We often hear of hip replacements being a common requirement in older adults, but did you know Physio Mechanics can guide you to potentially prevent this from occurring later in life by making a few small changes? The hip is integral in any weight bearing activity from running to gardening, from sitting to playing sports. We need correct and balanced functioning to allow these activities to be possible.
The hip is a cartilage covered ball and socket joint, similar to our shoulder, which is surrounded by a complex series of supporting ligaments and muscles. The hip is the integral connection between the lower limb and the rest of the body where excessive loading can occur. Injury to the hip can result from an acute injury, for example a rugby tackle or a fall onto your side, or from repetitive strain or overuse for example running with poor footwear, biomechanical abnormality or a genetic predisposition. This can start a cascade of inflammatory events, resulting in pain, weakness, loss of range of motion, and muscle spasm, overall limiting your ability to function with normal activities of daily living.
How Physio mechanics can help:
If left untreated minor hip injuries can cause long term complications, and can even lead to a hip replacement. Physio mechanics can help. On your first visit we will perform a thorough initial assessment allowing us to confirm your diagnosis and answer any questions you have. From there we will devise an individualised short term treatment plan to relieve your current symptoms, and a long term plan to prevent future reoccurrences. Common hip physio treatments include massage, trigger point release, hip joint mobilisations, biomechanical assessments, orthotic screening and prescription, K taping, and stretching and strengthening exercises. If you are suffering from any hip aches or pains ring today and arrange an appointment with one of our expert staff.
Some common low back injuries we treat are .....
Hip Osteoarthritis – Our ball and socket joint at our hip is covered with articular cartilage. We also have a labrum which is a cartilage padding which deepens the socket and provides more stability. However, this cartilage can become worn and degenerate from previous injury, overuse, or poor biomechanics. This then leads to deep joint pain that can refer to the groin and down the anterolateral thigh. This can be very severe and limiting and can become worse in cooler weathers. This can be improved with treatment and if detected early and treated, positive outcomes are attainable. If severe and not responding to conservative treatment, a hip replacement may be required, which usually last up to around 15 years.
Hip Joint sprain – As described above our hip joint is a ball and socket joint. A hip joint sprain occurs if this ball and socket is compressed together suddenly or over a prolonged period of time. This results in pain with any activity that now compresses the hip, like squatting and bending beyond 90 degrees or internally rotating our hip, for example sitting with our legs crossed. Hip joint mobilisations and stretches are requires to alleviate these symptoms.
Gluteal muscle sprain/tear - Our gluteal muscles are made up of one of the most powerful muscles in our body, the glut max, alongside the gluteus medius and gluteus minimus muscles. These muscles form the buttock area and contract to allow us to sit to stand, squat down, walk and run. However when an acute injury occurs at the hip like a fall onto the side of the hip or buttocks, some fibres can be torn (gluteal partial tear) or there can be complete disruption of that muscle (full thickness tear). Physiotherapy will accelerate healing with either presentation, but in depth assessment is required as some presentations may need further intervention including cortisone injection or surgical intervention – both of which Physio Mechanics can help you with.
Frozen shoulder – frozen shoulder or adhesive capsulitis, is a very unfortunate presentation where the capsule of connective tissue surrounding the ball and socket joint significantly tightens, resulting in severe movement restriction at the shoulder. People suffering from frozen shoulder usually cannot lift their arm above their head or behind their back, and when they do lift their arm, the whole shoulder complex will look stiff and move as one. There remains no known cause to how and why this happens, but research has shown that it more commonly affects middle age woman, diabetes sufferers and more so occurs following an injury that has led to reduced movement at the shoulder.
Hip/Greater Trochanteric Bursitis - A bursa is a fluid filled sac that provides lubrication and prevents frictional rubbing between bone and tendon. We have approximately 160 of these bursa in our body. However bursa can become inflamed resulting in bursitis. Bursitis at the hip is commonly from the gluteal or greater trochanteric bursa which is located on the very side of our hip where our gluteal muscles all attach. Inflammation here will prevent us lying on our side painfree and will cause a dull deep general aching when our gluteal muscles contract, which is with many activities of daily living. Commonly bursitis pain can be reduced from massage, ultrasound and the correct stretching and strengthening exercises, however in cases where 4-6 weeks of conservative treatment has failed, cortisone injection is the next option.