A Patient's Guide to Evaluation and Treatment of Hip Pain
At Kleefeld Chiropractic patients frequently present with hip pain. Fortunately, the hip joint is designed to withstand a fair amount of wear and tear and typically responds nicely with well directed treatment.. This ball-and-socket joint, the largest in the body, despite its durability is not indestructible. With age and use the cartilage does wear down which allows the joint surfaces to slide against one another accelerating the degeneration process.
This wear and tear process can be accelerated with history of trauma including fractures and arthritic conditions. Inflammation of the lubricating sacs called bursae creating more friction. The hip ligaments and muscles tighten over time and the joint becomes even more restricted. Unfortunately, without appropriate treatment the problem worsens.
Fortunately, hip involvement is easy to identify on examination. Pain is experienced around the buttock, hip and groin region. It occasionally extends into the thigh and knee. On examination, hip range of motion is reduced with frequent tenderness of the hip bursa. Hip x-rays can be particularly useful in determining the cause of pain and disability.
Dr. Kleefeld typically recommends avoiding activities and positions that aggravate the pain. Applying ice and heat can be beneficial particularly if the bursa are inflamed. Anti-inflammatory medication is often recommended.
At Kleefeld Chiropractic treatment depends on the severity of injury and underlying factors including history of previous injury, underlying arthritis and if work tasks or activities of daily living promote pain. Treatment typically includes the following:
- Hip joint mobilization to restore normal motion
- Ultrasound to reduce inflammation and minimize adhesions
- Interferential current to reduce muscle spasm, swelling and pain
- Customized exercise program as recovery allows
- Homecare measures such as ice and heat as indicated
- Medication management
- Activity modification initially as pain parameters allow
- Normalization of activities of daily living as pain complaints settle.
- Specialty consultation and x-rays if symptoms persist.