- An inspiring Thursday tidbit. Form that positive habit! #chronicpain #Pain #physicaltherapy #physio... https://t.co/vsO2GMMoPx, May 19
- Full thickness tears of the #rotatorcuff do correlate with loss of function but NOT ALWAYS with #pain! Mental... https://t.co/zEY6p6S9OG, May 17
- Full thickness tears of the #rotatorcuff do not always have to be surgically corrected immediately. Modifiable... https://t.co/AtL2RI6UYT, May 13
- May is #EhlersDanlos awareness month! Talk to your #physicaltherapist #physio today!, May 12
- Recurrent #injuries are not uncommon in #hypermobile persons. #EhlersDanlos #flexibility #physicaltherapy https://t.co/yY4EjSsuDt, May 12
- Ask questions about #ehlerdanlos and #hypermobility. Sharon will be happy to answer questions on this Facebook page. GO!, May 11
- Some tidbits from the #ehlerdanlos symposium. #hypermobility #physicaltherapy #fitness #physio https://t.co/2MFVQOcAbQ, May 11
- Great insight to #lateralhippain #glutealtendinopathy. Have a listen if you have been having a pesky #hip... https://t.co/lxY9cXWc7m, May 11
- One of our physios, Sharon just recently returned from an #ehlerdanlos symposium in New York. She will have... https://t.co/yDqYErOMYi, May 11
- Everyone was ready for #GOT, well, #Winteriscoming and get #snowfit! #fitness #physicaltherapy #brisbaneanyday https://t.co/13x3F6ZSm4, May 10
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Hip Osteoarthritis: Can I still do Exercise?
Short Answer: YES YOU CAN!
Hip Osteoarthritis ( OA) is characterized by degeneration of the hip that involve structural and functional changes. On x-ray, there can be narrowing of the joint space, bony spurs or deformities of the femoral head or the acetabulum ( hip socket ). These changes may cause around hip and groin area and for some individuals, although these changes may be present, they a relatively pain-free.
Clinically, function can be impaired as OA can lead to loss of range of motion, pain and stiffness. Inability to clip your toenails or put on socks and shoes may be subtle tell-tale signs that some changes may be happening in your hip joint.
There is no direct cause of OA but there are factors that contribute to it such as family history, age, previous traumatic injury to the hip joint, hip dysplasia or other childhood defects in the hip and obesity.
What Happens when you have hip OA?
Aside from loss of range of motion, pain and stiffness, people who have lower limb arthritis are also seen to have some deficits in balance, joint position sense and strength. Unfortunately, these deficits can affect function, and be a risk factor for falls especially in the elderly population. Despite having these deficits, we have good news. These deficits can be addressed with exercises.
International guidelines state primary strategies for managing hip OA would be exercise and manual therapy. In Physiotherapy, exercise and manual therapy are some of the tools we use to help with pain and restore function.
What Exercises can I do?
Exercises can be classified into lengthening exercises ( or stretching ), strengthening exercises and proprioception exercises. Lengthening exercises can address the tightness of the muscles around the hip, strengthening and proprioception exercises can improve strength and balance. Proprioception is the ability of the body to know where it is in space. There is good evidence that exercise can improve pain and function especially land-based exercises and some authors have reported that subjects with hip OA could feel the benefits of exercise up to 6 months.
Hydrotherapy or pool exercises are useful as well and are strongly recommended, especially for patients who have a very painful hip and cannot tolerate land-based exercises.
Exercises are supposed to be pain-free and comfortable. However, if you cannot tolerate the exercises, manual therapy is one of the physiotherapist’s tools to help improve range of motion and help with pain.
Manual therapy can include traction or joint mobilization and this can help decrease pain through neurophysiological effects and it can facilitate synovial fluid movement in the joint improving health. Some authors did a randomized control trial comparing the use of manual therapy and therapeutic exercise and looked at their effects on hip range of motion ( ROM) , muscle length and strength and walking endurance. They found that after 5 weeks of intervention, the success rate of manual therapy was 81% versus 50% for exercise therapy and was found to be better than exercise in some patients with hip OA. However, it is also reported that it is not any more effective than exercise in people who have limited function and high pain levels. When intervention stopped, improvements declined after 5 weeks in the group that received manual therapy. So to be able to exercise effectively and pain-free, at times, manual therapy is recommended but is not the end all and be all of physiotherapy.
In general, even if you have hip OA, you can still exercise. Of course certain type of exercises that require a lot of range of motion, like yoga may not be the best, but slow, resistance exercises such as Pilates can be very beneficial for you. Running, multi-direction and jumping sports maybe questionable because your ability to perform movement depends on how symptomatic your hip OA is. It is a good idea to see your physiotherapist and your attending GP and have an assessment to see what is fit for you or not.
So, if you think you have hip problems or have been diagnosed recently with hip OA and not sure how to proceed, come and see us at the clinic today. We may be able to answer your questions.
Hernandez-Mollina et al . 2008. Effect of therapeutic exercise for hip osteoarthritis pain: results of meta-analysis. Arthritis Rheum 59 (9)
Cibulka et al 2009. Hip Pain and Mobility Deficits – Hip Osteoarthritis. JOSPT 2009
#hippain #hipOA #osteoarthritis #manualtherapy #hipjoint #OA
#physiotherapy #physicaltherapy #jointpain #hipmobility #physiotec ... See MoreSee Less
For all those Mums and Mums-to-be
Have you ever experienced some pain in the pelvis or in the hips during or after pregnacy?
Poor pelvic control or instability is a condition more common in women and is associated with pregnancy and post –pregnancy. During pregnancy, relaxin is a hormone that is released in the body to allow the ligaments to stretch to accommodate the fast growing baby. With another human being growing rapidly, the pelvis does receive a lot of stress to accommodate the little one. Some women can cope with the stress, while some do not.
DON’T WORRY THOUGH.... remember that “instability” does not mean your pelvis is physically out of place but rather your muscles around the pelvis do not provide adequate force closure or mechanical compression around the pelvis while the ligaments are lax.
Who are more at risk developing Pelvic pain due to pelvic instability?
Research has shown that women with strenous work, previous history of low back pain, and history of lumbo-pelvic pain during previous pregnancy are at risk. Although, direct trauma to the pelvis such as a fall can also result to pelvic instability.
How can Physiotherapy Help?
Physiotherapy can help by identifying the cause of the pain around the pelvis whether it is lumbar spine of origin or is it pelvic instability. Off loading the pelvis may be important in reducing the symptoms such as using crutches or walking sticks. Tape, abdominal belts can also provide some compression around the pelvis, providing stability.
Strengthening around the lumbar spine and pelvis are important as well in managing this condition. The muscles around the pelvis are important for providing control, so despite laxity in the ligaments, you have the muscles providing more support the ligaments cannot give. Using real time ultrasound to train deep abdominals and pelvic floor muscles are beneficial to someone who has pelvic instability followed by a progressive strengthening program.
If you are suffering from pelvic pain due to instability, see someone today and start with pain management and an appropriate strengthening program.
Ask us today! #fisio #physiotherapy #womenshealth #pelvicfloor #SIJ #pregnancy #preggyproblems #babybumps #mumstobe ... See MoreSee Less
Really cool video of the elbow joint... ever wondered how our joints move? ... See MoreSee Less
Beautiful short video of the elbow joint! 🙂 Great to see how the radius rotates inside the joint capsule. From: aclandanatomy.com/
Are we clear enough when we give you your home exercise program? #movemove #movemorefitness #physio #exercise #pilates #physiohumor ... See MoreSee Less
Don't be afraid to give heavy exercises to your elderly patients! 😊 Good for bones, joints, muscles and self-confidence! Begin with light weights and progress slowly ofcourse..😀
Fantastic infographic on hip impingement! 🙂 #FAI #BJSM
Do you have any questions? Ask us today! ... See MoreSee Less
What's all the fuss about #FAI? via Yann LE MEUR
We had a visitor at PhysioTec this week. Megan and her daughter Annabel. What a cutie!! ... See MoreSee Less
No rest for PhysioTec on a Sunday. We were recording video snippets of our favorite exercises for a new project. Stay tuned.... ... See MoreSee Less
#RT #HappyWorldPTday! Did you say hi to us today?
#movementworks #exerciseworks ... See MoreSee Less
Happy world physical therapy day! I hope we are able to make a difference! #worldPTday ... See MoreSee Less
Wow! Isn't this amazing?
It's #worldPTday 8 September! We are paying tribute to our clients who we are proud of and fellow colleagues who always strive to make the world a healthier place!
#physio #PT1st #physicaltherapy #physiotherapy #athletes #sports #exerciseworks #strenghtraining ... See MoreSee Less
Strength is the most important general physical adaptation. All other physical capacities like power, balance, coordination and even endurance depend on a person's ability to produce force against an ...
#getactive #stayactive ... See MoreSee Less
Wishing you an active weekend #GetActive