Hip injuries are a very common problem with many causes, an accurate diagnosis is very important as defining of the cause of  symptoms well predetermine the appropriate treatment which should be directed at the underlying problem. Below are some common causes of hip pain: 

Osteonecrosis 

Osteonecrosis is a condition that occurs when blood flow to an area of bone is restricted. If an inadequate amount of blood flow reaches the bone, the cells will die and the bone may collapse. One of the most common places for osteonecrosis to occur is in the hip joint.  

Lumber Pain/Referred Pain

Back and spine problems can cause symptoms around the buttocks and hip. The most common problems that refer pain to the hip region are Herniated disc and Sciatica. 

Many back and spine problems can cause symptoms around the buttocks and hip. The most common problems that refer pain to the hip region are herniated disc and Sciatica. 

Snapping hip Syndrome 

Snapping hip syndrome is a word used to describe three distinct hip problems. The first is when the Ilio-tibial band snaps over the outside of the thigh. The second occurs when the deep hip flexor snaps over the front of the hip joint. Finally, tears of the cartilage, or labrum, around the hip socket can cause a snapping sensation. 

Muscle Strains 

Strains of the muscles around the hip and pelvis can cause pain and spasm. The most common strains are groin pulls and Hamstring strains.  

Hip Fractures

Hip fractures are most common in elderly patients affected by osteoporosis. Treatment of broken hip requires surgery to either replace the broken portion or repair it with a metal plate and screws.  

Stress Fractures 

Stress fractures of the hip are most common in athletes who participate in high-impact sports, such as long distance runners. Treatment usually is successful and directed to avoidance of the impact activities. 

Cold laser Therapy/Treatment

The lasers used at Central Chiropractic Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in t he treatment of conditions such as;

Hip Pain and Sacroiliac Joint inflammation 

Chronic Pain including Neck, Back, Hip and Joint Pain.

Athletic and sports Injuries

Back and Lower back pain, Sciatica, Slipped disc, prolapsed disc, herniated disc, 

Trapped nerves

Athletic and sports Injuries

“Whiplash” (WAD), Neck Pain and injuries 

Lower Back Pain
Knee and Foot Pain
Shoulder Injuries.
Carpal Tunnel Syndrome
Arthritic Pain Relief,

Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections including cold sores

Wound Management including Skin Ulcers, Pressure Sores and Burns

Soft Tissue Injuries  including Sprains and Strains, Tendonitis and Haematomas

Joint Disorders  including Arthritic Pain Relief and Tenosynovitis

Chronic pain such as Trigeminal Neuralgia and Chronic Neck, Back and Hip pain. “Whiplash”(WAD), Neck Pain and injuries

For further in depth information on Hip Pain Sciatica, Lower Back Pain, Trapped Nerves. Please go to top left corner under “Pain” or “Conditions”.

See also Cold Laser Therapy under “Treatments” for effective pain Relief and healing.

Hip Anatomy

The hip joint is a ball and socket joint. The ball is formed by the top of the thigh bone (femur) and is called the “head” of the femur. The socket is formed by the bones of the pelvis and is called the acetabulum.  Ligaments tendons and muscles hold the head of the femur (the ball) in the acetabulum (the socket).

Articular cartilage is a smooth material that covers the head of the femur and the acetabulum. Articular cartilage covers the bony surfaces wherever they come into contact with each other. Articular cartilage allows the head of the femur to move freely inside the acetabulum as the leg moves. Fluid also aids the head of the femur move freely inside the acetabulum. This fluid is called synovial fluid and provides and lubrication to the hip joint.

The hip joint is surrounded by a “sack” called a joint capsule. Ligaments are like strong fibrous rope like structures that help connect bones and provide stability to joints. Ligaments reinforce the capsule and connect the head of the femur to the acetabulum. These ligaments prevent the head of the femur from coming out of the acetabulum. Larger, stronger ligaments also provide stability to the hip joint.

The acetabulum has a ring of tissue called the labrum (this circles the acetabulum) the labrum also helps provide stability to the hip.

Tendons connect muscles to bone. There are various muscles that surround the hip joint. These muscles and their tendons provide stability to the hip joint when the leg is moved. These muscles are also necessary for activities such as running, jumping and walking.

The hamstring muscles (are at the back of the leg) act with the gluteus maximus (the “buttock muscle”) to move the leg backwards at the hip. The hip flexors (iliopsoas and rectus femoris) move the leg forward at the hip. The groin muscles (adductor magnus and longus) move leg toward the midline of the body. The abductor group (gluteus medius, gluteus minimus and tensor fascia lata) move the leg away from the body and are also stabilize the hip joint.

 A bursa or bursae is a small sac of fluid which limits friction between muscles, tendons and bones. The principle bursa of the hip joint is the bursa of the greater trochanter. This bursa is placed outside of the hip joint. An injury can occur by a direct blow or falling directly onto the outside of the hip, or from overuse.

One of the most common causes of hip pain is the inflammation of the bursa called hip bursitis. A bursa is a fluid filled sac that allows extra protection for the tendons on motion between two uneven surfaces. For example, in the hip, a bursa rests between the bony prominence over the outside of the hip (the greater trochanter) and the firm tendon that passed over this bone. When the tendon has to move over the bone and over the inflamed bursa it will result in pain. Because patients with hip bursitis move this tendon with each step, hip bursitis symptoms can be quite painful. Hip bursitis presents as the pain on the outside of the upper thigh. Management of hip bursitis is often directed on balancing the function of hip, knee and pelvis thus eliminating the cause of the pain as well as local application of the cold laser directed on suppression of inflammation and accelerating healing of the soft tissues

For further in depth information on hip pain, please go to top left corner under “pain” or “conditions” for treatment also go to top left corner under “Treatments” for “Cold Laser Therapy” 

Causes, symptoms, diagnosis of hip Osteonecrosis.Piriformis muscle. Quadriceps tears and strains. Hip Bursitis, Cold/Low Level laser Therapy for Pain Relief and Recovery 

Hip Pain

One of the most common causes of hip pain is the inflammation of the bursa called hip bursitis. A bursa is a fluid filled sac that allows extra protection for the tendons on motion between two uneven surfaces. For example, in the hip, a bursa rests between the bony prominence over the outside of the hip (the greater trochanter) and the firm tendon that passed over this bone. When the tendon has to move over the bone and over the inflamed bursa it will result in pain. Because patients with hip bursitis move this tendon with each step, hip bursitis symptoms can be quite painful. Hip bursitis presents as the pain on the outside of the upper thigh. Management of hip bursitis is often directed on balancing the function of hip, knee and pelvis thus eliminating the cause of the pain as well as local application of the cold laser directed on suppression of inflammation and accelerating healing of the soft tissues.

Another less common cause of hip pain is osteonecrosis of the joint. 

Hip osteonecrosis, also called avascular necrosis, is a condition when the blood supply to the joint gets impaired. An interruption of the blood supply to the head of the femur (the ball, of the ball-and-socket hip joint will cause a decrease in delivery of oxygen and nutrients to the bone, with subsequent necrosis of the bone and collapse of the bone.

Causes of hip osteonecrosis?

Exact causes of hip osteonecrosis are unknown. Because the cartilage of hip joint looses the support of the bone underneath itself, the joint surface is quickly worn away, and arthritis quickly progresses.

Most cases of hip osteonecrosis are associated with either alcoholism or steroid use. Other less common risk factors for developing hip osteonecrosis include sickle cell disease, trauma to the hip (dislocation or fracture), lupus, and some genetic disorders.

Symptoms of hip osteonecrosis

Common symptoms of hip osteonecrosis include:

Aching pain in the groin

Pain with movement of the hip

Difficulty walking or presence of limp

Diagnosis of hip osteonecrosis made

Osteonecrosis of the hip is primarily radiological diagnosis. The X-ray may be completely normal, or it may show severe damage to the hip joint. If the X-ray is normal, an MRI will be performed to look for early signs of hip osteonecrosis.

The Piriformis muscle.

The piriformis muscle is a small muscle in the groin that runs from the sacrum to the outer hip bone. If the piriformis muscle becomes tight or cramps it can put pressure on the sciatic nerve which passes underneath the piriformis muscle. Typically this pain increases when the muscle contracts, when sitting for an extended time, or direct pressure on the muscle. Gluteal (or buttock) pain is common. Pirformis syndrome is also a common cause of sciatica

Pain can also be caused by prolonged external rotation of the hip so that the piriformis muscle is shortened. If the sciatic nerve is compressed for a long time there may be aching in the leg and pain in the low back.

Shortening of the muscle and compression of the nerve is the most common cause of piriformis Syndrome, but overuse of the gluts and other muscles in the hip can also cause muscle spasms of the piriformis. Other factors in this syndrome include poor body mechanics and posture, gait problems.

The Quadriceps muscles.

The quadriceps muscles group includes four muscles located in the anterior thigh. This muscle group acts to extend the leg while straightening the knee. A pulled or strained quadriceps muscle causes pain in the front of the thigh. A severe pull or muscle tear, causes an abrupt, sudden, acute pain that occurs during activity (often while sprinting). It may be accompanied by swelling or bruises on the thigh.

A pulled quadriceps is often the result of a strength imbalance between the quadriceps and the hamstring. Strong hamstring muscles in the back of the leg and weak quadriceps muscles in the front of the leg can result in a pull or a tear. Such a muscle imbalance is not uncommon among runners, since running tends to work out the hamstrings much more than the quadriceps.

The quadriceps is a group of muscles along the front of the thigh. It consists of the quadriceps femoris, the rectus femoris, vastus lateralis, vastus medialis and the vastus intermedius.

A pulled or strained quadriceps muscle can be identified by a pain in the front of the thigh. A severe tear is abrupt, sudden, and results in acute pain during the activity (often sprinting) and may be accompanied by swelling or bruises on the thigh.

The Causes

Typically, a pulled quad is the result of a strength imbalance between the quadriceps and the hamstring group, where the hamstrings are more powerful. This is a common muscular imbalance in runners because running tends to use the hamstrings more than the quadriceps.

Cold/Low Level Laser Therapy/Treatment 

Types of Soft Tissue Pain.

There are two main types of soft tissue injuries: the strain and the sprain.  

Muscle Sprain is associated with overstretching or tear of the ligaments. The ligaments connect the muscles to their bone attachments. Ligaments are very tough fibrous connecting tissues made of chains of tough cells grouped together to increase their strength. In a muscle sprain these chains are separated or torn causing ligament and/or muscle damage. 

Cold /Low Level  Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as:

Athletic and sports injuries

Hip Pain and Hip Bursitis, conditions and injuries

Lower Back Pain
Hip, Knee and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic Pain Relief. Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections.

Relief of Stiffness and the Promotion of Muscle Relaxation, and Cell Restoration

Wound Management including Skin Ulcers, Pressure Sores and Burns.     

Soft Tissue Injuries including Sprains and Strains, Tendonitis and Haematomas.

Joint Disorders and Conditions including Arthritic Pain Relief and Tenosynovitis

Chronic pain including Trigeminal Neuralgia and Neck and Back pain.

Hip Pain  for further in depth information on Hip pain and injury treatment, please go to top left corner under “Pain” ”Conditions” or “Treatments” for “Cold/low level laser therapy”.

Hip Bursitis

A Description of Hip Bursitis.

Bursitis is caused by inflammation of a bursa, a small connective tissue sac that contains a small amount of fluid. Bursas are located throughout the joints of the body such as shoulder; elbow, hip, knee, and heel. They act as cushions between bones and the overlying soft tissues, and reduce friction between the gliding muscles and the bone.

Trochanteric Bursa and Relationship of the Iiotibial Band and the Greater Trochanter.

The bony point of the hip is called the Greater Trochanter. This is the attachment point for muscles that move the hip joint. The Trochanter has a large Bursa overlying it that occasionally becomes irritated, resulting in Hip Bursitis (Trochanteric Bursitis).

Another Bursa is located on the inside of the hip (the groin) this is known as Iliopsoas Bursa. When this Bursa becomes inflamed, the condition is also sometimes referred to as hip Bursitis, but the pain is located in the groin area. This condition is not as common as Iliopsoas Bursitis, but is treated in a similar manner.

Symptoms                                                   

The main symptom of Hip Bursitis is pain at the point of the hip. The pain extends to the outside of the thigh area. In the early stages, the pain can be described as sharp and intense. Later it may become a dull ache.

Typically, the pain becomes worse at night, when lying on the affected hip, also when rising up from a chair after being seated for a long period. It also may get worse with walking, and the climbing of stairs. Hip Bursitis can affect anyone, but is more common in the 60 to 80 year old and the middle-aged with more women being affected than men.

The following risk factors have been associated with the development of hip bursitis.

• Nepetitive stress injury. This can occur in any sporting activity such as running, football bicycling, or standing for excessive periods of time.
• Hip injury. An injury to the point of the hip can occur when you fall onto to hip or just a bump or bang the hip.
• Spine disease. Scoliosis, Arthritis of the lumbar (lower) spine, and other spine problems, are further risk factors.
• Leg-length inequality. When one leg is shorter than the other by more than an inch or so, it affects the way you walk and can lead to irritation of a Trochanteric Bursa. The risk can be reduced by the use of heel or orthopedic foot lift.
• Rheumatoid arthritis. This makes the Bursae more likely to become inflamed.
• Previous surgery. Surgery of the hip area or prosthetic implants in the hip can be a cause of irradiation and cause Bursitis.
• Bone Spurs or Calcium Deposits. These can develop within the tendons that attach to the Great Trochanter. They can irritate the Bursa and cause inflammation and resulting in pain.

Diagnosis

To diagnose the Hip Bursitis, the practitioner will perform a physical examination, looking for tenderness at the point on the hip; additional tests will be carried out to rule out other possible injuries or conditions. These tests can include X-rays, Bone scanning, and M.R.I. scanning.

Nonsurgical Treatment

There is little evidence to support the use of physiotherapy to treat hip Bursitis. Cold Laser Therapy is extremely effective in the treatment of Bursitis.

See our Cold Laser Therapy Section under conditions Treated.

Injection of a Corticosteroid along with a local anesthetic can help relieve the symptoms of hip Bursitis. This is an effective treatment that your doctor may provide.

Cold Laser Therapy for Hip Bursitis. Hip Pain. Sacroiliac joint inflammation including Carpal Tunnel Syndrome. Soft tissue injuries. Ligaments. Tendons and muscles. Tendonitis Bursitis. Plantar fasciitis. Back and Lower Back Pain. Neck Shoulder Arm and Wrist pain. Hip knee Ankle Pain and injuries.

The lasers used at Central Chiropractic Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as;

Hip Brusitis

Hip Pain. Sacroiliac joint inflammation

Carpal Tunnel Syndrome

Chronic Neck and Back Pain. “Whiplash”(WAD) injuries. Neck Pain. Cervical Disc injury.

Upper Back Pain and Lower Back Pain. Sciatica.

Slipped disc. Prolapsed disc. Herniated disc. Bulging disc.

Trapped  Nerves.

Athletic and Sports Injuries. Ligaments. Tendons. and Tendonitis.

Lower Back Pain
Knee and Foot Pain and injury
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic Pain Relief, Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections,

Wound Management; including Skin Ulcers, Pressure Sores and Burns

Soft Tissue Injuries including; Sprains and Strains, Tendonitis and Haematomas

Joint Disorders; including  Arthritic pain relief and Tenosynovitis

Chronic Pain  such as Trigeminal Neuralgia and Chronic Back and Neck

 Pain. “Whiplash” (WAD) injury.

For further in depth information on Back, Neck or Shoulder Pain,  Hip Pain, Sciatica, Lower Back Pain, please go to top left corner under “Pain” or “Conditions”. 

Call 02476 222002.Registered with BUPA. AXA PPP. HSA. AVIVA. CIGNA. Simpleyhealth. Standard life. Pru health. Mercia health.Medicash Medisure. All health insurance accepted.

Hip Bursitis

A Description of Hip Bursitis.

Bursitis is caused by inflammation of a bursa, a small connective tissue sac that contains a small amount of fluid. Bursas are located throughout the joints of the body such as shoulder; elbow, hip, knee, and heel. They act as cushions between bones and the overlying soft tissues, and reduce friction between the gliding muscles and the bone.

Trochanteric Bursa and Relationship of the Iiotibial Band and the Greater Trochanter.

The bony point of the hip is called the Greater Trochanter. This is the attachment point for muscles that move the hip joint. The Trochanter has a large Bursa overlying it that occasionally becomes irritated, resulting in Hip Bursitis (Trochanteric Bursitis).

Another Bursa is located on the inside of the hip (the groin) this is known as Iliopsoas Bursa. When this Bursa becomes inflamed, the condition is also sometimes referred to as hip Bursitis, but the pain is located in the groin area. This condition is not as common as Iliopsoas Bursitis, but is treated in a similar manner.

Symptoms                                                   

The main symptom of Hip Bursitis is pain at the point of the hip. The pain extends to the outside of the thigh area. In the early stages, the pain can be described as sharp and intense. Later, it may become a dull ache.

Typically, the pain becomes worse at night, when lying on the affected hip, also when rising up from a chair after being seated for a long period. It also may get worse with walking, and the climbing of stairs. Hip Bursitis can affect anyone, but is more common in the 60 to 80 year olds and the middle-aged with more women being affected than men.

The following risk factors have been associated with the development of hip bursitis.

• Nepetitive stress injury. This can occur in any sporting activity such as running, football bicycling, or standing for excessive periods of time.
• Hip injury. An injury to the point of the hip can occur when you fall onto to hip or just a bump or bang the hip.
• Spine disease. Scoliosis, Arthritis of the lumbar (lower) spine, and other spine problems, are further risk factors.
• Leg-length inequality. When one leg is shorter than the other by more than an inch or so, it affects the way you walk and can lead to irritation of a Trochanteric Bursa. The risk can be reduced by the use of heel or arthopedic foot lift.
• Rheumatoid arthritis. This makes the Bursae more likely to become inflamed.
• Previous surgery. Surgery of the hip area or prosthetic implants in the hip can be a cause of irradiation and cause Bursitis.
• Bone Spurs or Calcium Deposits. These can develop within the tendons that attach to the Great Trochanter. They can irritate the Bursa and cause inflammation and resulting in pain.

Diagnosis

To diagnose the Hip Bursitis, the practitioner will perform a physical examination, looking for tenderness at the point on the hip; additional tests will be carried out to rule out other possible injuries or conditions. These tests can include X-rays, Bone scanning, and M.R.I. scanning.

Nonsurgical Treatment

There is little evidence to support the use of physiotherapy to treat hip Bursitis. Cold Laser Therapy is extremely effective in the treatment of Bursitis.

See our Cold Laser Therapy Section under conditions Treated.

Injection of a Corticosteroid along with a local anesthetic can help relieve the symptoms of hip Bursitis. This is an effective treatment that your doctor may provide.

Cold Laser Therapy for Hip Brusitis. Hip Pain. Sacroiliac joint inflammation including Carpal Tunnel Syndrome. Soft tissue injuries. Ligaments. Tendons and muscles. Tendonitis Bursitis. Plantar fasciitis. Back and Lower Back Pain. Neck Shoulder Arm and Wrist pain. Hip knee Ankle Pain and injuries.

The lasers used at Central Chiropractic Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as;

Hip Brusitis

Hip Pain. Sacroiliac joint inflammation

Carpal Tunnel Syndrome

Chronic Neck and Back Pain. “Whiplash(WAD) injuries” Neck Pain. Cervical Disc injury.

Upper Back Pain and Lower Back Pain. Sciatica.

Slipped disc. Prolapsed disc. Herniated disc. Bulging disc.

Trapped  Nerves.

Athletic and Sports Injuries. Ligaments. Tendons. and Tendonitis.

Lower Back Pain
Knee and Foot Pain and injury
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic pain relief, Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections.

Wound Management; including Skin Ulcers, Pressure Sores and Burns.

Soft Tissue Injuries including; Sprains and Strains, Tendonitis and Haematomas.

Joint Disorders; including Arthritic pain relief and Tenosynovitis.

Chronic Pain such as Trigeminal Neuralgia and Chronic Back and Neck

Pain. “Whiplash” (WAD) injury.

Hip Pain

One of the most common causes of hip pain is the inflammation of the bursa called hip bursitis. A bursa is a fluid filled sac that allows extra protection for the tendons on motion between two uneven surfaces. For example, in the hip, a bursa rests between the bony prominence over the outside of the hip (the greater trochanter) and the firm tendon that passed over this bone. When the tendon has to move over the bone and over the inflamed bursa it will result in pain. Because patients with hip bursitis move this tendon with each step, hip bursitis symptoms can be quite painful.

Hip bursitis presents as the pain on the outside of the upper thigh. Management of hip bursitis is often directed on balancing the function of hip, knee and pelvis thus eliminating the cause of the pain as well as local application of the Cold Laser Therapy directed on suppression of inflammation and accelerating healing of the soft tissues.

Another less common cause of hip pain is osteonecrosis of the joint. 

Hip osteonecrosis, also called avascular necrosis, is a condition when the blood supply to the joint gets impaired. An interruption of the blood supply to the head of the femur (the ball, of the ball-and-socket hip joint will cause a decrease in delivery of oxygen and nutrients to the bone, with subsequent necrosis of the bone and collapse of the bone.

Causes of hip osteonecrosis?

Exact causes of hip osteonecrosis are unknown. Because the cartilage of hip joint looses the support of the bone underneath itself, the joint surface is quickly worn away and arthritis quickly progresses.

Most cases of hip osteonecrosis are associated with either alcoholism or steroid use. Other less common risk factors for developing hip osteonecrosis include sickle cell disease, trauma to the hip (dislocation or fracture), lupus, and some genetic disorders.

Symptoms of hip osteonecrosis

Common symptoms of hip osteonecrosis include:

Aching pain in the groin.

Pain with movement of the hip.

Difficulty walking or presence of limp.

Diagnosis of hip osteonecrosis made

 
Osteonecrosis of the hip is primarily radiological diagnosis. The X-ray may be completely normal, or it may show severe damage to the hip joint. If the X-ray is normal, an MRI will be performed to look for early signs of hip osteonecrosis.

The Piriformis muscle.

The piriformis muscle is a small muscle in the groin that runs from the sacrum to the outer hip bone. If the piriformis muscle becomes tight or cramps it can put pressure on the sciatic nerve which passes underneath the piriformis muscle. Typically this pain increases when the muscle contracts, when sitting for an extended time, or direct pressure on the muscle. Gluteal (or buttock) pain is common. Pirformis syndrome is also a common cause of sciatica

Pain can also be caused by prolonged external rotation of the hip so that the piriformis muscle is shortened. If the sciatic nerve is compressed for a long time there may be aching in the leg and pain in the low back.

Shortening of the muscle and compression of the nerve is the most common cause of piriformis Syndrome, but overuse of the gluts and other muscles in the hip can also cause muscle spasms of the piriformis. Other factors in this syndrome include poor body mechanics and posture, gait problems.

The Quadriceps muscles.

The quadriceps muscles group includes four muscles located in the anterior thigh. This muscle group acts to extend the leg while straightening the knee. A pulled or strained quadriceps muscle causes pain in the front of the thigh. A severe pull or muscle tear, causes an abrupt, sudden, acute pain that occurs during activity (often while sprinting). It may be accompanied by swelling or bruises on the thigh.

A pulled quadriceps is often the result of a strength imbalance between the quadriceps and the hamstring. Strong hamstring muscles in the back of the leg and weak quadriceps muscles in the front of the leg can result in a pull or a tear. Such a muscle imbalance is not uncommon among runners, since running tends to work out the hamstrings much more than the quadriceps.

The quadriceps is a group of muscles along the front of the thigh. It consists of the quadriceps femoris, the rectus femoris, vastus lateralis, vastus medialis and the vastus intermedius.

A pulled or strained quadriceps muscle can be identified by a pain in the front of the thigh. A severe tear is abrupt, sudden, and results in acute pain during the activity (often sprinting) and may be accompanied by swelling or bruises on the thigh.

The Causes

Typically, a pulled quad is the result of a strength imbalance between the quadriceps and the hamstring group, where the hamstrings are more powerful. This is a common muscular imbalance in runners because running tends to use the hamstrings more than the quadriceps.

Tog GaitScan™ Orthotic

Our GaitScan™ System is a revolutionary diagnostic tool for assessing patient’s foot biomechanics. GaitScan™ has an industry high 4096 sensors and scans at an industry high 300Hz (scans per second).  These measurements provide today’s Healthcare Professionals with a sophisticated explanation of foot mechanics and assists them with orthotic and/or shoe solutions. 

We supply and fit TOG Gait Scan Orthotics.  Our TOG GaitScan Orthotics is inexpensive, comfortable and effective.

Cold laser Therapy/Treatment 

Types of Soft Tissue Pain.

There are two main types of soft tissue injuries: the strain and the sprain.  

Muscle Sprain is associated with overstretching or tear of the ligaments. The ligaments connect the muscles to their bone attachments. Ligaments are very tough fibrous connecting tissues made of chains of tough cells grouped together to increase their strength. In a muscle sprain, these chains are separated or torn, causing ligament and/or muscle damage. 

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as:

Athletic and sports injuries

Hip Pain conditions and injuries

Lower Back Pain

Hip, Knee and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic pain relief, Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections.

Relief of Stiffness, the Promotion of Muscle Relaxation and Cell Restoration.

Soft Tissue Injuries, Including Sprains and Strains, Tendonitis and Haematomas.

Joint Disorders and Conditions, Including Arthritic pain relief and Tenosynovitis.

Hip Pain

One of the most common causes of hip pain is the inflammation of the bursa called hip bursitis. A bursa is a fluid filled sac that allows extra protection for the tendons on motion between two uneven surfaces. For example, in the hip, a bursa rests between the bony prominence over the outside of the hip (the greater trochanter) and the firm tendon that passed over this bone.

When the tendon has to move over the bone and over the inflamed bursa it will result in pain. Because patients with hip bursitis move this tendon with each step, hip bursitis symptoms can be quite painful. Hip bursitis presents as the pain on the outside of the upper thigh. Management of hip bursitis is often directed on balancing the function of hip, knee and pelvis thus eliminating the cause of the pain as well as local application of the cold laser directed on suppression of inflammation and accelerating healing of the soft tissues.

Another less common cause of hip pain is Osteonecrosis of the joint. 

Hip Osteonecrosis also called avascular necrosis, is a condition when the blood supply to the joint gets impaired. An interruption of the blood supply to the head of the femur (the ball, of the ball-and-socket hip joint will cause a decrease in delivery of oxygen and nutrients to the bone, with subsequent necrosis of the bone and collapse of the bone.

Causes of Hip Osteonecrosis?

Exact causes of Hip Osteonecrosis are unknown. Because the cartilage of hip joint looses the support of the bone underneath itself the joint surface is quickly worn away and arthritis quickly progresses.

Most cases of Hip Osteonecrosis are associated with either alcoholism or steroid use. Other less common risk factors for developing hip Osteonecrosis include sickle cell disease, trauma to the hip (dislocation or fracture) lupus and some genetic disorders.

Symptoms of Hip Osteonecrosis

Common symptoms of Hip Osteonecrosis include:

Aching pain in the groin

Pain with movement of the hip

Difficulty walking or presence of limp

Diagnosis of Hip Osteonecrosis made

Osteonecrosis of the hip is primarily radiological diagnosis. The X-ray may be completely normal, or it may show severe damage to the hip joint. If the X-ray is normal an MRI will be performed to look for early signs of Hip Osteonecrosis.

The Piriformis muscle.

The piriformis muscle is a small muscle in the groin that runs from the sacrum to the outer hip bone. If the piriformis muscle becomes tight or cramps it can put pressure on the sciatic nerve which passes underneath the piriformis muscle. Typically this pain increases when the muscle contracts, when sitting for an extended time or direct pressure on the muscle. Gluteal (or buttock) pain is common. Pirformis syndrome is also a common cause of sciatica.

Pain can also be caused by prolonged external rotation of the hip so that the piriformis muscle is shortened. If the sciatic nerve is compressed for a long time there may be aching in the leg and pain in the low back.

Shortening of the muscle and compression of the nerve is the most common cause of piriformis Syndrome, but overuse of the gluts and other muscles in the hip can also cause muscle spasms of the piriformis. Other factors in this syndrome include poor body mechanics and posture, gait problems.

The Quadriceps muscles.

The quadriceps muscles group includes four muscles located in the anterior thigh. This muscle group acts to extend the leg while straightening the knee. A pulled or strained quadriceps muscle causes pain in the front of the thigh. A severe pull or muscle tear, causes an abrupt, sudden, acute pain that occurs during activity (often while sprinting). It may be accompanied by swelling or bruises on the thigh.

A pulled quadriceps is often the result of a strength imbalance between the quadriceps and the hamstring. Strong hamstring muscles in the back of the leg and weak quadriceps muscles in the front of the leg can result in a pull or a tear. Such a muscle imbalance is not uncommon among runners, since running tends to work out the hamstrings much more than the quadriceps.

The quadriceps is a group of muscles along the front of the thigh. It consists of the quadriceps femoris, the rectus femoris, vastus lateralis, vastus medialis and the vastus intermedius.

A pulled or strained quadriceps muscle can be identified by a pain in the front of the thigh. A severe tear is abrupt, sudden, and results in acute pain during the activity (often sprinting) and may be accompanied by swelling or bruises on the thigh.

Causes.

Typically a pulled quad is the result of a strength imbalance between the quadriceps and the hamstring group, where the hamstrings are more powerful. This is a common muscular imbalance in runners, because running tends to use the hamstrings more than the quadriceps.

Tog GaitScan™ Orthotic

Our GaitScan™ System is a revolutionary diagnostic tool for assessing patient’s foot biomechanics. GaitScan™ has an industry high 4096 sensors and scans at an industry high 300Hz (scans per second).  These measurements provide today’s Healthcare Professionals with a sophisticated explanation of foot mechanics and assists them with orthotic and/or shoe solutions. 

We supply and fit TOG Gait Scan Orthotics.  Our TOG GaitScan Orthotics is inexpensive, comfortable and effective.

Cold laser Therapy/Treatment 

Types of Soft Tissue Pain.

There are two main types of soft tissue injuries: the strain and the sprain.  

Muscle Sprain is associated with overstretching or tear of the ligaments. The ligaments connect the muscles to their bone attachments. Ligaments are very tough fibrous connecting tissues made of chains of tough cells grouped together to increase their strength. In a muscle sprain, these chains are separated or torn, causing ligament and/or muscle damage. 

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as:

Athletic and sports injuries

Hip Pain conditions and injuries

Lower Back Pain
Hip, Knee and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic pain relief, Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections.

Relief of Stiffness the Promotion of Muscle Relaxation and Cell Restoration.

Wound Management including Skin Ulcers. Pressure Sores and Burns’

Soft Tissue Injuries including Sprains and Strains. Tendonitis and Haematomas.

Joint Disorders and Conditions including Arthritic pain relief and Tenosynovitis.

Chronic pain including Trigeminal Neuralgia and Chronic Neck and Back pain

Hip Pain for further in depth information on Hip pain and injury treatment, please go to top left corner under “Pain” ”Conditions” or “Treatments” for “Cold laser therapy”.

Hip injuries are a very common problem with many causes. an accurate diagnosis is very important as defining of the cause of  symptoms well predetermine the appropriate treatment which should be directed at the underlying problem. Below are some common causes of hip pain:  

Osteonecrosis  

Osteonecrosis is a condition that occurs when blood flow to an area of bone is restricted. If an inadequate amount of blood flow reaches the bone, the cells will die and the bone may collapse. One of the most common places for osteonecrosis to occur is in the hip joint.   

Lumber Pain/Referred Pain  

Back and spine problems can cause symptoms around the buttocks and hip. The most common problems that refer pain to the hip region are Herniated disc and Sciatica.  

Many back and spine problems can cause symptoms around the buttocks and hip. The most common problems that refer pain to the hip region are herniated disc and Sciatica.  

Snapping hip Syndrome  

Snapping hip syndrome is a word used to describe three distinct hip problems. The first is when the Ilio-tibial band snaps over the outside of the thigh. The second occurs when the deep hip flexor snaps over the front of the hip joint. Finally, tears of the cartilage, or labrum, around the hip socket can cause a snapping sensation.  

Muscle Strains  

Strains of the muscles around the hip and pelvis can cause pain and spasm. The most common strains are groin pulls and Hamstring strains.   

Hip Fractures 

Hip fractures are most common in elderly patients affected by osteoporosis. Treatment of broken hip requires surgery to either replace the broken portion or repair it with a metal plate and screws.   

Stress Fractures  

Stress fractures of the hip are most common in athletes who participate in high-impact sports, such as long distance runners. Treatment usually is successful and directed to avoidance of the impact activities.  

Cold/Low Level laser Therapy/Treatment 

The lasers used at Central Chiropractic Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe. 

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle. 

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in t he treatment of conditions such as;  

Hip Pain and Sacroiliac Joint inflammation  

Chronic Pain, including Neck, Back, Hip and Joint Pain.  

Athletic and sports Injuries 

Back and Lower back pain, Sciatica, Slipped disc, prolapsed disc, herniated disc,  

Trapped nerves 

Athletic and sports Injuries 

Whiplash (WAD) Neck Pain and injuries  

Lower Back Pain
Knee and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
ArthritiC Pain Relief, Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections, including cold sores. 

Wound Management including Skin Ulcers, Pressure Sores and Burns 

Soft Tissue Injuries including Sprains and Strains, Tendonitis and Haematomas 

Joint Disorders including Arthritic Pain relief, and Tenosynovitis 

Chronic pain such as Trigeminal Neuralgia and Chronic Neck, Back and Hip pain. “Whiplash” (WAD), Neck Pain and injuries 

For further in depth information on Hip Pain Sciatica, Lower Back Pain, Trapped Nerves. Please go to top left corner under “Pain” or “Conditions”. 

View also our Cold/Low Level Laser Therapy under “Treatments” for effective pain Relief and healing. 

Hip Anatomy 

The hip joint is a ball and socket joint. The ball is formed by the top of the thigh bone (femur) and is called the “head” of the femur. The socket is formed by the bones of the pelvis and is called the acetabulum.  Ligaments tendons and muscles hold the head of the femur (the ball) in the acetabulum (the socket). 

Articular cartilage is a smooth material that covers the head of the femur and the acetabulum. Articular cartilage covers the bony surfaces wherever they come into contact with each other. Articular cartilage allows the head of the femur to move freely inside the acetabulum as the leg moves. Fluid also aids the head of the femur move freely inside the acetabulum. This fluid is called synovial fluid and provides and lubrication to the hip joint. 

The hip joint is surrounded by a “sack” called a joint capsule. Ligaments are like strong fibrous rope like structures that help connect bones and provide stability to joints. Ligaments reinforce the capsule and connect the head of the femur to the acetabulum. These ligaments prevent the head of the femur from coming out of the acetabulum. Larger, stronger ligaments also provide stability to the hip joint. 

The acetabulum has a ring of tissue called the labrum (this circles the acetabulum) the labrum also helps provide stability to the hip. 

Tendons connect muscles to bone. There are various muscles that surround the hip joint. These muscles and their tendons provide stability to the hip joint when the leg is moved. These muscles are also necessary for activities such as running, jumping and walking. 

The hamstring muscles (are at the back of the leg) act with the gluteus maximus (the “buttock muscle”) to move the leg backwards at the hip. The hip flexors (iliopsoas and rectus femoris) move the leg forward at the hip. The groin muscles (adductor magnus and longus) move leg toward the midline of the body. The abductor group (gluteus medius, gluteus minimus and tensor fascia lata) move the leg away from the body and are also stabilize the hip joint. 

 A bursa or bursae is a small sac of fluid which limits friction between muscles, tendons and bones. The principle bursa of the hip joint is the bursa of the greater trochanter. This bursa is placed outside of the hip joint. An injury can occur by a direct blow or falling directly onto the outside of the hip or from overuse. 

One of the most common causes of hip pain is the inflammation of the bursa called hip bursitis. A bursa is a fluid filled sac that allows extra protection for the tendons on motion between two uneven surfaces. For example, in the hip, a bursa rests between the bony prominence over the outside of the hip (the greater trochanter) and the firm tendon that passed over this bone. When the tendon has to move over the bone and over the inflamed bursa it will result in pain. Because patients with hip bursitis move this tendon with each step, hip bursitis symptoms can be quite painful. Hip bursitis presents as the pain on the outside of the upper thigh. Management of hip bursitis is often directed on balancing the function of hip, knee and pelvis thus eliminating the cause of the pain as well as local application of the cold laser directed on suppression of inflammation and accelerating healing of the soft tissues 

For further in depth information on hip pain, please go to top left corner under “pain” or “conditions” for treatment also go to top left corner under “Treatments” for “Cold/Low Level Laser Therapy”  

Hip injuries are a very common problem with many causes. an accurate diagnosis is very important as defining of the cause of  symptoms well predetermine the appropriate treatment which should be directed at the underlying problem. Below are some common causes of hip pain: 

Osteonecrosis 

Osteonecrosis is a condition that occurs when blood flow to an area of bone is restricted. If an inadequate amount of blood flow reaches the bone, the cells will die and the bone may collapse. One of the most common places for osteonecrosis to occur is in the hip joint.  

Lumber Pain/Referred Pain

Back and spine problems can cause symptoms around the buttocks and hip. The most common problems that refer pain to the hip region are Herniated disc and Sciatica. 

Many back and spine problems can cause symptoms around the buttocks and hip. The most common problems that refer pain to the hip region are herniated disc and Sciatica. 

Snapping hip Syndrome 

Snapping hip syndrome is a word used to describe three distinct hip problems. The first is when the Ilio-tibial band snaps over the outside of the thigh. The second occurs when the deep hip flexor snaps over the front of the hip joint. Finally, tears of the cartilage, or labrum, around the hip socket can cause a snapping sensation. 

Muscle Strains 

Strains of the muscles around the hip and pelvis can cause pain and spasm. The most common strains are groin pulls and Hamstring strains.  

Hip Fractures

Hip fractures are most common in elderly patients affected by osteoporosis. Treatment of broken hip requires surgery to either replace the broken portion or repair it with a metal plate and screws.  

Stress Fractures 

Stress fractures of the hip are most common in athletes who participate in high-impact sports, such as long distance runners. Treatment usually is successful and directed to avoidance of the impact activities. 

Cold laser Therapy/Treatment

The lasers used at Central Chiropractic Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in t he treatment of conditions such as;

Hip Pain and Sacroiliac Joint inflammation 

Chronic Pain, including Neck, Back, Hip and Joint Pain.

Athletic and sports Injuries

Back and Lower back pain, Sciatica, Slipped disc, prolapsed disc, herniated disc, 

Trapped nerves

Athletic and sports Injuries

Whiplash, Neck Pain and injuries 

Lower Back Pain
Knee and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritis, Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections, including cold sores

Wound Management including Skin Ulcers, Pressure Sores and Burns

Soft Tissue Injuries including Sprains and Strains, Tendonitis and Haematomas

Joint Disorders including Arthritis, and Tenosynovitis

Chronic pain such as Trigeminal Neuralgia and Chronic Neck, Back and Hip pain. Whiplash, Neck Pain and injuries

For further in depth information on Hip Pain Sciatica, Lower Back Pain, Trapped Nerves. Please go to top left corner under “Pain” or “Conditions”.

See also Cold Laser Therapy under “Treatments” for effective pain Relief and healing.

Hip Anatomy

The hip joint is a ball and socket joint. The ball is formed by the top of the thigh bone (femur) and is called the “head” of the femur. The socket is formed by the bones of the pelvis and is called the acetabulum.  Ligaments tendons and muscles hold the head of the femur (the ball) in the acetabulum (the socket).

Articular cartilage is a smooth material that covers the head of the femur and the acetabulum. Articular cartilage covers the bony surfaces wherever they come into contact with each other. Articular cartilage allows the head of the femur to move freely inside the acetabulum as the leg moves. Fluid also aids the head of the femur move freely inside the acetabulum. This fluid is called synovial fluid and provides and lubrication to the hip joint.

The hip joint is surrounded by a “sack” called a joint capsule. Ligaments are like strong fibrous rope like structures that help connect bones and provide stability to joints. Ligaments reinforce the capsule and connect the head of the femur to the acetabulum. These ligaments prevent the head of the femur from coming out of the acetabulum. Larger, stronger ligaments also provide stability to the hip joint.

The acetabulum has a ring of tissue called the labrum (this circles the acetabulum) the labrum also helps provide stability to the hip.

Tendons connect muscles to bone. There are various muscles that surround the hip joint. These muscles and their tendons provide stability to the hip joint when the leg is moved. These muscles are also necessary for activities such as running, jumping and walking.

The hamstring muscles (are at the back of the leg) act with the gluteus maximus (the “buttock muscle”) to move the leg backwards at the hip. The hip flexors (iliopsoas and rectus femoris) move the leg forward at the hip. The groin muscles (adductor magnus and longus) move leg toward the midline of the body. The abductor group (gluteus medius, gluteus minimus and tensor fascia lata) move the leg away from the body and are also stabilize the hip joint.

 A bursa or bursae is a small sac of fluid which limits friction between muscles, tendons and bones. The principle bursa of the hip joint is the bursa of the greater trochanter. This bursa is placed outside of the hip joint. An injury can occur by a direct blow or falling directly onto the outside of the hip, or from overuse.

One of the most common causes of hip pain is the inflammation of the bursa called hip bursitis. A bursa is a fluid filled sac that allows extra protection for the tendons on motion between two uneven surfaces. For example, in the hip, a bursa rests between the bony prominence over the outside of the hip (the greater trochanter) and the firm tendon that passed over this bone. When the tendon has to move over the bone and over the inflamed bursa it will result in pain. Because patients with hip bursitis move this tendon with each step, hip bursitis symptoms can be quite painful. Hip bursitis presents as the pain on the outside of the upper thigh. Management of hip bursitis is often directed on balancing the function of hip, knee and pelvis thus eliminating the cause of the pain as well as local application of the cold laser directed on suppression of inflammation and accelerating healing of the soft tissues

For further in depth information on hip pain, please go to top left corner under “pain” or “conditions” for treatment also go to top left corner under “Treatments” for “Cold Laser Therapy”