Hip/ Pelvis

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Hip/Pelvis

Bursitis/Tendonitis

Most commonly felt on the outside of your hip, bursitis or tendonitis can be quite painful and limiting.  The best treatment is to first find the cause.  Often times the bursa or tendon is exposed to excess force because other muscles nearby have become weak or just aren’t turning on like they’re supposed to.  Sometimes an old injury changed how you move and is placing extra strain now across that hip.  Your physical therapist will determine the cause, correct the cause and provide hands on treatment to give you comfort as the process takes place.

SIJ Dysfunction

Sacroiliitis is an inflammation of one or both of your sacroiliac joints or S.I. joints — the place where your spine and pelvis connect. Sacroiliitis can cause pain in your buttocks or lower back, and may even extend down one or both legs.  Trauma involving one side of your body is a common cause.  Examples include: falling on ice and landing hard on just one hip, or being in a car accident when one leg is pushing forcefully on the brake pedal as the impact occurs.  It also occurs in people with normal day to day living but who lack normal hip motion or lack normal core stability.  Thus excess force gets transferred to the SI and eventually causes inflammation and pain.  Treatment will involve restoring the normal harmony of this area where both hips and surrounding soft tissues move well, the spine moves well and the muscles that make these motions are strong and turn on when they are supposed to.

Lower Back Pain/Sciatica

Sciatica is a term for pain in the buttocks or legs as a result of pressure or irritation to the Sciatic Nerve.  This nerve comes from either side of the lumbar spine and travels through the pelvis and buttocks down the back of the leg all the way down to the feet. Anything that puts pressure on or irritates this nerve can cause symptoms along the path of the nerve.   The sensation might be sharp, achey, weak or tingly.

Treatment usually involves ergonomics changes, manual therapy and exercises to improve local joint and soft tissue mobility and overall flexibility also to improve core function.  Although often severe its rarely permanent. 

Hip DJD/Replacement

Hip arthritis is a common ailment.  It can often be helped with physical therapy.  No one can take away arthritis but we can often take away arthritis symptoms.  People with hip DJD often lack normal hip mobility which places extra stress across the hip.  Improving mobility about the hip allows forces to be distributed over larger areas and pain usually decreases.  Also the muscles that control the hip joint and core can often be trained to work better.  If the muscles that control a joint work better the joint usually feels better.  Also if there is dysfunction at the knee and/or ankle correcting it will also remove stress across the hip. 

If the arthritis is so bad the joint is destroyed it might need to be replaced.  A hip joint replacement is often a new lease on life for people with severe arthritis.  After the surgery the hip will feel much better but still may not function well.  Your physical therapist can test your function to make sure you stay pain free and at your highest level of ability for as long as possible.  Also the replacement of a joint can lead to a leg length discrepancy.  If one leg is longer than the other additional problems can result over time.  We look to make sure the two sides match and if they don’t we get you the help you need so that they do.

Hip Labrum

The labrum is a rim of cartilage the lines the edge of the hip socket to effectively make it a little deeper and more stable.  It can be torn from a trauma like a car accident or it can fray little by little over time from poor movement patterns or from a lack of normal hip mobility.  Movements  like deep squatting can cause labral fraying and eventual pain if the quality of the squat isn’t good.  Manual therapy and exercises to improve hip joint mobility can often resolve this problem.  Because the socket of the hip is part of the pelvis a lack of core stability is often involved with labral issues.  If the pelvis is allowed to tilt forward excessively it essentially closes down the space in the front of the socket and makes it easier for tissue such as the labrum to be pinched there. Your physical therapist can assess and correct these issues for your hips to feel good again.

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