Tag Archives: hip pain treatment

Back Pain, Hip Pain

What are Symptoms, Causes and Treatment available to treat Hip Bursitis?

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Hip Trochanteric Bursitis is one of the most common reasons for hip pain. This condition affects both the active and inactive individuals but the condition is more common among middle-aged women or females.

What do we mean by Hip Trochanteric Bursitis?

Hip Trochanteric Bursitis occurs when the bursa that covers the bony point of hip bone (greater trochanter) becomes irritated or inflamed. This is the most commonly inflamed bursa of the hip joint.

What are the causes of Hip Trochanteric Bursitis?

Hip Trochanteric Bursitis occurs due to the combination several factors including:

  • Repetitive stress-injuries resulting from running, bicycling or standing for long hours.

  • Hip injury

  • Spine diseases like; scoliosis or arthritis of the lumbar spine

  • Inequality in leg-length

  • Rheumatoid Arthritis

  • Previous hip surgery or prosthetic implants in the hip

  • Deficiency of Calcium

  • Bone spurs or development of calcium deposits within the tendons

  • Hip muscle tightness or weakness

  • Abnormal hip or knee structure

  • Poor hip or knee mechanics

What are potential symptoms of Hip Trochanteric Bursitis?

The patients suffering from Hip Trochanteric Bursitis may experiences one or more of the following symptoms:

  • Pain and swelling at the affected side of the hip

  • Tenderness on the outside of hip

  • Pain while lying on the affected side

  • Sharp Pain in the hip that changes into a dull ache and travels down the side of leg

  • Pain & stiffness while sitting or walking for prolonged periods

  • Pain while climbing stairs or sitting with legs crossed

How can Physical Therapy help to treat Hip Trochanteric Bursitis?

Physical Therapists typically suggest or prescribe the combination of stretching and strengthening activities to treat the condition and as well to eliminate the pain. Following treatments or strategies may be adopted by your physical therapist to achieve the specific goal:

  • Ice therapy may be used to reduce the inflammation of bursa

  • Electrotherapy or deep-tissue massage techniques may be used to reduce pain & irritation.

  • Range of motion exercises are prescribed to restore normal mobility to the back, hip and knee

  • In order to decrease muscular tension, stretching techniques may be applied to the lower body.

  • Hand-on treatments may be used to move your muscles and joints in order to improve their strength & motion

  • Strengthening exercises may be applied to eliminate excessive strain at the trochanter.

  • Your Physical therapist may develop a safe and customized progressive resistance program to strengthen your lower extremity

  • Functional training may be provided to help you to safely transit back to your normal or routine activities

  • Patient education will be provided in order to eliminate the risk of re-injury. You will be educated about safer & controlled body movements

Contact Alliance Physical Therapy for the state-of-art and efficient treatment of any of your musculoskeletal problems or diseases. Our professional and diligent Physical Therapists use patient-proven methods and top-notch techniques to treat your problems and help you to get back to your work as early as possible.

Auto Injury Rehabilitation, Back Pain, Hip Pain, Knee Pain, Neck Pain, Physical Therapy, Physical Therapy Clinic, physical therapy treatment, virginia physical therapy

5 REASONS TO CHOOSE PHYSICAL THERAPY AFTER SURGERY

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After surgery, rehabilitation speeds the healing process, and it helps you learn the best way to care for yourself and return to daily activities.

Some of the patients are quite hesitant and might delay the Physical Therapy. Delay can be a challenge for patient and a big problem later down the line. Loss of Strength, muscle stiffness, Regaining proper movements of surgical part are the complications must face by patient after the delay after surgery, A physical Therapist helps to improve health with quality of care, in order to the things they want to do again. By choosing Physical Therapy at right time you can avoid surgery. In the Physical Therapy variety of techniques used to attempt for the injured part or surgical part. Before you go to the surgery must get PT visit first, after surgery you will have get to the Rehab area, why not to try it first. Physical therapist believes in the statement- any discomfort on the body can be cure and should be treated. No matter what king of surgery you are undertaking but the physical therapy after surgery will help you to know the best way to care for yourself and restart your daily routine. Following are the Reasons:-

1. Boost up Mobility, Strength and Balance-May be an image of one or more people

Loss of Mobility can have a devastating effect on your quality of life. Surgery can restrict your range of motion. Physical Therapy helps to improve mobility through movement, strength techniques; they help to improve muscle tone. Depending upon the severity of surgery, PTs would improve your balance. Physical Therapy is a vital part of healing for any type of surgery. Without ability to move freely and without pain a person may experience depression, weight gain and other health consequences. Even people lose the self- confidence. The goal of physical therapist is to get back to independent life and confidence. Ultimately Physical therapist will do whatever is necessary for your health. Physical Therapy can provide a safe and gradual plan to get you confidently back on your feet. And if the surgery took place in the arm, wrist, or hand, therapists can help you sharpen your fine motor skills again.

2. Reduce Pain & Swelling-

May be an image of one or more people and text that says 'REDUCE SWELLING & PAIN'

Physical Therapy never hurt, that’s why it is best choice when you have long term pain after surgery. Physical therapists are experts not only in treating pain, but also a source. Swelling after surgery is another basic step of healing. Electric nerve stimulation is short term relieve given through skin helps to improve strength and relieves muscles spasms. Heat Therapy is given for pain and inflammation and increase range of motion. Ice packs are recommended for 3-4 times a day and for swelling your physical therapist may provide massages and rehabilitation can help to decrease swelling and restrict the surgical pain from becoming chronic.

3. Reduce Scare Tissue Formation

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After surgery scar formation is a natural occurrence as scars helps to strength the tissues. Your immune system respond against the injury and scars arise over your skin due to collection of new cells that cover the site of injury. Some scars can be large and painful or tender. Excess scar of tissue can reduce function and movement for months after procedure. Many massage techniques, Pressure therapy, and Ultrasound therapy to reduce the thickness of scar, simply bending and extending the joints close to scar will also reduce tissue formation. By treating your pain with, you can reduce your dependency on taking medications for stiffness and pain of tough scar tissue.

4. Reduce development of Secondary Issues: 

Loss of Mobility can have a devastating effect on your quality of life. Surgery can restrict your range of motion. Physical Therapy helps to improve mobility through movement, strength techniques; they help to improve muscle tone. Depending upon the severity of surgery, PTs would improve your balance. Physical Therapy is a vital part of healing for any type of surgery. Without ability to move freely and without pain a person may experience depression, weight gain and other health consequences. Even people lose the self- confidence. The goal of physical therapist is to get back to independent life and confidence. Ultimately Physical therapist will do whatever is necessary for your health. Physical Therapy can provide a safe and gradual plan to get you confidently back on your feet. And if the surgery took place in the arm, wrist, or hand, therapists can help you sharpen your fine motor skills again.

5. Improves Flexibility-

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A fractured bone or rehabilitation after surgery requires weeks o rest were the muscles are not used at all. To prevent from injury increasing your flexibility is crucial step. Loss of flexibility leads to weekend muscles that easily become stiff, that effect jumping, running, walking bending and stretching movements. Restoring normal range of motion after surgery stretching techniques helps to maintain flexibility by reducing resistance in muscle tissue. Contracting and stretching of muscle by planned exercise during rehabilitation improve performance and enable to do everyday activity. Such training allows you to easier and deeper movements by increasing flexibility that must provide wide range of physical benefits.

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WHAT TO EXPECT WHEN YOU ARE EXPECTING HIP REPLACEMENT?

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Hip Replacement is an elective procedure, but you can use alternatives by your choice. An ailing hip can stop you moving with your control. You feel uncomfortable even if it is impossible to do routine activity. A chronic pain is a sign of hip replacement; it will be not just in the hip but anywhere between hip and knee. In the United States hip pain and immobility issues affect a growing number of Americans and hip replacement has become increasingly common often in the younger adults. Many non- operative treatments are there before you go to hip replacement surgery, Physical Therapy is the best known powerful treatment against hip replacement in more than 50% hip replacement cases. Physical Therapy has proven very effective, for the cases where the hip is too damaged and must be replaced. Here we are sharing some knowledge and some alternatives you can use before you go to hip replacement or have already hip replacement.
Stop! Not only hip replacement surgery is solution:-
Hip Replacement surgery removes damaged diseased parts of a hip joint and replaces them with new, artificial parts.  Artificial parts may be made of metal, plastic, ceramic or a combination of all. Try medication or other treatment if the injury or disease can be cured by other techniques. Only consider hip replacement when the pain is severe and non- surgical treatments have failed.
Arthritis, Trauma, degenerative disease can lead to excruciating hip problems; osteoarthritis is the most common reason for hip replacement. Osteoporosis in the 20′s and 30′s age group is demanding hip replacement, especially in women. Before you think about hip replacement your doctor will suggest some exercises.
What you are going through during Pre & Post Rehab-
Before you go for hip replacement try physical therapy. Don’t try exercises on your own at home; it can affect your injured part. You should join a session of Physical Therapy to get ready and improve your outcome during recovery. One communication to your healthcare, Physical therapist will prepare you for hip replacement if needed with rehab exercises. Rehab will include things like nutrition and workout. There is much evidence that rehab reduced the need for hip or knee replacement for those who participated in rehab. Your Physical Therapist will educate you what to expect from your surgery by leading you through some exercises. In this time he/she will teach you flexibility and strengthen exercises, Use of walker and crutches, any precautions you should take before surgery.
Before surgery your Physical Therapist will educate you what to expect from your surgery by leading you through some exercises. Physical Therapists will teach you- Flexibility and Strength exercises, Use of Walker and crutches, any precautions to take before surgery.
If hip replacement becomes a necessity you will go to the clinic and do some paperwork. Surgeon will examine your health and tell you the possible solution. You will stay at the hospital and after surgery your Rehabilitation is processed by day 2-3 after surgery. Your physical therapist will come to your bed to get you for rehab and within 24-48 hours you will get up and start walking. Walking is needed for your blood pressure stabilization.
Your capacity of moving after hip replacement depends upon the type of your surgery. From the hospital you will be sent to rehab center or home rehab because it is difficult for you to help yourself in bathing/ toileting also for 2-3 weeks. In this time your PT will work on your walking tolerance and light walking.
The time of recovery varies from patient to patient, after your rehab session you will feel comfortable while you are sleeping or functioning. Not only Rehab, but your surgeon will recommend you post rehab when you have hip replacement surgery. From beginning to walk to getting active your PT will guide you with exercises to get you back to your best.
Your PT will depend upon your particular case/ surgical procedure during the rehab. PT will teach you to correctly put weight on the affected leg with an assistive device. PT will advise and teach you to bend your hip more than angle of 90 and How to cross your legs etc.
Physical Therapy will continue for a number of weeks even if you are discharged. Many patients need no home care after rehab but depend upon your overall situation of health. When you recover properly means when you need no help or guidance your outpatient physical therapy will continue to work on your range of motion, conditioning.
Consider this also: -
When you are selecting a Physical therapist or a surgeon in case of surgery in near location you should properly investigate for experiences of healthcare. The Physical Therapist must treat the patients with certified orthopedic in total hip replacement. You can consider Physical therapy is also not helping in pain in some typical patients. This happens when you keep on delaying your hip replacement or you are not attending your PT sessions on a proper schedule. For more than 4-6 months you should continue outpatient Physical Therapy when you are dealing with pain like degenerative arthritis. For some cases when you spent years in delay with pain and not tried physical therapy or surgery. One more reason when physical therapy is beneficial for the time when you join Physical therapy but no longer it will hip you if your hip has accelerated to a point of severe degeneration.
Alternatives you can use –
Some injections are beneficial in the case of degenerative organs. Rather than taking the first step towards hip replacement you can choose these alternatives with physical therapy as injections will keep on working and physical therapy will make that effort in momentum.
Prolotherapy- Injections- Those who experience joint and back pain, prolotherapy procedure works for them. In this procedure natural irritants are injected into the soft tissue that trigger the body’s healing, such as chronic pain.
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Hip Pain, Physical Therapy, Physical Therapy Clinic

Piriformis Syndrome: Causes, Symptoms and Treatment

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Piriformis muscle is a flat and band like muscle that is located in buttocks near the top of the hip joint. This muscle helps in the movement of the lower body as it makes the hip joint stable and as well lifts and rotates the thigh.

What do we mean by Piriformis Syndrome?

Piriformis Syndrome is an uncommon neuromuscular pathology which occurs when the sciatic nerve is compressed by the piriformis muscle. This compression causes pain, tingling and numbness in the buttocks and along the sciatic nerve path going down the thigh into the leg.

What are the potential signs and symptoms of Piriformis Syndrome?

  • Pain in lower back or buttocks
  • Painful to sit on the affected buttock
  • Pain or tingling sensation down the back of legs
  • Pain down the back of calf & foot
  • Pain while mounting and inclining stairs
  • Pain increases with prolonged sitting
  • Reduced range of motion of the hip joint

What are causes of Piriformis Syndrome?

Piriformis Syndrome usually develops in the athletes who are engaged in forward-moving activities like runners or bicyclists. This syndrome generally occurs due to:

  • combination of weak abductors with the tight abductors
  • Stiffness or hypo-mobility of the sacroiliac joints
  • Overporonation of the foot
  • Overworking of Piriformis muscle
  • Dysfunctioning of the adjacent SIJ or hip joints
  • Work hip stability muscles

What are the Physical Therapy treatments suggested to cure Piriformis Syndrome?

Depending upon the severity of condition, pain and other symptoms, number of physical therapy treatments may be suggested:

  • Stretching exercises are prescribed to relieve sciatic nerve irritation.
  • Heat treatment is suggested to relax the piriformis muscle.
  • Ultrasound treatment is advised for the deep heating in buttock area.
  • Hands-on treatment like deep-tissue massage or soft-tissue mobilization is administered to relax nerve signals to the piriformis.
  • Strengthening of abductors and abductor muscles may be suggested.
  • Myofascial release and thrust techniques may be suggested to address the somatic dysfunction in the patients.
  • Osteopathic manipulative treatment (OMT) may be advised to restore patients’ normal range of motion.
  • Pelvic and spine re-alignment techniques are suggested.
  • Foot orthotics or exercises are advised to restore foot and lower extremity alignment.

Contact Alliance Physical Therapy for the state-of-art and efficient treatment of any of your neuromusculoskeletal problems or deformities. We use patient proven methods and techniques to get you back to your daily routine as soon as possible and make you as sturdy and healthy as before.