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Radiating Hip Pain
Susan, a 38 year old marathoner from Iowa came in for an
initial consultation and possible treatment to left hip. The
patient was referred to Caring Medical and Dr. Hauser by a
local physical therapist in Iowa, and also from another
"runner patient" from University of Iowa track team. Susan
is training for a marathon in April (Nashville Rock and Roll
Marathon).
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Snapping
Hip Syndrome
This is the injury that has
plagued Joan Benoit Samuelson, the famous track star. Snapping Hip Syndrome is
a clinical entity that causes pain and snapping in the hip joint. There are
several known causes, the most common being the
iliotibial band snapping over
the
greater trochanter (at the top of your thigh bone). It can also be caused
by snapping of the iliopsoas tendon over the iliopectineal line (in general
the
pubic area of the hip bone), the iliofemoral
ligaments over the
femoral head (where the thigh bone connects to the hip bone), as well as other places
on the hip bone.
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Iliotibial Band Injury
Another common athletic injury to the
tendons of the knee is a strained
iliotibial band. This causes pain on the outside of the knee just below the
joint line. It is caused by strong exertion of the muscle during the sport or
during training.
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Ischial Tuberosity / Hip and Buttocks Pain
When you
have pain on the bottom of the buttock, especially when sitting and running,
this could be indicative of ischial tuberosity pain. Sometimes a doctor will
examine this area, find it to be tender to palpation, and give you a diagnosis
of ischial
bursitis. The
RICE treatment
of Rest, Ice, Compression, and Elevation will be given and sometimes an
anti-inflammatory
drug is prescribed.
Cortisone injections may follow. A true bursitis is rare.
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Hip
and Leg Pain
The hip joint joins the leg to the pelvis. Unfortunately, for most people, both legs are not exactly the same. They may look the same, but from a bio-mechanical standpoint, they are not the same. One leg may be rotated either in or out, or one leg may be shorter than the other. The latter is especially common if one leg was broken during childhood. Because the hip joint connects the leg to the pelvis, the hip joint will sustain the brunt of any bio-mechanical abnormality that may occur. If one leg is shorter than the other, the hip joints will be stressed because the leg length discrepancy causes an abnormal gait (manner of walking).
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Pain After
Dislocation
The hip joint is a a very stable joint, made that way in part by massive
ligaments. Therefore the amount of forces required to dislocate a hip is great
and usually found in car accidents, falls from high places, and sports injuries.
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Hip
Pain and Prolotherapy
The
hip joint joins the leg to the pelvis. Unfortunately, for most people, both legs
are not exactly the same. They may look the same, but from a bio-mechanical
standpoint, they are not the same. One leg may be rotated either in or out, or
one leg may be shorter than the other. The latter is especially common if one
leg was broken during childhood. Because the hip joint connects the leg to the
pelvis, the hip joint will sustain the brunt of any
bio-mechanical abnormality that may occur. If one leg is shorter
than the other, the hip joints will be stressed because the leg length
discrepancy causes an abnormal gait (manner of walking).
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Hip, Groin Pain and
Prolotherapy
Chronic groin pain is easily treated with
Prolotherapy because there are multiple
ligament laxities that cause groin pain. This diagnosis is accomplished by the physician having a listening ear and a strong thumb (TO PALPITATE THE PAINFUL AREA.). An interesting case will illustrate this point.
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Pubic Symphysis Pain
Pain of
the public symphysis area is often overlooked and blamed on
abdominal muscles
and
adductor muscles which attach in this area with the diagnosis of abdominal
muscle pull or adductor tendonitis.
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Hip Labral Tear
Though the operation is typically successful, there are some
patients who want an alternative to hip arthroscopic surgery
for labral tears. I believe the best alternative treatment
to hip arthroscopy is Prolotherapy.
While there are no formal studies on hip labral tears
treated with Prolotherapy, I have been treating labral tears
with Prolotherapy for fifteen years. I always give the
client the option of arthroscopy, some choose it but most do
not. I think there is something innate in people that they
do not want to undergo general anesthesia if they don’t have
to.
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PRP Prolotherapy labral tear of right hip
Marlene, a 47-year-old busy
executive, is an avid runner who
competes in a variety of running events every year, including at least one
marathon per year, as well as a number
of half marathons and smaller events. She also loves long distance cycling
events and weight training. She has been a patient of Caring Medical for many
years and is a huge fan of Prolotherapy, as well as the
Hauser
Diet – both of
which have helped her heal
sports injuries and improve her sports performance.
HIP PAIN BLOG |
