Author: Dr. Robert Speirs DC

Managing Spinal Stenosis: Effective Strategies and Chiropractic Care

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The term “stenosis” refers to the narrowing of a tube or opening. In the context of spinal stenosis, it means that the space surrounding your spinal cord and nerve roots has become constricted, leading to nerve compression. This condition can develop in various ways.

Some individuals are born with a spinal canal that is naturally too small, a condition known as congenital stenosis. Others may experience a narrowing of the canal due to surgery or conditions like disc bulges. However, the most common cause of spinal stenosis is chronic arthritic changes, which gradually narrow the canal over many years, typically leading to symptoms later in life.

Patients with spinal stenosis often experience pain, tingling, numbness, or weakness in their legs. While lower back pain may also be present, leg symptoms tend to be more pronounced and troublesome. Symptoms often worsen with standing or walking and improve with sitting or leaning forward, as these positions affect the amount of space available in the spinal canal. Activities like walking downhill can be particularly uncomfortable, whereas walking uphill or pushing a shopping cart or lawn mower can provide relief by promoting slight forward flexion. Sleeping in a fetal position with a pillow between the knees is often the most comfortable position.

The progression of spinal stenosis can vary significantly among individuals. Many patients find that their symptoms remain relatively stable over time. Others may experience either improvement or worsening of their condition. It is important to inform your doctor if you notice symptoms such as coldness, swelling, or changes in the color of your legs. Additionally, report any fever, unexplained weight loss, flu-like symptoms, excessive thirst or urination, numbness in the groin area, or loss of bladder control.

Although there is no non-surgical cure for spinal stenosis, there are effective treatments available to alleviate symptoms and improve mobility. Our treatment plans focus on enhancing your ability to walk and perform daily activities. You will receive exercises designed to improve your conditioning. It is important to avoid activities that exacerbate your pain, such as heavy lifting or prolonged standing, especially those that involve extending your back. If you must stand for extended periods, try elevating one foot on a stool or bar rail for relief. When washing dishes, opening a cabinet door and resting one foot inside the cabinet can provide some flexion and comfort. Recumbent cycling is often a more tolerable form of exercise compared to walking or running. Some patients also find relief using an inversion table.

In addition to these strategies, chiropractic care offers an excellent option for managing spinal stenosis. Chiropractors specialize in the health of the spine and nervous system, focusing on maintaining proper alignment and function. Regular chiropractic adjustments can help alleviate pain, improve mobility, and reduce inflammation, all of which are critical for managing spinal stenosis. By addressing misalignments and promoting optimal spinal health, chiropractic care can help prevent the compensatory patterns that often develop with untreated spinal issues. This approach not only helps in managing pain and discomfort but also supports overall well-being and enhances your quality of life.

By understanding and managing spinal stenosis through these strategies, including chiropractic care, you can maintain a more active and comfortable lifestyle despite the condition.

Discover the Fountain of Youth: The Power of Regular Exercise

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Looking for the fountain of youth? Look no further than exercise. Research shows that regular exercise will reduce inflammation in your body, lead to healthier heart and lungs, reduce body fat, increase energy and now, it appears, reverse aging.

Researchers at the Mayo Clinic have found that HIIT workouts might reverse some of the signs of aging when performed 3 times a week.

Chiropractic Care: The Leading Option for Spinal Pain Relief

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Understanding Your Spine

Your spine consists of 24 individual vertebrae, stacked one on top of the other, with the lowest five referred to as the lumbar spine. Each vertebra has two main components: the “body” and the “arch.” Imagine a coffee mug lying on its side: the cup represents the vertebral body, and the handle represents the arch. The spinal cord travels through these arches from your brain to your tailbone, making the spine an essential structure for movement and sensation.

What is Lumbar Spondylolysis?

Lumbar spondylolysis is a condition where part of the vertebral arch breaks away from its anchor site on the vertebral body. This condition often develops during adolescence when bones are hardening. Think of young bones as a clay coffee mug that hasn’t been fired in a kiln; they are shaped but not yet hardened. During this time, bones transform from softer, malleable structures to more brittle, solid bones.

Spondylolysis can result from trauma, but it is more commonly a “stress fracture” due to repetitive movements, particularly hyperextension and rotation. People born with a small or weak arch are more susceptible, similar to a coffee mug handle with a thin, brittle attachment.

Who is Affected?

Lumbar spondylolysis usually affects the lowest lumbar vertebra (L5) or occasionally L4. Most patients diagnosed with this condition are between 10-15 years old, although symptoms may not appear until adulthood. It is more prevalent among athletes, especially those involved in sports that predispose them to repetitive stress and hyperextension. Diving, wrestling, weight lifting, track, football, and gymnastics have the highest incidence of spondylolysis.

Symptoms and Diagnosis

The primary symptom of lumbar spondylolysis is back pain that may radiate into the buttock or thigh. Pain typically intensifies with prolonged standing or leaning backward. Movements involving hyperextension, such as leaning backward, should be limited. Females are advised to avoid high heels as they can exacerbate symptoms.

Diagnosis usually involves X-rays or an MRI to identify the presence and severity of the condition. If diagnosed early, your doctor may recommend stopping certain activities or sports until the fracture heals. In some cases, a lumbar brace may be used to aid recovery.

Chiropractic Care: The Leading Option for Spinal Pain Relief

Chiropractic care is an exceptional option for managing and relieving spinal pain, particularly conditions like lumbar spondylolysis. Here’s why:

1. Non-Invasive Treatment: Chiropractic adjustments are non-invasive, focusing on realigning the spine to alleviate pain and improve function without surgery or medication.

2. Pain Relief: Chiropractors use precise techniques to relieve pressure on the vertebrae and nerves, reducing pain and inflammation effectively.

3. Enhanced Mobility: Chiropractic care improves spinal alignment and joint function, enhancing overall mobility and allowing for a more active lifestyle.

4. Prevention: Regular chiropractic visits can prevent future spinal issues by maintaining proper alignment and promoting spinal health.

5. Holistic Approach: Chiropractors provide a holistic approach to care, including lifestyle advice, ergonomic recommendations, and exercises to support recovery and prevent recurrence.

Conclusion

Lumbar spondylolysis can significantly impact daily life, especially for young athletes. Chiropractic care offers a comprehensive, non-invasive solution to manage and alleviate spinal pain effectively. If you’re experiencing symptoms of lumbar spondylolysis, consider chiropractic care as your primary treatment option. Early intervention and regular care can make a significant difference in your recovery and overall spinal health.

Effective Treatment of Carpal Tunnel Syndrome: Chiropractic Care and Laser Therapy

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Carpal tunnel syndrome (CTS) is a common condition resulting from the compression or irritation of the median nerve as it travels through the carpal tunnel—a U-shaped channel formed by the eight bones of your wrist. This condition affects 3-5% of the general population, with women being two to three times more likely to develop CTS than men. It typically occurs in adults aged 45-60 and can significantly impact daily activities.

Causes and Risk Factors

Carpal tunnel syndrome is often brought on by activities that involve prolonged wrist flexion and repetitive wrist movements, such as:

  • Keyboard use
  • Supermarket scanning
  • Carpentry
  • Assembly line work

Other factors that can exacerbate CTS include exposure to vibration or cold temperatures. The condition is more common in the dominant hand but frequently affects both hands. Certain health conditions and lifestyle factors increase the risk of developing CTS, including:

  • Diabetes
  • Thyroid disease
  • Rheumatoid arthritis
  • Alcoholism
  • Kidney disease
  • Being short or overweight
  • Fluid retention during pregnancy

Symptoms of Carpal Tunnel Syndrome

Symptoms of CTS often start gradually and may include:

  • Numbness and tingling: Typically felt on the palm side of the thumb, index, middle, and half of the ring finger.
  • Discomfort: This can extend towards the elbow and usually begins as nighttime discomfort or waking up with numb hands.
  • Aggravation by gripping activities: Activities like reading, driving, or painting can worsen the symptoms.
  • “Shaking out” the hands: Early symptoms may be temporarily relieved by shaking the hands.
  • Sensation of tightness or swelling: Although there may be no visible swelling.
  • Hand weakness: In more severe cases, muscle weakness can develop.

CTS can also be part of “double crush syndrome,” where compression of the median nerve in the carpal tunnel is accompanied by compression at another site, such as the spine or muscles in the neck, shoulder, or forearm.

Chiropractic Care and Laser Therapy: Keys to Successful Treatment

1. Chiropractic Care:

Chiropractic adjustments are highly effective in treating carpal tunnel syndrome. Chiropractors can use specific manipulative techniques to alleviate the compression on the median nerve, thereby reducing pain and improving function. These adjustments not only address the wrist but also focus on the entire kinetic chain, including the neck, shoulder, and spine, which can contribute to the symptoms.

  • Alignment Restoration: By realigning the wrist and surrounding joints, chiropractic care helps relieve nerve pressure and enhance mobility.
  • Soft Tissue Therapy: Techniques like myofascial release can reduce muscle tightness and improve blood flow.
  • Ergonomic Advice: Chiropractors often provide guidance on posture and ergonomics to prevent further aggravation of CTS.

2. Laser Therapy:

Laser therapy is an innovative, non-invasive treatment that complements chiropractic care in managing carpal tunnel syndrome. It uses specific wavelengths of light to penetrate the skin and tissues, promoting healing and reducing inflammation.

  • Pain Reduction: Laser therapy helps decrease pain levels by reducing inflammation and promoting tissue repair.
  • Improved Nerve Function: By stimulating cellular activity, laser therapy can enhance nerve function and accelerate healing.
  • Non-Invasive: This treatment is painless and involves no downtime, making it an excellent option for those seeking non-surgical solutions.

Preventative Measures and Additional Treatments

  • Activity Modification: Avoid repetitive wrist flexion activities, such as push-ups and gripping handlebars on a bicycle, to prevent further irritation.
  • Splinting: A special wrist splint that holds your wrist in a neutral or slightly extended position can help alleviate nighttime symptoms.
  • Conservative Care: The American Academy of Neurology recommends conservative treatments like chiropractic care and laser therapy before considering surgical alternatives.

Conclusion

If left untreated, carpal tunnel syndrome can lead to permanent nerve damage. Early intervention with chiropractic care and laser therapy can effectively relieve symptoms and prevent long-term complications. If you’re experiencing symptoms of CTS, don’t wait—seek treatment and start your journey to recovery. Share your experiences or ask questions in the comments below. Let’s work together to keep our hands healthy and pain-free!

Managing Hip Arthritis: Causes, Symptoms, and Effective Treatments

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Hip arthritis is a common condition that affects up to one-third of the population, particularly as we age. The likelihood of developing osteoarthritis (OA) increases with age and is often partially inherited. Factors such as being overweight and experiencing repetitive injury from occupations or sports that require prolonged standing or heavy physical exertion can also contribute to the development of hip arthritis.

Symptoms of Hip Arthritis

One of the early signs of hip osteoarthritis is prolonged stiffness, especially upon arising in the morning or after periods of inactivity. You might find it difficult to perform simple tasks such as putting on your socks, shaving your legs, or climbing stairs. Common symptoms include:

  • Groin, thigh, and buttock pain: Pain in these areas is typical and can sometimes radiate into the lower leg.
  • Stiffness: Particularly noticeable in the morning or after sitting for long periods.
  • Cracking and popping: You might hear or feel your hip cracking or popping when you move.
  • Reduced range of motion: Difficulty in moving the hip, such as rotating it internally (pigeon-toed movements).

Diagnosing Hip Arthritis

Diagnosing hip arthritis can be challenging, as the symptoms often overlap with lower back problems that also cause hip pain. To determine the extent of arthritis, doctors typically use X-rays, grading the severity from 1 to 4.

Treatment Options for Hip Arthritis

While arthritis cannot be cured, several treatment options can help relieve symptoms and improve quality of life:

1. Exercise and Physical Therapy: Engaging in regular exercise, especially water-based programs like water aerobics, can help manage symptoms. Physical therapy modalities, including specific stretches and manipulations of the hip, have been shown to be effective in alleviating pain and improving mobility.

2. Chiropractic Adjustments: Chiropractic care is an excellent treatment option for relieving the symptoms of hip arthritis. Chiropractors can use adjustments and manipulative techniques to improve hip joint function, reduce pain, and enhance overall mobility. Chiropractic treatments focus on restoring proper alignment and can provide significant relief from the discomfort associated with hip arthritis.

3. Lifestyle Modifications: Your doctor may recommend avoiding activities that aggravate your hip pain, particularly those involving internal rotation of the hip. Maintaining a healthy weight is crucial to reducing stress on the hip joint. Learning home stretching and strengthening exercises can also aid in recovery and symptom management.

4. Supplements: Some arthritis sufferers find relief by taking 1500 mg of glucosamine and chondroitin daily, which can help reduce inflammation and improve joint health.

5. Assistive Devices: In more severe cases, using a cane (in the opposite hand) can help take weight off the arthritic hip, making walking less painful.

6. Medical Interventions: If conservative treatments fail to relieve your pain, your doctor might refer you to an orthopedic hip specialist to discuss the possibility of joint replacement surgery.

Final Thoughts

While hip arthritis can significantly impact your quality of life, various treatment options, including chiropractic care, exercise, lifestyle modifications, and medical interventions, can help manage symptoms and improve mobility. Early diagnosis and proactive management are key to living well with hip arthritis.

Have you experienced hip arthritis? Share your story in the comments below and let us know what treatments have worked for you, especially if you’ve found relief through chiropractic care. Stay informed and take proactive steps to keep your hips healthy and pain-free!

Understanding Rib Problems: Causes, Symptoms, and Solutions

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Rib problems can sneak up on you in various ways, and understanding them is crucial for effective management and prevention. Whether it’s a sudden accident, an ongoing repetitive strain, or even something as common as poor posture, rib issues can cause significant discomfort and limit your daily activities. Let’s dive into the different causes, symptoms, and solutions for rib problems, including how chiropractic adjustments can play a key role in treatment.

Causes of Rib Problems

1. Accidents and Injuries: Rib problems often arise from traumatic events such as car accidents or sports injuries. A direct blow to the chest can fracture a rib or cause other serious injuries.

2. Repetitive Strains: Everyday activities that involve repetitive motions can lead to rib issues. For example, activities like heavy lifting, certain sports, or even vigorous coughing can put excessive strain on the ribcage, leading to discomfort and pain over time.

3. Poor Posture: Sitting or standing with poor posture for extended periods can cause rib problems. Slouching or hunching over a desk compresses the ribcage and puts undue stress on the surrounding muscles and ligaments.

4. Pregnancy: Rib discomfort is common during pregnancy due to the expanding uterus and the associated shifts in the body’s center of gravity. As the baby grows, it can push against the ribs, causing pain and discomfort.

5. Whiplash Injuries: Whiplash injuries, often resulting from car accidents, can cause rib problems. The sudden back-and-forth motion can strain the muscles and ligaments around the ribcage, leading to pain and stiffness.

Symptoms to Watch For

Recognizing the symptoms of rib problems early can help you seek appropriate treatment and prevent further complications. Common symptoms include:

  • Sharp or Dull Pain: Pain can range from sharp and stabbing to dull and achy, often worsening with movement or deep breathing.
  • Tenderness: The affected area may be tender to the touch.
  • Difficulty Breathing: Rib problems can make it painful to take deep breaths, leading to shallow breathing and sometimes shortness of breath.
  • Swelling and Bruising: Visible swelling or bruising around the ribcage can indicate a fracture or severe strain.
  • Muscle Spasms: The muscles around the ribs might spasm, adding to the discomfort.

Effective Solutions and Management

1. Chiropractic Adjustments: Chiropractic care is highly effective in treating rib problems. Chiropractors use specific adjustments to realign the ribs and relieve pain. These adjustments can help improve mobility, reduce muscle tension, and enhance overall ribcage function. Chiropractic care also focuses on correcting posture, which can prevent future rib issues.

2. Rest and Immobilization: For minor rib injuries, rest is crucial. Avoid activities that exacerbate the pain and give your body time to heal. In some cases, wrapping the chest with a bandage can help immobilize the area and provide support.

3. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation. However, always consult your doctor before starting any medication.

4. Physical Therapy: Physical therapy can be highly effective in treating rib problems. A physical therapist can guide you through exercises to strengthen the muscles around your ribcage, improve posture, and enhance flexibility.

5. Posture Correction: Improving your posture can prevent and alleviate rib problems. Ensure your workstation is ergonomically set up, take regular breaks to stretch, and be mindful of your posture throughout the day.

6. Breathing Exercises: Deep breathing exercises can help expand your ribcage and strengthen the muscles involved in respiration. This can be particularly beneficial for those who experience rib pain with breathing.

7. Medical Intervention: In cases of severe injury, such as a rib fracture, medical intervention may be necessary. Your doctor might recommend imaging tests to assess the extent of the injury and develop an appropriate treatment plan.

Prevention Tips

Preventing rib problems involves adopting healthy habits and making lifestyle adjustments:

  • Stay Active: Regular exercise helps maintain muscle strength and flexibility, reducing the risk of rib problems.
  • Practice Good Posture: Be mindful of your posture whether you’re sitting, standing, or sleeping.
  • Use Proper Techniques: When lifting heavy objects, use proper techniques to avoid straining your ribs.
  • Wear Protective Gear: If you’re involved in contact sports, always wear appropriate protective gear to safeguard your ribcage.

Share Your Story

Have you experienced rib problems? Share your story in the comments below and let us know what strategies worked for you, especially if you’ve found relief through chiropractic adjustments. Stay informed and take proactive steps to keep your ribs healthy and pain-free!

Understanding Hamstring Strains: Causes, Symptoms, and Recovery Tips

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Ever felt a sharp pain in the back of your thigh while running or after an intense workout? You might be dealing with a hamstring strain. Your hamstring consists of a group of muscles at the back of your thigh that help flex your knee, essentially bringing your heel towards your buttock.

What Exactly is a Hamstring Strain?

When we talk about a “strain,” we’re referring to a muscle or its tendon being stressed beyond its limit. Picture a rope that’s been pulled too hard and starts to fray. That’s similar to what happens to your hamstring when it’s forced to contract beyond its capacity, often during activities like running or stretching excessively. This overstretching can cause tearing, leading to bleeding, bruising, swelling, pain, and a noticeable loss of function.

How to Identify a Hamstring Strain

The symptoms can range from mild discomfort to severe pain, largely depending on the extent of the tissue damage. Did you know over 90% of hamstring strains happen suddenly? Most people feel a tearing, burning, or popping sensation accompanied by immediate pain just below the buttock. Common symptoms include:

  • Increased pain when straightening your leg, walking, or bending forward.
  • Bruising near the injury site.
  • Severe pain extending into your lower back or calf.
  • Pain that worsens with coughing or sneezing.
  • A rash on the back of your thigh.

If you experience these symptoms, especially if they worsen or don’t improve, it’s crucial to consult a doctor.

Why Do Hamstring Strains Happen?

Hamstring injuries often occur when muscles are tired from activity, and they become more frequent as we age. Other risk factors include:

  • Excessive tightness or weakness in the hamstring.
  • Quadriceps muscles that are significantly stronger than the hamstring.
  • Poor core strength.
  • Poor running form.

Managing and Treating Hamstring Strains

The good news? Most hamstring strains can be effectively managed with conservative care, like the treatments we offer at our office. The healing period varies depending on the injury’s location and severity. Injuries near the ischial tuberosity (the bones you sit on) typically take longer to heal than those further down the muscle.

Initial Care Tips:

  1. Ice Therapy: Apply ice or perform an ice massage on the injured area for 15 minutes at a time, up to once per hour.
  2. Compression: Using an ACE wrap or compression bandage can help limit swelling.
  3. Medications: The use of NSAIDs is controversial as some studies suggest they might delay healing.
  4. Mobility Aids: For severe injuries, crutches might be necessary to avoid further strain.

While recovering, it’s important to avoid high-impact activities like running and jumping. Instead, opt for low-impact exercises like stationary cycling or swimming.

Preventing Future Strains

Recurrent hamstring injuries can take twice as long to heal as the initial one, so prevention is key. Ensure you:

  • Allow adequate healing time.
  • Consistently perform your recommended exercises.
  • Warm up properly before any physical activity.

By following these steps, you can reduce the risk of future strains and maintain a healthy, active lifestyle.

Understanding Neck Sprains and Strains: Beyond Auto Accidents and Sports Injuries

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Auto accidents and sports injuries are the leading causes of neck sprains and strains, but they are not the only activities that can lead to these painful conditions. While these high-impact incidents are often the most obvious culprits, everyday actions and less traumatic activities can also contribute significantly to the development of neck sprains and strains.

Neck sprains and strains frequently arise from mundane activities such as reaching for items, pushing or pulling objects, moving heavy furniture or boxes, and experiencing falls. These actions, though seemingly benign, can place considerable stress on the muscles, tendons, and ligaments in the neck, especially when performed repeatedly or with poor posture. For example, consistently reaching for items on high shelves can strain the neck muscles over time, while pushing or pulling heavy objects can overload the tendons and ligaments, leading to gradual wear and tear.

Most commonly, neck sprains and strains are not caused by a single, isolated event but rather by the cumulative effect of repeated overloading. Tendons and ligaments are remarkably resilient structures that can handle isolated stressors well. However, when subjected to continuous and repetitive challenges, their ability to recover is compromised. This repeated stress can result in microtears and inflammation, eventually leading to more significant injuries. The analogy of bending a piece of copper wire illustrates this concept well: while the wire can withstand a certain amount of bending, constant and repetitive flexing will ultimately cause it to break. Similarly, the neck’s soft tissues can only endure so much before they too succumb to injury.

Auto accidents, often involving sudden deceleration and forceful impact, can cause the head and neck to whip forward and backward violently. This rapid movement, commonly referred to as whiplash, can result in severe sprains and strains as the neck’s tendons and ligaments are stretched beyond their normal range of motion. The forceful nature of such accidents can cause immediate and significant damage, leading to pain, stiffness, and reduced mobility.

Sports injuries, on the other hand, can result from direct impacts, falls, or sudden twists and turns. Contact sports like football, rugby, and hockey are particularly notorious for causing neck injuries due to the high likelihood of collisions and impacts. Even non-contact sports such as gymnastics or swimming can lead to neck strains and sprains if athletes perform movements that overstretch or overuse the neck muscles and ligaments.

The risk of neck sprains and strains is further exacerbated by poor posture and ergonomics in everyday activities. For instance, prolonged use of computers or smartphones often leads to forward head posture, where the head is positioned ahead of the shoulders. This posture increases the strain on the neck muscles and ligaments, making them more susceptible to injury. Similarly, sleeping in an awkward position or using inadequate pillows can also place undue stress on the neck, leading to discomfort and potential injury over time.

Preventing neck sprains and strains involves a combination of proper ergonomics, posture correction, and strength training. Ensuring that workspaces are set up ergonomically, taking frequent breaks to move and stretch, and strengthening the neck and shoulder muscles through targeted exercises can help mitigate the risk of these injuries. Additionally, being mindful of body mechanics during daily activities, such as lifting objects with proper technique and avoiding overreaching, can also reduce the likelihood of developing neck sprains and strains.

In summary, while auto accidents and sports injuries are the most common causes of neck sprains and strains, they are by no means the only factors. Everyday activities and repetitive stresses play a significant role in these injuries, highlighting the importance of awareness and preventive measures to maintain neck health and prevent long-term damage.

Understanding Neck Sprains and Strains: Causes and Symptoms

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Your cervical spine, or neck, is made up of seven bones stacked on top of each other with a shock-absorbing disc between each level. Your neck is relatively flexible so it relies on muscles and ligaments for support. “Sprains” and “strains” are the result of these tissues being stretched too hard or too far, much like a rope that frays when it is stretched beyond its normal capacity.

Auto accidents and sports injuries are the leading causes of neck sprains and strains. Other less traumatic activities like reaching, pushing, pulling, moving heavy objects and falls can also trigger these problems. Most commonly, sprains and strains are not the result of any single event but rather from repeated overloading. Tendons and ligaments generally manage small isolated stressors quite well, but repetitive challenges lead to injury in much the same way that constantly bending a piece of copper wire will cause it to break.

Symptoms from a sprain/strain may begin abruptly but more commonly develop gradually. Complaints often include dull neck pain that becomes sharper when you move your head. Rest may relieve your symptoms but often leads to stiffness. The pain is generally centered in the back of your neck but can spread to your shoulders or between your shoulder blades. Tension headaches commonly accompany neck injuries.

Sprain/strain injuries cause your normal healthy elastic tissue to be replaced with less elastic “scar tissue”. This process can lead to ongoing pain and even arthritis. Seeking early and appropriate treatment, like the type provided in our office, is critical. Depending upon the severity of your injury, you may need to limit your activity for awhile- especially movements or activities that cause pain. Avoid heavy lifting and take frequent breaks from prolonged activity, particularly overhead activity. Following acute injuries, you can apply ice for 10-15 minutes each hour. Heat may be helpful after several days or for more chronic types of pain. http://ow.ly/i/uSftb

Understanding Femoroacetabular Impingement (FAI) and Hip Pain

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Your hip socket or “acetabulum” is covered by smooth, glassy cartilage extending all the way to its outer rim. The term “Femoroacetabular impingement” (FAI) means that this rim of cartilage is being pinched when you move your hip into certain positions. Repetitive pinching results in irritation, tearing, or even detachment of this cartilage from your hip socket.

FAI occurs because of a mismatch between the head of your femur and the socket of your hip. The mismatch may be from an abnormally shaped hip bone (cam deformity), or having too much cartilage on the rim of your hip socket (pincer deformity). Most frequently, FAI results from a combination of both (combined or mixed deformity).
FAI is most common in young active people. Although the deformity may be present on both sides, symptoms are usually one-sided. The condition is equally common among men and women. Symptoms of FAI include a constant dull pain with periods of sharp pain, made worse by activity. Walking, pivoting, prolonged sitting, stair climbing, and impact activities like running or jumping can aggravate your symptoms. Snapping, locking, and clicking are common.

Our office will help direct a rehab program to maximize your chance of recovery. You should attempt to stay active, but avoid activities that aggravate symptoms. You may consider temporarily switching to low-impact activities, like stationary biking or water-walking. You should avoid motions that combine flexion and internal rotation, like- getting out of a car with one leg at a time, swimming the breaststroke, or performing squats. Patients with FAI should avoid excessive stretching, as this could aggravate the condition, but will likely benefit from strengthening exercises in the type of treatment provided in this office.