Hip joint problems usually affect the overall function of the lower limb and sometimes leads to compensations in the back.
Differential diagnosis of the pain source is very important to determine the proper rehab protocol . 1. Bursitis of the Hip
Bursa is a fluid filled sac which acts as a cushion between tendons, bones, and skin. Bursitis of the hip is an inflammation of the bursa that lies on top of the greater trochanter, a protuberance on the femur. The bursa often becomes irritated due to muscle rubbing against the femur. This injury can occur from running, walking, or bicycling.
Symptoms:
-Pain and tenderness on the upper outer area of your thigh.
-Pain can be worsen when going down stairs, walking or bicycling.
Diagnosis:
Your physician/physical therapist will evaluate your injury by taking a complete medical history, including mechanism of injury, prior injuries and symptoms. Your physician will perform a complete physical examination of your hip.
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Treatment
Hip physical therapy NYC, functional exercises to retrain the muscles , gain mobility and stability is crucial part of long term treatment of hip bursitis along with some home advices & medical treatments like :
– Rest
– Avoid activities that cause you pain.
– Use ice for 20 minutes on with 40 minutes off throughout the day
– Take an anti-inflammatory or pain medication prescribed by your physician.
– An injection of a corticosteroid into the bursa to reduce inflammation.
Prevention:
Stretch and warm up properly before exercising or beginning activity.
2. Hip Replacement Surgery and post operative rehab
The hip joint is a ball and socket type of joint. In the hip joint, the head of the femur sits in the acetabulum. The acetabulum has a cartilage lining and this allows for the smooth motion of the hip when moving into flexion, extension, or abduction. Over time the cartilage becomes damaged and can cause extreme pain that affects everyday living.
Your physician will evaluate your injury by taking a complete medical history, including mechanism of injury, prior injuries and symptoms. Your physician will perform a complete physical examination of your hip.
Surgery: During the surgery, the surgeon will go in and remove the damaged cartilage and bone from the joint. The surgeon then replaces the damaged pieces with artificial prostheses on the head of the femur and in the acetabulum. The hip retains its stability due to the congruity of the joint.
Rehab: – Following surgery, your physical therapist will work with you to strengthen the muscles that surround and stabilize your hip: your quadriceps, hamstrings, hip adductors, and gluteal muscles.
– Your therapist will also stress getting full hip flexion and extension.
– Your physician may suggest you use an ambulatory device; forearm crutches or a cane for a period of time until you don’t need them anymore