More Hip Mobility Work

Hip mobility work is often under appreciated but required for athletes and the general public. Better hip range of motion will lead to better athletic performance, less pain, better mobility and a better quality of life. Check out a great little routine here. As always, check with your therapist, trainer or coach before starting this kind of routine to make sure it is appropriate for you.

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Snapping Hip

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Snapping Hip

The muscle responsible for flexing your hip toward your trunk, is called the Psoas. This muscle begins on your lower spine and passes through your pelvis to attach onto the top of your femur (thigh bone). Along this course, the muscle travels across the front of your hip socket and over several bony prominences. If the muscle is too tight, its tendon may rub over these “bumps”. This occasionally produces an audible snapping sound, hence the moniker, “snapping hip”, aka “psoas tendinopathy”. The tendon can be irritated by an acute injury, but more commonly from overuse- particularly repeatedly flexing your hip toward your trunk. The condition is also known as “dancer’s hip” or “jumper’s hip”, as movements associated with these activities are known culprits. Likewise, the condition is frequently seen in athletes who participate in rowing, track and field, hurdling, running (especially uphill), soccer, and gymnastics. Your symptoms may include a “snapping” sound or sensation when you flex and extend your hip- although many cases are silent. Repeated rubbing causes inflammation and subsequent deep groin pain that can radiate to the front of your hip or thigh. Long-standing problems can trigger weakness or even limping. The diagnosis of snapping hip is frequently overlooked. In fact, some studies show that identification is often delayed more than two years, while other potential causes are pursued. Fortunately, your problem has been recognized, and our office has several treatments to help you recover. Psoas problems often start when one group of muscles is too tight, while another is too loose. Your home exercises will help to correct this problem. Depending upon the severity of your condition, you may need to avoid certain activities for a while. You should especially avoid repetitive hip flexion. Prolonged seated positions can encourage shortening of your hip flexors so be sure to take frequent breaks. Patients with fallen arches may benefit from arch supports Treatment of snapping hip consists of Class IV Laser Therapy, muscle release techniques, management of any biomechanical stresses in the area and exercise rehabilitation to address any weaknesses that can be putting undue stress on the area. #LaserTherapy #HipInjuries #Winnipeg #Chiropractic #LegInjury #HipPain If you or someone you know suffers from this condition, call our office today. Our doctors are experts at relieving many types of pain including hip injuries. Contact us for treatment in Winnipeg Find and Follow us on Twitter and Instagram!

Hip Fractures

Photo by Dmitriy Ganin on Pexels.com

A hip fracture usually occurs in the upper part of the thigh bone (femur), near the hip joint.


This type of fracture mainly occurs as a result of a fall or a direct impact on the bone, such as in a car accident. Osteoporosis and osteopenia can contribute to weakened bone integrity and increase the risk of fracture.


Older people and post-menopausal women are at higher risk of a hip fracture.
A stress fracture can occur following a period of overtraining and can also lead to a hip fracture.

Can Having a Weak Buttocks Cause Back Pain?

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Problem: a new study found that people who have weak gluteal muscles suffer higher rates of low back pain.
Solution: (after you check with your doctor) try one of these simple exercises to help strengthen your gluteal muscles.

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Aboufazeli M et al. Comparison of Selective Local and Global Muscle Thicknesses in Females with and without Chronic Low Back Pain. Orthop Traumatol Rehabil. 2018 Jun 27;20(3):197-204.

HIP MOBILITY

I know I keep harping on this but I can’t overstate it; your hips need to move. I don’t care what sport you play, what job you do, what you do for fun…… Your hips need mobility. Hip mobility is key to better performance, less pain, easier daily tasks and improved life in general.

Here’s a great post with 3 solid Hip Mobility movements that you can try. Remember, they should be pain free and are NOT rehab movements. These are prevention/performance moves; if you have pain, stop IMMEDIATELY and call us to get that sorted out first.

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Need help with hip mobility? Contact us for treatment in Winnipeg

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Hip Osteoarthritis

Hip osteoarthritis is a condition that can cause stiffness that limits joint range of motion. Over time, certain hip movements become limited, usually causing pain and alteration of normal biomechanics. Your muscles must therefore work harder during movement, generating a feeling of muscle tension.To date, the exact causes of osteoarthritis have not been fully identified. It is completely normal to have a mild level of osteoarthritis with age. However, the more advanced stages of osteoarthritis can affect the ability to carry out daily and physical activities. An exacerbation of symptoms usually occurs during a period when the level of physical activity has been drastically increased. Direct trauma to the hip can increase the symptoms of osteoarthritis.

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Structures involved

At the hip, the joint affected by osteoarthritis is the ​acetabulofemoral joint,​ formed by the p​ elvic ​bone and the ​femur​ bone. It is mainly cartilage damage combined with the presence, in some cases, of slight bone spurs in the joint that appear to be responsible for the restriction of movement. Over time, some muscles in the hip area may become tighter to compensate for the joint restriction.

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Signs & Symptoms that you may experience

Each person will react differently to osteoarthritis and management will depend on its stage. Hip osteoarthritis can produce, but is not limited to, local pain in the groin area, edema and stiffness in certain hip movements. Repetitive hip movements during walking or other sports activities, prolonged standing and sleeping with direct pressure may cause pain.

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Developments

Osteoarthritis of the hip is a progressive condition that cannot be cured, which means that the range of motion may decrease over time. An active lifestyle and a rehabilitation plan may however slow the progression of this condition and make it easier to manage the symptoms.1
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▶​ ​WHAT TO DO

Painful episodes

Relative rest is a good way to prevent your symptoms from getting worse. A few days of rest while reducing activities that cause significant pain​ m​ ay be necessary, but it is very important to avoid deconditioning. A quick return to your daily activities, light cardiovascular exercises that do not cause an increase in pain, joint mobilization exercises and hip muscles strengthening exercises will allow for better recovery.

Rehabilitation

Follow your therapist’s advice. This will help you manage the various stages of the healing process and increase the odds of success. Your therapist will accompany you during your rehabilitation program in order to improve your hip joint range of motion, regain flexibility, muscle strength and endurance, and functional state.

According to the principles of hip osteoarthritis rehabilitation, improving joint range of motion should be an integral part of the treatment plan. A program to improve joint range of motion and flexibility, as well as specific muscle strengthening is common to control the symptoms of hip osteoarthritis.

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Do not rely solely on a passive treatment approach. Each phase of the rehabilitation process is important. Patients who actively participate in their treatment plan tend to recover more quickly. Keep in mind that pain is not always a good indicator of joint or tissue damage. A significant level of pain does not necessarily imply a more advanced stage. As soon as you feel better and the pain is well under control, introduce, in collaboration with your therapist, light mobility and strengthening exercises based on your tolerance. Remember that exercise is an excellent way to manage pain associated with osteoarthritis.

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Quadratus lumborum muscle and back pain.

One of the most common causes or low back pain is trigger points in the quadratus lumborum muscle or Q.L. for short. This muscle is located in the lower back and is responsible for trunk and pelvic movement and stabilization. This muscle often harbors trigger points that form from prolonged sitting or bending. Pain from trigger points in this muscle will cause pain in the low back, sacrum, and into the hip.

Piriformis syndrome

Piriformis syndrome is a condition in which the piriformis muscle, located in the buttock region, spasms and causes buttock pain. The piriformis muscle can also irritate the nearby sciatic nerve and cause pain, numbness and tingling along the back of the leg and into the foot (similar to sciatic pain).

Glute max and sacral pain.

The gluteus maximus muscle is a major player in hip extension. Despite its involvement in walking, running, skating, and pretty much all types of upright movement it remains largely undeveloped in most bodies. This Lak of strength sets it up for overload injuries like trigger points and myofascial pain. These trigger points not only cause glute and hip pain but are also a common source of sacral pain as well. The best prevention for these problems is strong glutes!!! So stop sitting on your butt, and start strengthening it with resistance training.

Why trigger point therapy?

People often think of a massage as a relaxing experience, something they might do occasionally, or give as a gift along with a trip to the spa. Trigger point massage therapy is another kind of massage used to treat pain and physical dysfunction. Trigger points can develop in people from all walks of life. They can affect people of all ages, office workers and labourers, elite and weekend athletes, post surgical patients, people with acute pain from injury and people with chronic pain. Trigger point massage therapy can treat a wide variety of physical conditions such as:

– Migraines

– back pain.

– sciatica

– Carple tunnel syndrome

– achy persistent pain

– pain from Fibromyalgia

– post surgical pain and scarring

– soft tissue injuries related to sports

– TMJ dysfunction