Hip pain affects our daily activities such as getting up from sitting, getting into and out of a car, putting on our socks or shoes, going up and down stairs, kneeling, squatting, and walking. As individuals start to experience hip pain, they seek medical consultation and often undergo x-ray of the hip. It is common for these x-rays to show osteoarthritis (OA) or degenerative changes in the hip joint. With this diagnosis in hand, many individuals opt to promptly then undergo hip replacement. The incidence of individuals complaining of hip pain is around 10 percent of 40-50-year-olds, and it climbs to 25% in the 65 year-old age group. Sometimes people are diagnosed with osteoarthritis as previously described, where others may be diagnosed with bursitis, trochanteric bursitis, labral tear, impingement syndrome, tendonitis or groin strain.
The American Academy of Orthopaedic Surgeons report that over 27 million people in the USA have hip osteoarthritis, and the incidence of hip replacement climbs every year. However, this diagnosis of osteoarthritis is based solely on x-ray images. These x-rays show age-related changes that are common in all individuals as we get older. It does not mean that these normal signs of aging are indeed the cause of our hip pain. As in other areas of the body, x-ray evidence of age-related changes does not mean that hip pain or disability in the hip will be present. These changes seen on-x-ray are normal changes that occur as we age and do not necessarily mean we are doomed to have years of hip pain.
People experience hip pain in different ways. Some people may feel pain or stiffness in both hips, although one hip is usually more sore than the other. Hip pain can be intermittent, with days or times of day when no pain is felt. The pain and associated symptoms may come on for no apparent reason and may disappear just as mysteriously. At other times, pain and symptoms may come up only with specific movements of the leg such as occurs with walking, climbing stairs, kneeling, squatting or with certain hobbies. Aches and pains may also occur constantly and disturbs sleep; some may feel pain with lying on the sore side or with prolonged standing.
As the condition becomes more chronic, these aches and pains and other symptoms may become constant, and individuals struggle to find something that will give them relief. When dealing with constant pain, people may avoid recreational and leisure activities that they enjoy, miss work, may undergo expensive (and often, unnecessary) radiological imaging studies, injections, and take medication to relieve their pain; only to find that the pain does not go away and keeps recurring. This pain often makes their daily lives absolutely miserable, and they avoid activities in order to keep their pain at a tolerable level. Even worse, they struggle to get a good night of sleep and with lack of sleep, their symptoms during the day worsen. As they have more pain, they become less active and become more sedentary. They then lose fitness and gain weight, only further perpetuating the problem. This loss of fitness and weight gain affects overall health and well-being, leading to other health problems.
Unfortunately, there are many myths regarding hip pain that are simply not true. Some attribute their hip pain to running, overuse or activity earlier in life. Some attribute their hip pain to their occupation. Further, some will say that if they have osteoarthritis of their hip, they must rest rather than stay active. And finally, when diagnosed with osteoarthritis, some will feel that their only option is to undergo hip replacement surgery. None of these myths are correct.
The most effective strategy to manage hip pain that is mechanical in origin is to increase the amount of APPROPRIATE exercise for the hip and to gradually increase overall activity and fitness.
If you have suffered symptoms like this, you may have already discovered that these symptoms can last for months or even years. You probably have tried treatments that give you temporary relief (adjustments, ultrasound, cupping, electrical stimulation, massage, ice, heat, dry needling, acupuncture, etc) that may give you some relief for a short period of time, but rarely give you any lasting relief. Your symptoms keep recurring and you long to find something that will give you lasting relief once and for all. The reason your symptoms keep recurring is because these temporary treatments do not address the CAUSE of your pain and do nothing to prevent if from recurring again.
You may also have seen another therapist or healthcare provider who gave you a generic sheet of exercises to do for your shoulder based on your "diagnosis" but they didn't take you through a thorough mechanical exam. You may have tried these exercises and found these to be of some benefit but often stretching and strengthening alone does not get rid of your shoulder pain. It is important to have an awareness of how you move and position your arm during the day can significantly contribute to your shoulder pain.
Wouldn't it be nice to finally get to the ROOT CAUSE of your pain, be shown techniques and exercises that will not only relieve your pain, but prevent it from coming back? How good would it be to learn how to apply treatment to yourself that you could perform in the privacy of your own home to decrease your pain and prevent it from coming back?
It has been demonstrated repeatedly that patients need a rational explanation of their condition. They need education in postures, activities, and exercises that allow them to remain pain free. They need advice from a specialist on how to avoid detrimental forces encountered in our daily lives and how to apply beneficial strategies. All of these hip pain treatments can be found at Britt Zink Physical Therapy Services in Sioux Falls, SD!
1.Are there periods in the day when you have no pain? Even 10 minutes?
2.Do you have pain when your walk up or down stairs or hills?
3.Have you had several episodes of hip pain over the past months or years?
4.Is your hip pain-free between episodes?
5.When the hip is painful, does it feel like you are unable to fully move it in all directions compared to your unaffected hp, such as when bending over to put on your shoes?
6.Between painful episodes, are you able to fully move your hip more freely in all directions with less pain? Are you generally able to walk without limping?
7.Is the pain localized to the area around the hip joint or groin?
8.Are you generally worse when getting out of a chair and with the first few steps walking after prolonged sitting?
9.Are some days better or worse than others?
10.Do you have pain why ling on the side of the painful hip, but some nights are better or worse than others?
If you answered "yes" to any of these questions, there is great chance you can benefit from the treatment strategies offered by Britt Zink at our clinic.
Self-treatment strategies are the ultimate goal, but hands-on manual techniques may be necessary initially to assist with your recovery. It is recommended that you undergo a thorough comprehensive examination and evaluation by our own McKenzie MDT certified therapist, Britt Zink in Sioux Falls, SD.
McKenzie MDT is a comprehensive, evidence-based system of examination, evaluation, diagnosis, prognosis, intervention and prevention strategies aimed at patient education and independence. It is known to provide results for patients in the first 2-3 visits. It is founded on sound clinical reasoning for individualized plans of care. Cost-efficient treatment minimizing the need for expensive tests or procedures: no needles, no injections, no surgeries.
Step 1: Active Examination: Listening to the patient's detailed history and with the patient's active involvement using repeated postures and movements during the unique MDT examination process, Britt Zink establishes a clear direction with a solid baseline to develop an individualized plan of care.
Step 2: Dynamic Diagnosis: The patient will be prescribed specific exercises and given guidance for appropriate postures and behaviors to adopt or temporarily avoid outside of the clinic. Britt Zink can quickly re-evaluate your symptoms and range of motion changes to maintain the treatment course or modify the plan of care. This may include hands-on manual techniques as needed to assist in your recovery.
Step 3: Reliable intervention: By learning how to self-treat your current condition, you gain knowledge to minimize the risk of recurrence and you are empowered with knowledge and techniques to deal with your symptoms should they ever recur.
Prevention is the ultimate goal- YOU ARE IN CONTROL OF YOUR PAIN!
TAKE CONTROL OF YOUR PAIN, EMPOWER YOURSELF AND GET BACK TO THE LIFE YOU LOVE WITHOUT MEDICATIONS, INJECTIONS OR SURGERY!