancers do not disperse so easily to the�bone. The most common cancers which develop in the organs and spread to the bones include:

  • Breast
  • Lung
  • Thyroid
  • Kidney
  • Prostate

Metastatic bone disease,�or MBD, can damage�and weaken the affected bone, causing pain along the site of spread.�Moreover, patients with MBD are at higher risk of suffering fractures or broken bones. The painful symptoms associated with MBD can make it challenging for the patient to engage in regular physical activities. The main concern of patients with metastatic bone disease is the loss in quality of life.

The extent of the effects of metastatic bone disease on a patient can change and is associated with how cancer has spread, which bones are affected, and how severe the bone harm is. Furthermore, there is a range of treatment choices available to treat MBD. Treatment help patients deal with pain to maintain activity levels and preserve their independence.

Metastatic Bone Disease Explained

The bones are the most common site of spread for cancers which begin in the organs, subsequent to the lung and the liver. Because many patients experience no painful symptoms of metastases to the liver and the lungs, these are often not discovered until the disease is in an advanced stage. In contrast, bone metastases are generally painful when they develop. Cancer most commonly spreads to these sites in the human skeleton:

  • Skull
  • Spine
  • Ribs
  • Upper arm
  • Pelvis
  • Long bones of the leg

Bone Damage

A tumor can completely destroy the bone at the site of spread, a process referred to as osteolytic bone destruction. Damage or weakened bones are most common in cancers which have spread from the lung, thyroid, kidney, and colon. New bone,�called osteoblastic, may also form due to the spread of cancer, more often seen in cancers from the stomach, bladder, and prostate.

Breast cancer often behaves in a combined osteolytic and osteoblastic method. Since the cancer cells secrete factors that interact with all the cells in the human skeleton, causing bone destruction, new bone formation, or both, osteolytic and osteoblastic metastatic bone disease happens. Also, breast cancer may commonly cause MBD in the hip and/or pelvis.

As a result of bone damage and weakness, patients with�metastatic bone disease are prone to fractures. Broken bones caused by MBD are termed “pathological fractures”.�Sometimes, the bone may be so weak that a fracture is imminent, termed “impending pathologic fractures”. Bedrest for lengthy intervals due to broken bones may result in chemical imbalances in the bloodstream, such as raised calcium levels, known as hypercalcemia. Patients with cancer that has spread to the spine can develop nerve damage which can result in paralysis or loss of using their arms and/or legs.

MBD Symptoms

A cancer patient who experiences any pain, especially in the back, arms, and legs should notify their doctor immediately. Pain which manifests without engaging in physical activities is especially concerning. The most common symptoms of�metastatic bone disease include:

  • Pain: MBD’s most prevalent symptom is pain. Patients may experience pain along their hip and/or pelvis, upper and lower extremities, and spine because the tumor may have damaged or weakened the bone.
  • Fractures: Broken bones, or fractures, can range from mild to severe and are generally a clear indication of the presence of MBD.
  • Anemia: The most common sites of spread, skull, spine, ribs, upper and lower extremities, and hip and/or pelvis, correspond to regions of bone marrow which produce high levels of red blood cells, responsible for carrying oxygen to cells. Anemia, or decreased red blood cell production, is a frequent blood abnormality with MBD.

 

 

MBD Diagnosis

Before following through with treatment for metastatic bone disease, it’s essential for the healthcare professional to understand the patient’s symptoms as well as their overall health and wellness. The doctor will ask for the patient’s medical history. After the medical history, the healthcare professional will perform a physical examination on the patient. The doctor may also utilize imaging diagnostics to help with the patient’s diagnosis.

Imaging Diagnostics

  • X-rays:�After the initial diagnosis, they may order x-rays. Because pain may often originate from other regions of the body, the healthcare professional will also order x-rays beyond the regions where the patient is experiencing discomfort. X-rays may tell an oncologist a great deal of information regarding how much bone is affected.
  • Other imaging tests: The doctor may also order a bone scan. This test can determine if other bones are involved with metastatic bone disease. In select situations, a computerized tomography, or�CT, scan and magnetic resonance imaging, or MRI, may be ordered, especially in scenarios where the spine or hip and/or pelvis are involved.
Dr Jimenez White Coat

A variety of cancers can commonly cause metastatic bone disease, or MBD, throughout different regions of the human skeleton. Bone metastases can cause painful symptoms, ultimately affecting an individual’s quality of life. Research studies have demonstrated that metastatic bone disease in the hip and/or pelvis is a prevalent health issue associated with breast cancer. Treatment may vary on the progression of the problem.

Dr. Alex Jimenez D.C., C.C.S.T. Insight

Metastatic Bone Disease Treatment

Advances in surgical techniques, as well as radiation and medical treatment approaches, have significantly improved the quality of life of patients suffering from cancer that has spread to the bone from the site of origin. Treatment options for MBD are based upon how far the cancer has spread, which bones are affected, and how the bone was damaged or weakened.

In many cases of metastatic bone disease, cancer has progressed to multiple bony sites. As a result, treatment is concentrated on managing the symptoms of pain and bone weakness as it is not intended to be curative. The most common treatment option for MBD includes drugs and/or medications, and radiation to control pain and prevent additional spread of metastatic bone disease, and surgery to stabilize weak and broken bones.

Patients with metastatic bone disease require a team approach. A medical oncologist works closely with a radiation oncologist, and an orthopaedic surgeon. Diagnosis is essential in order to follow through with the best treatment approach. The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at�915-850-0900�.

Curated by Dr. Alex Jimenez

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Additional Topics: Acute Back Pain

Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain is the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. The spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Because of this, injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of back pain. Sports injuries or automobile accident injuries are often the most frequent cause of back pain, however, sometimes the simplest of movements can have painful results. Fortunately, alternative treatment options, such as chiropractic care, can help ease back pain through the use of spinal adjustments and manual manipulations, ultimately improving pain relief.

 

 

blog picture of cartoon paper boy

 

EXTRA IMPORTANT TOPIC: Chiropractic Hip Pain Treatment

Diagnosis of Hip Complaints: Arthritis & Neoplasms Part I | El Paso, TX.

Diagnosis of Hip Complaints: Arthritis & Neoplasms Part I | El Paso, TX.

Degenerative Joint Disease (DJD)

diagnosis hip arthritis and neoplasms el paso tx.

Macroscopic & Microscopic Appearance of Normal vs. Damaged Articular Hyaline Cartilage by DJD

diagnosis hip arthritis and neoplasms el paso tx.

Hip Osteoarthritis (OA) aka Osteoarthrosis

diagnosis hip arthritis and neoplasms el paso tx.
  • Symptomatic and potentially disabling DJD
  • Progressive damage and loss of the articular cartilage causing denudation and eburnation of articular bone
  • Cystic changes, osteophytes, and gradual joint destruction
  • Develops d/t repeated joint loading and microtrauma
  • Obesity, metabolic/genetic factors
  • Secondary Causes: trauma, FAI syndrome, osteonecrosis, pyrophosphate crystal deposition, previous inflammatory arthritis, Slipped Capital Femoral Epiphysis, Leg-Calves-Perthes disease in children, etc.
  • Hip OA, 2nd m/c after knee OA. Women>men
  • 88-100 symptomatic cases per 100000

Radiography is the Modality of Choice for the Dx and Grading of DJD

diagnosis hip arthritis and neoplasms el paso tx.
  • Special imaging is not required unless other complicating factors exist
  • The acetabular-femoral joint is divided into superior, axial and medial compartments/spaces
  • Normal joint space at the superior compartment should be 3-4-mm on the AP hip/pelvis view
  • Understanding the pattern of hip joint narrowing/migration helps with the DDx of DJD vs. Inflammatory arthritis
  • In DJD, m/c hip narrowing is superior-lateral (non-uniform) vs. inflammatory axial (uniform)

AP Hip Radiograph Demonstrates DJD

diagnosis hip arthritis and neoplasms el paso tx.
  • With a non-uniform loss of joint space (superior migration), large subcortical cysts and subchondral sclerosis
  • Radiographic features:
  • Like with any DJD changes: radiography will reveal L.O.S.S.
  • L: loss of joint space (non-uniform or asymmetrical)
  • O: osteophytes aka bony proliferation/spurs
  • S: Subchondral sclerosis/thickening
  • S: Subcortical aka subchondral cysts “geodes.”
  • Hip migration is m/c superior resulting in a “tilt deformity.”

Radiographic Presentation of Hip OA May Vary Depending On Severity

diagnosis hip arthritis and neoplasms el paso tx.
  • Mild OA: mild reduction of joint space often w/o marked osteophytes and cystic changes
  • During further changes, collar osteophytes may affect femoral head-neck junction with more significant joint space loss and subchondral bone sclerosis (eburnation)
  • Cyst formation will often occur along the acetabular and femoral head subarticular/subchondral bone “geodes” and usually filled with joint fluid and some intra-articular gas
  • Subchondral cysts may occasionally be very large and DDx from neoplasms or infection or other pathology

Coronal Reconstructed CT Slices in Bone Window

diagnosis hip arthritis and neoplasms el paso tx.
  • Note moderate joint narrowing that appears non-uniform
  • Sub-chondral cysts formation (geodes) are noted along the acetabular and femoral head subchondral bone
  • Other features include collar osteophytes along head-neck junction
  • Dx: DJD of moderate intensity
  • Referral to the Orthopedic surgeon will be helpful for this patient

AP Pelvis (below the first image), AP Hip Spot (below the second image) CT Coronal Slice

diagnosis hip arthritis and neoplasms el paso tx.
  • Note multiple subchondral cysts, severe non-uniform joint narrowing (superior-lateral) and subchondral sclerosis with osteophytes
  • Advanced hip arthrosis

Severe DJD, Left Hip

diagnosis hip arthritis and neoplasms el paso tx.
  • When reading radiological reports pay particular attention to the grading of hip OA
  • Most severe (advanced) OA cases require total hip arthroplasty (THA)
  • Refer your patients to the Orthopedic surgeon for a consultation
  • Most mild cases are a good candidate for conservative care

Hip Arthroplasty aka Hip Replacement

diagnosis hip arthritis and neoplasms el paso tx.
  • Can be total or hemiarthroplasty
  • THA can be metal on metal, metal on polyethylene and ceramic on ceramic
  • A hybrid acetabular component with polyethylene and metal backing is also used (above right image)
  • THA can be cemented (above right image) and non-cemented (above-left image)
  • Non-cemented arthroplasty is used on younger patients utilizing porous metallic parts allowing good fusion and bone ingrowth into the prosthesis

Failed THA May Develop

diagnosis hip arthritis and neoplasms el paso tx.
  • Most develop within the first year and require revision
  • Femoral stem may fracture (above left)
  • Postsurgical infection (above right)
  • Fracture adjacent to the prosthesis (stress riser)
  • Particle disease

Femoroacetabular Impingement Syndrome

diagnosis hip arthritis and neoplasms el paso tx.
  • (FAI): abnormality of normal morphology of the hip leading to eventual� cartilage damage and premature DJD
  • Clinically:hip/groin pain aggravated by sitting (e.g., hip flexed & externally rotated). Activity related pain on axial loading esp. with hip flexion (e.g., walking uphill)
  • Pincer-type�acetabulum: > in middle age women potentially� many causes
  • CAM-type deformity:�> in men in 20-50 m/c 30s
  • Mixed type (pincer-CAM) is most frequent
  • Up until the 90s, FAI was not well-recognized

FAI Syndrome

diagnosis hip arthritis and neoplasms el paso tx.
  • CAM-type FAI syndrome
  • Radiography can be a reliable Dx tool
  • X-radiography findings:�osseous bump on the lateral aspect of femoral head-neck junction. Pistol-grip deformity. Loss of normal head sphericity. Associated features: os acetabule, synovial herniation pit (Pit’s pit). Evidence of DJD in advanced cases
  • MRI and MR arthrography (most accurate Dx of labral tear) can aid the diagnosis of labral tear and other changes of FAI
  • Referral to the Orthopedic surgeon is necessary to prevent DJD progression and repair labral abnormalities. Late Dx may lead to irreversible changes of DJD

AP Pelvis: B/L CAM-type FAI syndrome

diagnosis hip arthritis and neoplasms el paso tx.

Pincer-Type FAI with Acetabula Over-Coverage

diagnosis hip arthritis and neoplasms el paso tx.
  • Key radiographic signs: “Cross-over sign” and abnormal center-edge and Alfa-angle evaluation methods

Dx of FAI

diagnosis hip arthritis and neoplasms el paso tx.
  • Center-edge angle (above the first image) and Alfa-angle (above the second image)
  • B/L CAM-type FAI with os acetabule�(above right image)

MR Arthrography

diagnosis hip arthritis and neoplasms el paso tx.

Hip Pelvis Arthritis & Neoplasms

Acute Pelvis & Hip Trauma Imaging Diagnosis Part II | El Paso, TX.

Acute Pelvis & Hip Trauma Imaging Diagnosis Part II | El Paso, TX.

 

pelvis trauma el paso tx.

 

pelvis trauma el paso tx.

 

Hip Fractures

 

pelvis trauma el paso tx.

 

  • Garden Classification (above) helps with Dx and correct management of patients
  • M/C Fx are subcapital (80%)
  • Fxs differentiated as intra-capsular (high risk of AVN) & extra-capsular (lower risk of AVN)
  • Garden 1: incomplete undisplaced Fx typically impaction with valgus off-set of the head (15-20% AVN) patient able to ambulate
  • Garden 2: complete, undisplaced Fx (30% AVN)
  • Garden 3: complete, partially <50% displaced
  • Garden 4: complete, 100% displaced Fx, pt collapsed with entire LE in ER (below image)
  • Most osteoporotic Fx are intracapsular

 

Complete Displaced Femoral Neck Fracture Clinical Presentation

 

pelvis trauma el paso tx.

 

pelvis trauma el paso tx.

 

Imaging: Begins with X-radiography with Most Fxs

 

  • CT scanning may help with further delineation of Fx complexity/displacement and Dx of additional regional Fxs
  • MRI can be helpful if x-radiography fails to Dx fx
  • X-radiography pitfalls: some undisplaced Garden 1 & 2 Fxs may be missed d/t pre-existing DJD and osteophytes along the femoral head-neck junction that may overly the Fx line
  • Fx line is incomplete and too small/subtle especially if the study is read by non-radiologists
  • Incomplete Fxs if left untreated will not heal and likely to progress to complete Fxs

 

pelvis trauma el paso tx.

 

  • AP hip spot view: note valgus deformity of the head (above yellow arrow) with a small/subtle line of sclerosis in the sub-capital region representing Garden 1 Fx. MRI may help with Dx of subtle radiographic Fxs. If MRI contraindicated, Tc 99 radionuclide bone scan may help demonstrate high uptake of the radiopharmaceutical in Fx (below image)

 

pelvis trauma el paso tx.

 

Above – Tc99 Radionuclide Bone Scan Reveals Left Subcapital Femoral Neck Fx

 

pelvis trauma el paso tx.

 

  • Garden 2 complete undisplaced (above green arrows) Fx

 

pelvis trauma el paso tx.

 

  • AP hip: Garden 3 complete partially displaced Fx (above the first image)
  • AP pelvis: complete displaced Garden 4 Fx (above the second image)
  • Clinical pearls: in some cases of Garden 4 Fx, DDx may be difficult to differentiate from OSP vs. pathologic fx d/t to bone Mets of Multiple myeloma (MM)
  • Management: depends on patients age and activity level
  • Garden 3 & 4� require total hip arthroplasty in patients <85-y.o.
  • Garden 1 & 2 may be treated with closed reduction of fx and open capsule and 3-cannulated fixating screws
  • Pre-existing DJD may require total arthroplasty
  • Occasionally observation may be performed on patients who are not active and significant risks of surgery and depends on surgical centers

 

pelvis trauma el paso tx.

 

  • m/c Rx of Garden 1 & 2 undisplaced Fx with 3-screws. Screws proximity depends on the bone quality and Fx type

 

pelvis trauma el paso tx.

 

  • THA aka hip replacement: cemented THA with bone cement (above the first image) vs. non-cemented (biologic) that is used mostly in younger patients
  • 2-types: metal on metal vs. metal on polyethylene
  • The femoral angle of the prosthesis should have slight valgus but never >140 degrees
  • The non-cemented component uses porous metal allowing the bone to integrate sometimes coating in bone cement from osteoconduction
  • THA has good outcome and prognosis
  • Occasionally cement failure, fractures, and infections may complicate this procedure

Supplemental Reading

 

Acute Pelvis & Hip Trauma

Acute Pelvis & Hip Trauma Imaging Diagnosis Part I | El Paso, TX.

Acute Pelvis & Hip Trauma Imaging Diagnosis Part I | El Paso, TX.

Pelvic Fractures Can Be Stable & Unstable

  • Unstable Fx: a result of high energy trauma with >50% d/t MVA
  • 20% closed Fx and 50% of open Fx result in mortality
  • Mortality is associated with vascular and internal organs injuries
  • Vascular injury: 20% arterial 80% venous
  • Chronic morbidity/disability and prolonged pain
  • Unstable Fx are rarely seen in the outpatient setting and typically and present to the ED
  • Stable pelvic Fx are usually caused by muscles/tendons avulsions and more often seen in pediatric cases

 

pelvis trauma el paso tx.

 

Understanding Pelvic Anatomy Is The Key To Successful Imaging Dx

  • The bony pelvis is a continuous ring of bone held by strong ligaments
  • During significant impact, pelvic fractures may occur in more than one location because forces applied to one region of the ring will also correspond to injury on the other, usually the opposite side of the ring (above image)
  • Thus the majority of unstable pelvic Fx will typically demonstrate more than one break

 

pelvis trauma el paso tx.

 

  • Pelvic is seen as a ring of� bone connected by some of the strongest ligaments in the body
  • The pelvic ring comprises 2-semirings: anterior to the acetabulum and posterior to the acetabulum
  • The bony pelvis is in close proximity to major vessels carrying a greater chance of vascular injury

 

pelvis trauma el paso tx.

 

  • Anatomical Differences of The Female and Male Pelvis

 

pelvis trauma el paso tx.

 

Post-Traumatic Pelvic Views May Vary and Include:

  • Standard AP Pelvis (above images)
  • Judet views evaluating the acetabulo-pelvic region
  • Inlet/Outlet views helping with the symphysis and SIJ regions
  • Rad survey of the pelvis should include evaluation of the continuity of pelvic rings:
  • Inlet/outlet, obturator rings (above the first image)
  • Symphysis pubis and SIJ for diastasis and post-trauma separation (above the second image)
  • Lumbosacral spine and hips should also be carefully examined

 

pelvis trauma el paso tx.

 

  • Pelvic inlet (above top left) and Outlet (above bottom left)
  • Judet views: left and right posterior oblique views

 

pelvis trauma el paso tx.

 

Additional Survey:

  • Iliopectineal, ilioischial, Shenton and Sacral arcuate lines will help detection of sacral, acetabular and hip fracture/dislocations

 

pelvis trauma el paso tx.

 

Stable Pelvic Fractures aka Avulsion Injury

  • Appreciating anatomical sites of pelvic origin/insertion of different muscles will help Dx of pelvic avulsion Fx

 

pelvis trauma el paso tx.

 

  • Avulsion Fx of the AllS (origin of the direct head of Rectus femoris M)
  • Pelvic avulsions occur by sudden eccentric contraction especially during kicking or jumping
  • Imaging: x-radiography will suffice
  • Clinically: sudden snap or pop followed by local pain. Pt can weight bear
  • Care: non-operative with rest for 4-weeks. Non-union is rare. No major complications
  • DDx: key rad DDx feature is not to mistake an avulsion from an aggressive pediatric bone tumor-like osteosarcoma that may show some exuberant new bone formation d/t healing and bone callus

 

pelvis trauma el paso tx.

 

Commonly Encountered Unstable Pelvic Fractures

  • Malgaigne Fx: d/t vertical shear injury to the ipsilateral pelvis
  • Rad Dx: ipsilateral superior and inferior pubic rami Fx (anterior ring) with ipsilateral SIJ separation/Fx of the sacrum and adjacent ilium (posterior ring). Symphysis pubis diastasis can be seen. An additional clue is an avulsion of L4 and/or L5 TP that often signifies serious pelvic injury
  • Clinically: marked leg shortening, shock, inability to weight bear.
  • Damage to Superior Gluteal Artery can occur
  • Imaging: x-radiography followed by CT scanning w/o and with IV contrast esp. if visceral injury present
  • Care: surgical in most cases d/t significant instability. ORIF. Hemostasis, Pelvic stabilization
  • Prognosis: depends on the complexity, rate of visceral complications and stability. 10% Superior glut artery bleed requiring rapid hemostasis

 

pelvis trauma el paso tx.

 

Open Book Pelvis (major instability)

  • Mechanism: AP compression of different force magnitude (picture depiction)
  • Rad Dx: diastasis of symphysis pubis with diastasis of SIJ with and w/o adjacent Fx of the ala
  • Imaging steps: x-radiographic, CT scanning with and w/o contrast for vascular injury, cystography for acute urinary bladder rupture
  • Immediate and delayed complications may occur: vascular injury, urethral/bladder injury

 

pelvis trauma el paso tx.

 

Straddle Injury: Unstable Fx

  • Mechanism: direct impact/collision
  • High risk of urinary bladder/urethral injury
  • Imaging: bilateral superior and inferior pubic rami Fx with or w/o diastasis and Fx of SIJ
  • CT with and w/o contrast for vascular injury
  • Cystourethrogram additionally evaluates a urogenital injury
  • Complications: urethral strictures, bleeding, bladder rupture
  • Note: Straddle Fx with right SIJ separation

 

Hip Fractures (Femoral Neck)

  • Common injury
  • Occurs in:
  • 1) Young adults due to high energy trauma
  • 2) Osteoporotic patients with low impact, trivial or no trauma (i.e., insufficiency Fx)
  • X-radiography is crucial to early Dx and prevention of complications which include:
  • Dx: intra-capsular vs. extra-capsular Fx
  • Ischemic osteonecrosis aka avascular necrosis (AVN) of the femoral head and rapid disabling DJD
  • Epidemiology: USA has some of the highest rates of OSP hip Fx worldwide. Highest healthcare cost Fx to treat overall
  • Women>men, Caucasians>African-Americans
  • 25-30% mortality within the 1st year. Mortality depends on co-morbidities and stat of activity prior Fx
  • Pathophys: the femoral neck is intra-capsular and transmits arterial flow to the head. The neck is uncovered by the periosteum and unable to develop a good callus. The neck transmits maximum tensile forces through the proximal femur and prone to Fx and non-union

Hip Strengthening

 

 

Acute Pelvis & Hip Trauma

Developmental Dysplasia of the Hip

Developmental Dysplasia of the Hip

The hip is commonly described as a “ball-and-socket” type joint. In a healthy hip, the ball at the top end of the thighbone, or femur, should fit firmly into the socket, which is part of the large pelvis bone. In babies and children with developmental dysplasia, or dislocation, of the hip, abbreviated as DDH, the hip joint may not have formed normally. As a result, the ball of the femur might easily dislocate and become loose from the socket.

Although DDH is often present from birth, it could also develop during a child’s first year of life. Recent research studies have demonstrated that infants whose thighs are swaddled closely with the hips and knees straight are at a higher risk for developing DDH. Because swaddling has become�increasingly popular, it is essential for parents to understand how to swaddle their babies safely, and they should realize that when done improperly, swaddling may cause health issues such as DDH.

Diagnosis for�Developmental Dysplasia of the Hip

In addition to visual cues, when�diagnosing for DDH, the healthcare professional will perform a careful evaluation, such as listening and feeling for “clunks” which indicates that the hip is placed in different positions. The doctor will also utilize other methods and techniques to determine if the hip is dislocated. Newborns recognized to be at higher risk for DDH are often tested using ultrasound. For babies and children, x-rays of the hip might be taken to provide further detailed images of the hip joint.

Treatment for�Developmental Dysplasia of the Hip

If DDH is discovered at birth, it can usually be treated with the use of a harness or brace. If the hip isn’t dislocated at birth, the condition might not be diagnosed until the child starts walking. At that point, treatment for DDH is much more complex, with less predictable results. If diagnosed and treated accordingly, children ought to have no restriction in function and develop the standard hip joint. DDH may result in atherosclerosis and other problems. It may produce a difference in agility or leg length.

In spite of proper treatment, hip deformity and osteoarthritis may develop later in life. This is particularly true when treatment starts after the age of 2 years. Therefore, diagnosis and treatment are essential in newborns and children with DDH. The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at�915-850-0900�.

Curated by Dr. Alex Jimenez

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Additional Topics: Acute Back Pain

Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. The spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Because of this, injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of back pain. Sports injuries or automobile accident injuries are often the most frequent cause of back pain, however, sometimes the simplest of movements can have painful results. Fortunately, alternative treatment options, such as chiropractic care, can help ease back pain through the use of spinal adjustments and manual manipulations, ultimately improving pain relief.

 

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EXTRA IMPORTANT TOPIC: Chiropractic Hip Pain Treatment

Hip Pain Chiropractic Treatment

Hip Pain Chiropractic Treatment

Ever since he started chiropractic care with Dr. Alex Jimenez and continued rehabilitation at Push, Bobby Gomez has experienced great improvements on his back and hip pain. Since birth, Bobby had problems walking due to an uneven pelvic tilt. However, treatment has helped him gain more muscle on his legs, giving him more strength, flexibility and mobility to further improve his gait. Thanks to chiropractic care and rehabilitation, Bobby Gomez has become more confident and at peace with himself, highly recommending Dr. Alex Jimenez as the non-surgical choice for hip pain.

Chiropractic Hip Pain Treatment

Pain in the hip is the experience of pain from the joints or muscles in the hip region, a condition arising from any of a number of variables. Occasionally it is associated with back pain. Causes of pain around the hip joint may be extra-articular, or referred pain from neighboring structures, including the sacroiliac joint, spine, symphysis pubis, or the inguinal canal. Clinical tests are accommodated to identify the source of pain as intra-articular or extra-articular. The flexion-abduction-external spinning (FABER), internal range of motion with overpressure (IROP), and scour tests reveal sensitivity worth in identifying individuals with intra-articular pathology.

hip pain chiropractic treatment el paso tx.

We are blessed to present to you�El Paso�s Premier Wellness & Injury Care Clinic.

Our services are specialized and focused on injuries and the complete recovery process.�Our areas of practice include:Wellness & Nutrition, Chronic Pain,�Personal Injury,�Auto Accident Care, Work Injuries, Back Injury, Low�Back Pain, Neck Pain, Migraine Treatment, Sport Injuries,�Severe Sciatica, Scoliosis, Complex Herniated Discs,�Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries.

As El Paso�s Chiropractic Rehabilitation Clinic & Integrated Medicine Center,�we passionately are focused treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.

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