Your hip pain symptoms
may be caused by a variety of reasons.
It is vital to the successful outcome of your chiropractic treatment, to
find the underlying cause of your symptoms.
Your hip pain may as a
result of an injury to any of the tissues of the hip, including muscles,
nerves, joints, tendons, connective tissue or reduced blood supply. The area or spread of symptoms may involve
the whole hip or may only affect specific areas. The symptoms may be constant or intermittent
and may improve or worsen with motion.
Common symptoms of the
hip may include: pain, decreased mobility or stiffness. The type of pain /
symptoms may be described as burning, dull, sharp or throbbing. These symptoms may range in intensity from
mild to severe. Frequently, symptoms
perceived in the hip are actually referred from a problem in the pelvic
region.
Here is a selection of
common injuries that have been diagnosed at this clinic.
Strain or ‘over-use’ injury is a common term to describe tissues
that have been stressed beyond their functional capacity. The muscles, tendons or ligaments attaching
into the hip, may be strained or sprained due to their excessive use or
deconditioning of the hip muscles, resulting in a muscle strain, tendonitis or
ligament sprain.
The damaged tissue will
take time to heal, but the healing process will happen much sooner and further
similar injuries will be minimized, if the under-lying ‘cause’ of the injury is
highlighted and addressed.
Symptoms of acute pain
and stiffness may be felt in the hip and into the groin or thigh, depending
which tissues are damaged.
Bursitis of the hip is inflammation of the trochanteric bursa,
which acts as a lubricating pad in the hip, to protect the tendons and muscles
from chaffing or tearing. A fall or
trauma to the hip may damage the bursa, but altered bio-mechanics of the hip
joint may also result in bursitis.
Myofascial Pain Syndrome comes from the words ‘myo’ which
means muscle, and ‘fascia’ which is the connective tissue that covers all
muscles and organs of the body. You will
have no doubt heard of a ‘knot’ in a muscle and most probably experienced some
‘tension’ in a muscle or group of muscles.
Myofascial pain, often referred to as ‘trigger points’, are points of hyper-tension (knot) within a band
of tense muscle fibres. These trigger
points can be either ‘active’ or ‘latent’, which indicates whether or not they
refer pain to distal sites or not.
Active
trigger points in the muscles of the hip may refer into the pelvic region and
vice versa, depending on where the trigger points are located. When these active trigger points are further
stressed by excessive use, sustained contraction, cold / hot weather, then they
may refer symptoms to their predictable site.
Latent
trigger points do not refer symptoms but do cause local pain. These latent trigger points will evolve into
active trigger points if left untreated and if the original stress continues.
A
diagnosis, treatment and rehabilitation is required to de-activate these
trigger points which will alleviate the hip symptoms.
Osteoarthritis of the hip joint is a common
finding in the elderly population. ‘Wear
and tear’ to this joint will erode the hyaline cartilage from the surface of
the acetabulum and, after time, begin to erode the bone from the head of the
femur (hip).
This
degenerative disease will be greatly accelerated if the bio-mechanics of the
hip are altered from optimum function. A
muscle imbalance of the pelvic and thigh muscles may cause the hip joint to
work in a less than perfect position eg. too far forward or too far back.
The degenerated hip
cartilage and bone may not be replaced, but the accelerated rate of
degeneration could be reduced, if the under-lying ‘cause’ of the poor function
is highlighted and addressed.
It is absolutely
paramount to your good health that the underlying causes of your hip symptoms
are found and correct diagnosis is made. Dr Doherty will use his wealth
of experience to achieve this and to make the appropriate management plan for
you.
Similar symptoms are not
always as a result of similar causes. The consultation and examination
will differentiate between the many causes that may be producing your hip symptoms.